Tape strips in dermatology research Hughes, A. J.; Tawfik, S. S.; Baruah, K. P. ...
British journal of dermatology (1951),
July 2021, Letnik:
185, Številka:
1
Journal Article
Recenzirano
Odprti dostop
Summary
Tape strips have been used widely in dermatology research as a minimally invasive method to sample the epidermis, avoiding the need for skin biopsies. Most research has focused on epidermal ...pathology, such as atopic eczema, but there is increasing research into the use of tape strips in other dermatoses, such as skin cancer, and the microbiome. This review summarizes the technique of tape stripping, and discusses which dermatoses have been studied by tape stripping and alternative minimally invasive sampling methods. We review the number of tape strips needed from each patient and the components of the epidermis that can be obtained by tape stripping. With a focus on protein and RNA extraction, we address the techniques used to process tape strips. There is no optimal protocol to extract protein, as this depends on the abundance of the protein studied, its level of expression in the epidermis and its solubility. Many variables can alter the amount of protein obtained from tape strips, which must be standardized to ensure consistency between samples. No study has compared different RNA extraction techniques, but our own experience is that RNA yield is optimized by using 20 tape strips and the use of a cell scraper.
What is already known about this topic?
Tape strips have been widely used in dermatology research as a minimally invasive method to collect epidermal samples.
Tape strips can be used as an alternative to skin biopsies in certain circumstances.
Tape strips can be used to determine protein, RNA, lipid and microbial expression.
There is currently no standardized protocol used for collecting and processing tape strips.
What does this study add?
This review summarizes the technique of tape stripping, what information can be obtained from tape stripping and which dermatoses have been studied by tape stripping.
Evidence regarding different protocols for protein and RNA extraction from tape strips is reviewed.
Maximal RNA yield is obtained from 20 tape strips using a cell scraper.
Summary
Background
Linear morphoea (LM) is a rare connective tissue disorder characterized by a line of thickened skin and subcutaneous tissue and can also affect the underlying muscle and bone. ...Little is known about the disease aetiology, with treatment currently limited to immune suppression, and disease recurrence post‐treatment is common.
Objectives
In order to uncover new therapeutic avenues, the cell‐intrinsic changes in LM fibroblasts compared with site‐matched controls were characterized.
Methods
We grew fibroblasts from site‐matched affected and unaffected regions from five patients with LM, we subjected them to gene expression analysis and investigation of SMAD signalling.
Results
Fibroblasts from LM lesions showed increased migration, proliferation, altered collagen processing, and abnormally high basal levels of phosphorylated SMAD2, thereby rendering them less responsive to transforming growth factor (TGF)‐β1 and reducing the degree of myofibroblast differentiation, which is a key component of the wound‐healing and scarring process in normal skin. Conditioned media from normal fibroblasts could reverse LM‐affected fibroblast migration and proliferation, suggesting that the LM phenotype is driven by an altered secretome. Gene array analysis and RNA‐Seq indicated upregulation of ADAMTS8 and downregulation of FRAS1 and SOSTDC1. SOSTDC1 knock‐down recapitulated the reduced TGF‐β1 responsiveness and LM fibroblast migration, while overexpression of ADAMTS8 induced myofibroblast markers.
Conclusions
We demonstrate that cell‐intrinsic changes in the LM fibroblast secretome lead to changes observed in the disease, and that secretome modulation could be a viable therapeutic approach in the treatment of LM.
What's already known about this topic?
Linear morphoea (LM) is a rare connective tissue disorder.
The underlying mechanism responsible for the fibrosis of LM is unknown.
What does this study add?
LM fibroblasts from diseased skin possess a persistent identifiable cell phenotype.
LM fibroblasts display increased cell growth and migration, and reduced response to transforming growth factor‐β1.
What is the translational message?
Cell‐intrinsic changes in the LM fibroblast secretome lead to changes observed in the disease.
Secretome modulation could be a viable therapeutic approach in the treatment of LM.
Linked Comment: Mellody et al. Br J Dermatol 2019; 180:985–987.
