Exploring the Impact of Ceramide Synthesis Enzymes on Atopic Dermatitis Severity

Session Number

MEDH 14

Advisor(s)

Amy S. Paller, MD, MS

Nihal Kaplan, Northwestern University, Feinberg School of Medicine, Department of Dermatology

Discipline

Medical and Health Sciences

Start Date

17-4-2024 10:25 AM

End Date

17-4-2024 10:40 AM

Abstract

Atopic dermatitis (AD; eczema) is a chronic skin disorder characterized by inflammation, itching, and compromised skin barrier function. Pathogenesis involves genetic factors, immune dysregulation, and skin barrier ceramide alterations. This research project explores the relationship between the ceramide de novo pathway and AD severity. Severity was determined serially based on assessing erythema, scaling, edema, and erosion using a 12-point scale (each 0-3) in a mouse model of AD induced by MC903 application on the ear. Ear samples were collected on challenge days 1, 4, and 9. RNA was extracted for quantitative real-time PCR to assess changes in biomarkers.

Maximum severity was reached at 4 days in terms of the clinical severity scale and cytokine changes. As found in human AD, expression of Sptlc3, encoding a key enzyme in de novo ceramide synthesis in differentiated skin, was significantly reduced in control mouse skin treated to induce AD. However, mice with the knockout of Sptlc3 did not develop AD spontaneously and, when treated topically with MC903, did not show increased AD severity or skewing of cytokines. These results suggest that other factors involved in de novo ceramide synthesis can compensate for the reduction in Sptlc3 in mouse skin, which deserves further exploration.

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Apr 17th, 10:25 AM Apr 17th, 10:40 AM

Exploring the Impact of Ceramide Synthesis Enzymes on Atopic Dermatitis Severity

Atopic dermatitis (AD; eczema) is a chronic skin disorder characterized by inflammation, itching, and compromised skin barrier function. Pathogenesis involves genetic factors, immune dysregulation, and skin barrier ceramide alterations. This research project explores the relationship between the ceramide de novo pathway and AD severity. Severity was determined serially based on assessing erythema, scaling, edema, and erosion using a 12-point scale (each 0-3) in a mouse model of AD induced by MC903 application on the ear. Ear samples were collected on challenge days 1, 4, and 9. RNA was extracted for quantitative real-time PCR to assess changes in biomarkers.

Maximum severity was reached at 4 days in terms of the clinical severity scale and cytokine changes. As found in human AD, expression of Sptlc3, encoding a key enzyme in de novo ceramide synthesis in differentiated skin, was significantly reduced in control mouse skin treated to induce AD. However, mice with the knockout of Sptlc3 did not develop AD spontaneously and, when treated topically with MC903, did not show increased AD severity or skewing of cytokines. These results suggest that other factors involved in de novo ceramide synthesis can compensate for the reduction in Sptlc3 in mouse skin, which deserves further exploration.