1. Electrical impedance spectroscopy for the characterization of skin barrier in atopic dermatitis
- Author
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Matthias Möhrenschlager, Ellen D. Renner, Anita Dreher, Simon Grant, Daniel Burla, Marja Gautschi, Eugen Bersuch, Cezmi A. Akdis, Angelica Korsfeldt, Nima Askary Lord, Arturo Rinaldi, Siobhan Ward, David Melin, Per Svedenhag, Kristina Tsekova, Ge Tan, Britta Stolpe, Peter Schmid-Grendelmeier, University of Zurich, and Akdis, Cezmi A
- Subjects
0301 basic medicine ,medicine.medical_specialty ,Immunology ,Eczema ,610 Medicine & health ,10071 Functional Genomics Center Zurich ,Filaggrin Proteins ,Gastroenterology ,Dermatitis, Atopic ,Lesion ,03 medical and health sciences ,0302 clinical medicine ,In vivo ,10183 Swiss Institute of Allergy and Asthma Research ,Internal medicine ,medicine ,Humans ,Immunology and Allergy ,SCORAD ,CCL13 ,Skin ,Transepidermal water loss ,2403 Immunology ,medicine.diagnostic_test ,Tight junction ,business.industry ,Pruritus ,10177 Dermatology Clinic ,Atopic dermatitis ,medicine.disease ,030104 developmental biology ,030228 respiratory system ,Dielectric Spectroscopy ,2723 Immunology and Allergy ,Cytokines ,medicine.symptom ,business ,Filaggrin - Abstract
Background Allergic disorders such as atopic dermatitis (AD) are strongly associated with an impairment of the epithelial barrier, in which tight junctions and/or filaggrin expression can be defective. Skin barrier assessment shows potential to be clinically useful for prediction of disease development, improved and earlier diagnosis, lesion follow-up, and therapy evaluation. This study aimed to establish a method to directly assess the in vivo status of epithelial barrier using electrical impedance spectroscopy (EIS). Methods Thirty-six patients with AD were followed during their 3-week hospitalization and compared with 28 controls. EIS and transepidermal water loss (TEWL) were measured in lesional and non-lesional skin. Targeted proteomics by proximity extension assay in serum and whole-genome sequence were performed. Results Electrical impedance spectroscopy was able to assess epithelial barrier integrity, differentiate between patients and controls without AD, and characterize lesional and non-lesional skin of patients. It showed a significant negative correlation with TEWL, but a higher sensitivity to discriminate non-lesional atopic skin from controls. During hospitalization, lesions reported a significant increase in EIS that correlated with healing, decreased SCORAD and itch scores. Additionally, EIS showed a significant inverse correlation with serum biomarkers associated with inflammatory pathways that may affect the epithelial barrier, particularly chemokines such as CCL13, CCL3, CCL7, and CXCL8 and other cytokines, such as IRAK1, IRAK4, and FG2, which were significantly high at admission. Furthermore, filaggrin copy numbers significantly correlated with EIS on non-lesional skin of patients. Conclusions Electrical impedance spectroscopy can be a useful tool to detect skin barrier dysfunction in vivo, valuable for the assessment of AD severity, progression, and therapy efficacy.
- Published
- 2021