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Biomarkers of Autoimmune Chronic Spontaneous Urticaria

A special issue of International Journal of Molecular Sciences (ISSN 1422-0067). This special issue belongs to the section "Molecular Immunology".

Deadline for manuscript submissions: closed (31 October 2023) | Viewed by 7620

Special Issue Editors


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Guest Editor
The Proteomic and Clinical Flow Cytometry Unit, Bnai-Zion Medical Center, The Rappaport Faculty of Medicine, Technion, Haifa 31048, Israel
Interests: autoimmunity; regulatory mechanisms; chronic spontaneous urticaria

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Guest Editor
Bnai Zion Medical Center, Haifa 3339419, Israel
Interests: immune-mediated-inflammation; semaphorins; regulatory molecules; chronic spontaneous urticaria

Special Issue Information

Dear Colleagues,

Biomarkers: An unmet need for the assessment of chronic spontaneous urticaria

Chronic spontaneous urticaria (CSU) is a devastating disease during which patients suffer from transient itchy wheals in association with episodes of angioedema, which are present in 40% of cases, or angioedema alone, in around 10% of cases. CSU is frequently a long-lasting disorder and is associated with co-morbidities such as fatigue, sleeplessness and anxiety, leading to an insufficient quality of life. Auto-reactive T cells and autoimmunity in general are primary factors in the pathogenesis of CSU. The response to treatment (both standard and omalizumab) is unpredictable in most cases, and the ability to predict this is important. Finally, patients frequently ask questions concerning how long the suffering will last, and whether it will come back at some stage once it has gone. The above questions require the usage of possible biomarkers aiming to predict one or more of the above raised issues. In this Special Issue, we aim to focus on biomarkers in the serum and skin of patients with CSU in an attempt to better define the pathogenesis, prognosis and response to treatment.

Prof. Dr. Elias Toubi
Prof. Dr. Zahava Vadasz
Guest Editors

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Keywords

  • Chronic Spontaneous Urticaria (CSU)
  • autoimmunity
  • cytokines
  • biomarkers
  • chemokines

Published Papers (4 papers)

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Research

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11 pages, 2775 KiB  
Article
Time Course of Priming Effect of TF Inducers on Synergistic TF Expression and Intra-Cellular Gap Formation of Human Vascular Endothelial Cells via the Extrinsic Coagulation Cascade
by Daiki Matsubara, Takuma Kunieda, Yuhki Yanase, Shunsuke Takahagi, Kazue Uchida, Tomoko Kawaguchi, Kaori Ishii, Akio Tanaka, Koichiro Ozawa and Michihiro Hide
Int. J. Mol. Sci. 2023, 24(15), 12388; https://doi.org/10.3390/ijms241512388 - 3 Aug 2023
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Abstract
Chronic spontaneous urticaria (CSU) is characterized by daily recurring wheal and flare with itch for more than 6 weeks. The extrinsic coagulation system has been shown to be activated in correlation with CSU severity. We have reported that tissue factor (TF), a trigger [...] Read more.
Chronic spontaneous urticaria (CSU) is characterized by daily recurring wheal and flare with itch for more than 6 weeks. The extrinsic coagulation system has been shown to be activated in correlation with CSU severity. We have reported that tissue factor (TF), a trigger of the extrinsic coagulation cascade, is synergistically expressed on vascular endothelial cells by simultaneous stimulation with TF inducers (TFI), followed by activation of the extrinsic coagulation cascade and hyper permeability in vitro. However, vascular endothelial cells are not likely to be simultaneously stimulated by multiple TFIs under physiological conditions. Therefore, in order to know whether sequential, rather than simultaneous, stimuli with interval may induce synergistic activation of TF, we investigated the time course of the priming effects of each TFI for synergistic TF expression in vascular endothelial cells (HUVECs). We stimulated HUVECs with a TFI (first stimulation) and then stimulated cells with another TFI at indicated time points (second stimulation) and detected TF expression and activity. The TF expression induced by simultaneous stimulation diminished in a few hours. However, both synergistic enhancement of TF expression and activation level of the coagulation cascade were detected even when the second stimulation was added 18 or 22 h after the first stimulation. Thus, the priming effect of TFI for synergistic TF expression may persist for a half day or longer. Full article
(This article belongs to the Special Issue Biomarkers of Autoimmune Chronic Spontaneous Urticaria)
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7 pages, 784 KiB  
Communication
Thyroid Autoimmunity in CSU: A Potential Marker of Omalizumab Response?
by Riccardo Asero, Silvia Mariel Ferrucci, Paolo Calzari, Dario Consonni and Massimo Cugno
Int. J. Mol. Sci. 2023, 24(8), 7491; https://doi.org/10.3390/ijms24087491 - 19 Apr 2023
Cited by 7 | Viewed by 1387
Abstract
The response of severe chronic spontaneous urticaria (CSU) to omalizumab largely depends on the autoimmune or autoallergic endotype of the disease. Whether thyroid autoimmunity may predict omalizumab response along with total IgE in CSU is still unclear. Three hundred and eighty-five patients (M/F [...] Read more.
The response of severe chronic spontaneous urticaria (CSU) to omalizumab largely depends on the autoimmune or autoallergic endotype of the disease. Whether thyroid autoimmunity may predict omalizumab response along with total IgE in CSU is still unclear. Three hundred and eighty-five patients (M/F 123/262; mean age 49.5 years; range 12–87 years) with severe CSU were studied. Total IgE levels and thyroid autoimmunity (levels of anti-thyroid peroxidase [TPO] IgG) were measured before omalizumab treatment. Based on the clinical response, patients were divided into early (ER), late (LR), partial (PR) and non (NR) responders to omalizumab. Thyroid autoimmunity was detected in 92/385 (24%) patients. Altogether, 52%, 22%, 16% and 10% of patients were ER, LR, PR and NR to omalizumab, respectively. Response to omalizumab was not associated with thyroid autoimmunity (p = 0.77). Conversely, we found a strongly positive association between IgE levels and omalizumab response (p < 0.0001); this association was largely driven by early response (OR = 5.46; 95% CI: 2.23–13.3). Moreover, the predicted probabilities of early response strongly increased with increasing IgE levels. Thyroid autoimmunity alone cannot be used as a clinical predictor of omalizumab response. Total IgE levels remain the only and most reliable prognostic marker for omalizumab response in patients with severe CSU. Full article
(This article belongs to the Special Issue Biomarkers of Autoimmune Chronic Spontaneous Urticaria)
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Review

