Stefan Blunder's research while affiliated with University of Innsbruck and other places

Publications (50)

Article
Zusammenfassung Die Innsbrucker Universitäts-Hautklinik wurde 1873 als Extraordinariat gegründet. 1886 wurde sie zum zweiten Ordinariat des Faches im deutschsprachigen Raum (nach Wien 1869). Heute, 150 Jahre später, bietet die Klinik in ihrer Versorgungsregion in Westösterreich und durch ihr geografisches Naheverhältnis zum Norden Italiens, dem Ost...
Article
Atopic dermatitis (AD) is a complex disease characterized by chronic recurring eczema and pruritus. In addition, AD patients display increased cutaneous and systemic levels of oxidative damage markers, whose source remains elusive. In this study, we investigated oxidative and mitochondrial stress in AD epidermis. The levels of SOD2 and hydrogen per...
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The discovery in 2006 that loss-of-function mutations in the filaggrin gene (FLG) cause ichthyosis vulgaris and can predispose to atopic dermatitis (AD) galvanized the dermatology research community and shed new light on a skin protein that was first identified in 1981. However, although outstanding work has uncovered several key functions of filag...
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Previous work has shown increased expression of genes related to oxidative stress in nonlesional atopic dermatitis (ADNL) skin. Although mitochondria are key regulators of reactive oxygen species production, their function in AD has never been investigated. Energy metabolism and the oxidative stress response were studied in keratinocytes (KCs) from...
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Atopic dermatitis (AD) is a chronic and relapsing inflammatory skin disease in which dry and itchy skin may develop into skin lesions. AD has a strong genetic component, as children from parents with AD have a twofold increased chance of developing the disease. Genetic risk loci and epigenetic modifications reported in AD mainly locate to genes inv...
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Keratosis follicularis spinulosa decalvans (KFSD) is a rare cornification disorder with an X-linked recessive inheritance in most cases. Pathogenic variants causing X-linked KFSD have been described in MBTPS2, the gene for a membrane-bound zinc metalloprotease that is involved in the cleavage of sterol regulatory element binding proteins important...
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Peroxisome proliferator-activated receptors (PPARs) are nuclear hormone receptors expressed in the skin. Three PPAR isotypes, α (NRC1C1), β or δ (NRC1C2) and γ (NRC1C3), have been identified. After activation through ligand binding, PPARs heterodimerize with the 9-cis-retinoic acid receptor (RXR), another nuclear hormone receptor, to bind to specif...
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Peroxisome proliferator‐activated receptors (PPARs) are a family of nuclear hormone receptors. In skin, PPARs modulate inflammation, lipid synthesis, keratinocyte differentiation and proliferation and thus are important for skin barrier homeostasis. Accordingly, PPAR expression is altered in various skin conditions that entail epidermal barrier imp...
Article
Papillon-Lefèvre syndrome (PLS) is a rare autosomal recessive genodermatosis characterized by palmoplantar keratoderma and severe periodontitis leading to premature loss of primary and permanent teeth. PLS is caused by loss-of-function mutations in CTSC, lacking functional cathepsin C, which impairs the activation of neutrophil serine proteases. Pr...
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Hintergrund: Ichthyosen sind eine heterogene Gruppe von Krankheiten, deren klinische Klassifizierung schwierig ist. Hier wird die Ichthyosekohorte eines Expertisezentrums für Genodermatosen im Detail beschrieben. Patienten und methodik: Eingeschlossen wurden Patienten mit klinisch oder genetisch bestätigter Ichthyose, die zwischen 2004 und 2017...
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Background: Ichthyoses are a heterogeneous disease group, which makes clinical classification challenging. An ichthyosis cohort at a center for genodermatoses is presented in detail. Patients and methods: Patients with clinically and/or genetically confirmed ichthyosis seen from 2004 to 2017 and listed in a database were included. Disease onset,...
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Atopic dermatitis (AD) is characterized by dry and itchy skin evolving into disseminated skin lesions. AD is believed to result from a primary acquired or a genetically-induced epidermal barrier defect leading to immune hyper-responsiveness. Filaggrin (FLG) is a protein found in the cornified envelope of fully differentiated keratinocytes, referred...