Respond to this article
Nuclear degradation is a key stage in keratinocyte terminal differentiation and the formation of the cornified envelope that comprises the majority of epidermal barrier function. Parakeratosis, the ...retention of nuclear material in the cornified layer of the epidermis, is a common histological observation in many skin diseases, notably in atopic dermatitis and psoriasis. Keratinocyte nuclear degradation is not well characterised, and it is unclear whether the retained nuclei contribute to the altered epidermal differentiation seen in eczema and psoriasis. Loss of AKT1 function strongly correlated with parakeratosis both in eczema samples and in organotypic culture models. Although levels of DNAses, including DNase1L2, were unchanged, proteomic analysis revealed an increase in Lamin A/C. AKT phosphorylates Lamin A/C, targeting it for degradation. Consistent with this, Lamin A/C degradation was inhibited and Lamin A/C was observed in the cornified layer of AKT1 knockdown organotypic cultures, surrounding retained nuclear material. Using AKT-phosphorylation-dead Lamin A constructs we show that the retention of nuclear material is sufficient to cause profound changes in epidermal terminal differentiation, specifically a reduction in Loricrin, Keratin 1, Keratin 10, and filaggrin expression. We show that preventing nuclear degradation upregulates BMP2 expression and SMAD1 signalling. Consistent with these data, we observe both parakeratosis and evidence of increased SMAD1 signalling in atopic dermatitis. We therefore present a model that, in the absence of AKT1-mediated Lamin A/C degradation, DNA degradation processes, such as those mediated by DNAse 1L2, are prevented, leading to parakeratosis and changes in epidermal differentiation.
Human regulatory T cells (Treg) are important in immune regulation, but can also show plasticity in specific settings. CD161 is a lectin-like receptor and its expression identifies an effector-like ...Treg population. Here, we determined how CD161
Treg relate to CD161
conventional T cells (Tconv). Transcriptional profiling identified a shared transcriptional signature between CD161
Tconv and CD161
Treg, which is associated with T helper (Th)1 and Th17 cells, and tissue homing, including high expression of gut-homing receptors. Upon retinoic acid (RA) exposure, CD161
T cells were more enriched for CCR9
and integrin α4
β7
cells than CD161
T cells. In addition, CD161
Tconv and CD161
Treg were enriched at the inflamed site in autoimmune arthritis, and both CD161
and CD161
Treg from the inflamed site were suppressive
. CD161
T cells from the site of autoimmune arthritis showed a diminished gut-homing phenotype and blunted response to RA suggesting prior imprinting by RA in the gut or at peripheral sites rather than during synovial inflammation. TCRβ repertoires of CD161
and CD161
Tconv and Treg from blood showed limited overlap whereas there was clear overlap between CD161
and CD161
Tconv, and CD161
and CD161
Treg from the inflamed site suggesting that the inflamed environment may alter CD161 levels, potentially contributing to disease pathogenesis.
Anogenital malignancy has a significant association with high-risk mucosal alpha-human papillomaviruses (alpha-PV), particularly HPV 16 and 18 whereas extragenital SCC has been linked to the presence ...of cutaneous beta and gamma-HPV types. Vulval skin may be colonised by both mucosal and cutaneous (beta-, mu-, nu- and gamma-) PV types, but there are few systematic studies investigating their presence and their relative contributions to vulval malignancy. Dysregulation of AKT, a serine/threonine kinase, plays a significant role in several cancers. Mucosal HPV types can increase AKT phosphorylation and activity whereas cutaneous HPV types down-regulate AKT1 expression, probably to weaken the cornified envelope to promote viral release. We assessed the presence of mucosal and cutaneous HPV in vulval malignancy and its relationship to AKT1 expression in order to establish the corresponding HPV and AKT1 profile of normal vulval skin, vulval intraepithelial neoplasia (VIN) and vulval squamous cell carcinoma (vSCC). We show that HPV16 is the principle HPV type present in VIN, there were few detectable beta types present and AKT1 loss was not associated with the presence of these cutaneous HPV. We show that HPV16 early gene expression reduced AKT1 expression in transgenic mouse epidermis. AKT1 loss in our VIN cohort correlated with presence of high copy number, episomal HPV16. Maintained AKT1 expression correlated with low copy number, an increased frequency of integration and increased HPV16E7 expression, a finding we replicated in another untyped cohort of vSCC. Since expression of E7 reflects tumour progression, these findings suggest that AKT1 loss associated with episomal HPV16 may have positive prognostic implications in vulval malignancy.