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14 pages, 321 KiB  
Review
Biomarkers for Monitoring Treatment Response of Omalizumab in Patients with Chronic Urticaria
by Nadja Højgaard Pedersen, Jennifer Astrup Sørensen, Misbah Noshela Ghazanfar, Ditte Georgina Zhang, Christian Vestergaard and Simon Francis Thomsen
Int. J. Mol. Sci. 2023, 24(14), 11328; https://doi.org/10.3390/ijms241411328 - 11 Jul 2023
Cited by 5 | Viewed by 2201
Abstract
Chronic urticaria (CU) is a debilitating skin disease affecting around 1% of the population. CU can be subdivided into chronic spontaneous urticaria (CSU) and chronic inducible urticaria (CIndU). Different pathophysiological mechanisms have been proposed to play a role in the development of CU, [...] Read more.
Chronic urticaria (CU) is a debilitating skin disease affecting around 1% of the population. CU can be subdivided into chronic spontaneous urticaria (CSU) and chronic inducible urticaria (CIndU). Different pathophysiological mechanisms have been proposed to play a role in the development of CU, and these are also being investigated as potential biomarkers in the diagnosis and management of the disease. As of now the only assessment tools available for treatment response are patient reported outcomes (PROs). Although these tools are both validated and widely used, they leave a desire for more objective measurements. A biomarker is a broad subcategory of observations that can be used as an accurate, reproducible, and objective indicator of clinically relevant outcomes. This could be normal biological or pathogenic processes, or a response to an intervention or exposure, e.g., treatment response. Herein we provide an overview of biomarkers for CU, with a focus on prognostic biomarkers for treatment response to omalizumab, thereby potentially aiding physicians in personalizing treatments. Full article
(This article belongs to the Special Issue Biomarkers of Autoimmune Chronic Spontaneous Urticaria)
11 pages, 1196 KiB  
Review
Basophil Characteristics as a Marker of the Pathogenesis of Chronic Spontaneous Urticaria in Relation to the Coagulation and Complement Systems
by Yuhki Yanase, Daiki Matsubara, Shunsuke Takahagi, Akio Tanaka, Koichiro Ozawa and Michihiro Hide
Int. J. Mol. Sci. 2023, 24(12), 10320; https://doi.org/10.3390/ijms241210320 - 19 Jun 2023
Cited by 8 | Viewed by 2648
Abstract
Chronic spontaneous urticaria (CSU) is a common skin disorder characterized by daily or almost daily recurring skin edema and flare with itch and pruritus anywhere on the body for more than 6 weeks. Although basophil- and mast cell-released inflammatory mediators, such as histamine, [...] Read more.
Chronic spontaneous urticaria (CSU) is a common skin disorder characterized by daily or almost daily recurring skin edema and flare with itch and pruritus anywhere on the body for more than 6 weeks. Although basophil- and mast cell-released inflammatory mediators, such as histamine, play important roles in the pathogenesis of CSU, the detailed underlying mechanism is not clear. Since several auto-antibodies, IgGs which recognize IgE or the high-affinity IgE receptor (FcεRI) and IgEs against other self-antigens, are detected in CSU patients, they are considered to activate both mast cells in the skin and basophils circulating in the blood. In addition, we and other groups demonstrated that the coagulation and complement system also contribute to the development of urticaria. Here, we summarized the behaviors, markers and targets of basophils in relation to the coagulation–complement system, and for the treatment of CSU. Full article
(This article belongs to the Special Issue Biomarkers of Autoimmune Chronic Spontaneous Urticaria)
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