Article
The cyclin-dependent kinases CDK4 and CDK6 promote progression through the cell cycle, where their functions are considered to be redundant. Recent studies have identified an additional role for CDK6 in the transcriptional regulation of cancer-relevant genes such as VEGF-A and EGR1 in hematopoietic malignancies. We show that the CDK4/6 inhibitor PD...
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Atopic dermatitis (AD) is a chronic inflammatory skin disease with a complex pathogenesis. Although regulatory T cells (Tregs) have previously been studied in AD, their role remains controversial, likely owing to patient heterogeneity. Thus, we recruited adult AD patients and age‐matched healthy controls, and assessed their filaggrin (FLG) genotype...
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Papillon‐Lefèvre syndrome (PLS) is characterized by nonfunctional neutrophil serine proteases (NSPs) and fulminant periodontal inflammation of unknown cause. Here we investigated neutrophil extracellular trap (NET)‐associated aggregation and cytokine/chemokine‐release/degradation by normal and NSP‐deficient human and mouse granulocytes. Stimulated...
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Background and aims: Despite the potential life-threatening consequences of thoracic aortic aneurysms (TAAs), the pathogenesis of these diseases is still poorly understood. While some aspects of TAA formation have been elucidated, the role of vascular smooth muscle cells (SMCs) in both bicuspid aortic valve (BAV)-associated and degenerative tricus...
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Previous transcriptome analyses underscored the importance of immunological and skin barrier abnormalities in atopic dermatitis (AD). We sought to identify novel pathogenic pathways involved in AD by comparing the transcriptomes of AD patients stratified for filaggrin (FLG) null mutations to those of both healthy donors and patients with ichthyosis...
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Here we report three patients with severe palmoplantar keratoderma associated with ichthyosis and sensorineural deafness. Bi-allelic mutations were found in VPS33B, encoding VPS33B, a Sec1/Munc18 family protein which interacts with Rab11a and Rab25 proteins and is involved in trafficking of the collagen modifying enzyme LH3. Two patients were homoz...
Article
Loss-of-function mutations in the filaggrin (FLG) gene cause ichthyosis vulgaris (IV) and represent the major predisposing genetic risk factor for atopic dermatitis (AD). While both conditions are characterized by epidermal barrier impairment, AD also exhibits signs of inflammation. This work was aimed at delineating the role of FLG loss-of-functio...
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Zusammenfassung: Zahlreiche Hautkrankheiten gehen mit Störungen der Hautbarriere einher. Man unterscheidet primäre und sekundäre Barrierestörungen. Erstere sind monogen durch Defekte in Schlüsselkomponenten der Epidermis bedingt (z.B. Ichthyosen). Sekundäre Barrierestörungen treten bei entzündlichen Hautkrankheiten auf, bei denen die epidermale Ho...
Article
Several skin disorders are associated with impaired skin barrier function. Primary dysfunction is caused by monogenic defects in key components of the epidermis (for example ichthyoses). Secondary barrier impairment occurs in inflammatory dermatoses marked by disturbed epidermal homeostasis (eczema, psoriasis, etc.). In these disorders, inflammatio...
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Tissue-engineered xenografts represent a promising treatment option in heart valve disease. However, inflammatory response leading to graft failure and incomplete in vitro repopulation with recipient cells remain challenging. Shock waves (SWs) were shown to modulate inflammation and to enhance re-epithelialization. We therefore aimed to investigate...
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Objectives Low energy shock waves have been shown to induce angiogenesis, improve left ventricular ejection fraction and decrease angina symptoms in patients suffering from chronic ischemic heart disease. Whether there is as well an effect in acute ischemia was not yet investigated. Methods Hind-limb ischemia was induced in 10–12 weeks old male C5...
Article
Past studies on the pathogenesis of thoracic aortic aneurysms have, by concentrating on histological and total tissue analyses, revealed several disease-relevant processes. Despite these studies, there is still a significant lack in the understanding of aneurysmal cell biology today. Hence, it was the goal of this study to assess differences betwee...
