The relevance of complement in pemphigoid diseases: A critical appraisal

Pemphigoid diseases are autoimmune chronic inflammatory skin diseases, which are characterized by blistering of the skin and/or mucous membranes, and circulating and tissue-bound autoantibodies. The well-established pathomechanisms comprise autoantibodies targeting various structural proteins locate...

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Main Authors: Cristian Papara, Christian M. Karsten, Hideyuki Ujiie, Enno Schmidt, Leon F. Schmidt-Jiménez, Adrian Baican, Patricia C. Freire, Kentaro Izumi, Katja Bieber, Matthias Peipp, Admar Verschoor, Ralf J. Ludwig, Jörg Köhl, Detlef Zillikens, Christoph M. Hammers
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-08-01
Series:Frontiers in Immunology
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Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2022.973702/full
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author Cristian Papara
Cristian Papara
Christian M. Karsten
Hideyuki Ujiie
Enno Schmidt
Enno Schmidt
Leon F. Schmidt-Jiménez
Adrian Baican
Patricia C. Freire
Kentaro Izumi
Katja Bieber
Matthias Peipp
Admar Verschoor
Admar Verschoor
Ralf J. Ludwig
Ralf J. Ludwig
Jörg Köhl
Jörg Köhl
Detlef Zillikens
Christoph M. Hammers
Christoph M. Hammers
author_facet Cristian Papara
Cristian Papara
Christian M. Karsten
Hideyuki Ujiie
Enno Schmidt
Enno Schmidt
Leon F. Schmidt-Jiménez
Adrian Baican
Patricia C. Freire
Kentaro Izumi
Katja Bieber
Matthias Peipp
Admar Verschoor
Admar Verschoor
Ralf J. Ludwig
Ralf J. Ludwig
Jörg Köhl
Jörg Köhl
Detlef Zillikens
Christoph M. Hammers
Christoph M. Hammers
author_sort Cristian Papara
collection DOAJ
description Pemphigoid diseases are autoimmune chronic inflammatory skin diseases, which are characterized by blistering of the skin and/or mucous membranes, and circulating and tissue-bound autoantibodies. The well-established pathomechanisms comprise autoantibodies targeting various structural proteins located at the dermal-epidermal junction, leading to complement factor binding and activation. Several effector cells are thus attracted and activated, which in turn inflict characteristic tissue damage and subepidermal blistering. Moreover, the detection of linear complement deposits in the skin is a diagnostic hallmark of all pemphigoid diseases. However, recent studies showed that blistering might also occur independently of complement. This review reassesses the importance of complement in pemphigoid diseases based on current research by contrasting and contextualizing data from in vitro, murine and human studies.
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spelling doaj.art-8a3b5b23a04742fd9e16c0d69a7767102022-12-22T02:16:08ZengFrontiers Media S.A.Frontiers in Immunology1664-32242022-08-011310.3389/fimmu.2022.973702973702The relevance of complement in pemphigoid diseases: A critical appraisalCristian Papara0Cristian Papara1Christian M. Karsten2Hideyuki Ujiie3Enno Schmidt4Enno Schmidt5Leon F. Schmidt-Jiménez6Adrian Baican7Patricia C. Freire8Kentaro Izumi9Katja Bieber10Matthias Peipp11Admar Verschoor12Admar Verschoor13Ralf J. Ludwig14Ralf J. Ludwig15Jörg Köhl16Jörg Köhl17Detlef Zillikens18Christoph M. Hammers19Christoph M. Hammers20Department of Dermatology, University of Lübeck, Lübeck, GermanyDepartment of Dermatology, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, RomaniaInstitute of Systemic Inflammation Research, University of Lübeck, Lübeck, GermanyDepartment of Dermatology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, JapanDepartment of Dermatology, University of Lübeck, Lübeck, GermanyLübeck Institute of Experimental Dermatology (LIED), University of Lübeck, Lübeck, GermanyLübeck Institute of Experimental Dermatology (LIED), University of Lübeck, Lübeck, GermanyDepartment of Dermatology, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, RomaniaInstitute of Systemic Inflammation Research, University of Lübeck, Lübeck, GermanyDepartment of Dermatology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, JapanLübeck Institute of Experimental Dermatology (LIED), University of Lübeck, Lübeck, GermanyDivision of Antibody-Based Immunotherapy, Department of Medicine II, Christian-Albrechts-University of Kiel and University Medical Center Schleswig-Holstein, Kiel, GermanyDepartment of Dermatology, University of Lübeck, Lübeck, GermanyDepartment of Otorhinolaryngology, Klinikum rechts der Isar, Technical University Munich, Munich, GermanyDepartment of Dermatology, University of Lübeck, Lübeck, GermanyLübeck Institute of Experimental Dermatology (LIED), University of Lübeck, Lübeck, GermanyInstitute of Systemic Inflammation Research, University of Lübeck, Lübeck, GermanyDivision of Immunobiology, Cincinnati Children’s Hospital Medical Center and University of Cincinnati College of Medicine, Cincinnati, OH, United StatesDepartment of Dermatology, University of Lübeck, Lübeck, GermanyDepartment of Dermatology, University of Lübeck, Lübeck, GermanyLübeck Institute of Experimental Dermatology (LIED), University of Lübeck, Lübeck, GermanyPemphigoid diseases are autoimmune chronic inflammatory skin diseases, which are characterized by blistering of the skin and/or mucous membranes, and circulating and tissue-bound autoantibodies. The well-established pathomechanisms comprise autoantibodies targeting various structural proteins located at the dermal-epidermal junction, leading to complement factor binding and activation. Several effector cells are thus attracted and activated, which in turn inflict characteristic tissue damage and subepidermal blistering. Moreover, the detection of linear complement deposits in the skin is a diagnostic hallmark of all pemphigoid diseases. However, recent studies showed that blistering might also occur independently of complement. This review reassesses the importance of complement in pemphigoid diseases based on current research by contrasting and contextualizing data from in vitro, murine and human studies.https://www.frontiersin.org/articles/10.3389/fimmu.2022.973702/fullcomplementrelevancepemphigoidbullous pemphigoidBPEBA
spellingShingle Cristian Papara
Cristian Papara
Christian M. Karsten
Hideyuki Ujiie
Enno Schmidt
Enno Schmidt
Leon F. Schmidt-Jiménez
Adrian Baican
Patricia C. Freire
Kentaro Izumi
Katja Bieber
Matthias Peipp
Admar Verschoor
Admar Verschoor
Ralf J. Ludwig
Ralf J. Ludwig
Jörg Köhl
Jörg Köhl
Detlef Zillikens
Christoph M. Hammers
Christoph M. Hammers
The relevance of complement in pemphigoid diseases: A critical appraisal
Frontiers in Immunology
complement
relevance
pemphigoid
bullous pemphigoid
BP
EBA
title The relevance of complement in pemphigoid diseases: A critical appraisal
title_full The relevance of complement in pemphigoid diseases: A critical appraisal
title_fullStr The relevance of complement in pemphigoid diseases: A critical appraisal
title_full_unstemmed The relevance of complement in pemphigoid diseases: A critical appraisal
title_short The relevance of complement in pemphigoid diseases: A critical appraisal
title_sort relevance of complement in pemphigoid diseases a critical appraisal
topic complement
relevance
pemphigoid
bullous pemphigoid
BP
EBA
url https://www.frontiersin.org/articles/10.3389/fimmu.2022.973702/full
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