Article
To validate the hypothesis that the toxic heavy metal lead (Pb) may be linked to cardiovascular diseases via the initiation of atherosclerosis, in vivo and in vitro studies were conducted. During the human study part of this project, serum Pb levels of healthy young women were correlated to carotid intima-media thickness. Multivariate logistic regr...

Citations

... It is proposed that mitochondria play an important role in the pathogenesis of AD. Abnormal levels of mitochondrial metabolism and mitochondrial respiration in pro-oxidative situations have been gradually identified as a potential distinguishing characteristic of inflammatory illnesses like AD (5,14,15). Topical application of MitoQ, a mitochondrial targeting antioxidant, has been shown to effectively ameliorate AD-like eczema in mice through antiinflammatory and antioxidant effects (14). It is necessary to uncover novel critical mitochondria-related genes, in light of aberrant mitochondria activity in the course of AD, to better understand the potential mechanism of AD and provide new ideas for molecular diagnosis and therapy for these patients. ...
... Filaggrin protein plays an important role in maintaining the skin surface barrier, and its lack of function will induce AD [32,33]. Our experimental results showed that MMI increased the expression of filaggrin protein in TNF-α/IFN-γ-stimulated HaCaT cells, which was consistent with the effect of Dexa ( Figure 1B), suggesting that MMI may play the same role as Dexa in alleviating AD. ...
... ACADS and ACOX1 expression showed the same trend without reaching statistical significance. These results support the hypothesis of a link between the increased mitochondrial function observed in AD epidermis [37,41] and the increased utilization of FAs as energetic substrates under Th2 signaling. Changes in concentrations of cholesterol sulfate and ceramides, although apparent, did not reach significance (Table S12). ...
... The ELOVL3 and ELOVL4 enzymes are involved in the elongation of saturated FA 16:0 to FA 22:0-CoA and ultra-long-chain FAs (C26-36), respectively [64]. The observation of decreased expression of ELOVLs in 3D-HEEs treated with IL-4 and IL-13 is consistent with findings of their reduced expression in human SC from AD lesion areas [65,66]. Recent studies have identified significant metabolic changes in the SC and plasma of AD patients following treatment with dupilumab, a monoclonal antibody targeting the receptors for IL-4 and IL-13 [67,68]. ...
... Cystatin E/M regulates the desquamation and cornification process by inhibiting cathepsin V and L activity with high efficiency. The dysfunction of CST6 results in dry skin and keratosis caused by unregulated proteolytic events induced by cathepsin V, L, and legumain in the epidermis [57,58]. Knockdown of CST6 in vitro causes deficient development of the multilayer epidermis [59]. ...
... Nuclear hormone receptors (NRs) play a crucial role in gene regulation and are targeted by various treatments for psoriasis, including glucocorticoids, retinoids, and vitamin D3 analogues [60,61] . These ligands bind to specific receptors like the glucocorticoid receptor (GR), retinoic acid receptor (RXR), and vitamin D receptor (VDR), which have domains for DNA and hormone binding, influencing gene expression [62][63][64] . ...
... It was found to be up-regulated in psoriasis tissues, which is consistent with RNA sequencing results [42]. In psoriasis, the inflammatory cytokines IL-1β and TNF-α released by immune cells in acute epidermal barrier impairment increased the PPARD levels [43]. ...
... Although the c.1798C > T variant has only been reported in one case study, c.1463G > A is a confirmed pathogenic variant that has been reported multiple times. [6][7][8][9][10][11] The above variants may be causative of CB in this case. ...
... 9 These techniques can then be combined with inflammatory mediators such as Th1 or Th2 cytokines, gene editing methods like CRISPR/Cas9, or the use of patient derived cells to generate disease models for common dermatoses such as psoriasis 10,11 or atopic dermatitis. 12,13 All these models rely on the use of normal human epidermal keratinocytes (NHK) that are isolated from donor skin obtained from plastic surgery or circumcisions. However, these cells are limited by availability and display donor-specific variations in terms of (epi) genetic background, age or body site that hamper the understanding of general principles. ...