Publications by authors named "Saklatvala J"

Article Synopsis
  • The study investigates the complex relationship between immune-mediated diseases (IMIDs), like psoriasis, and cardiovascular diseases (CVDs), such as coronary artery disease (CAD) and stroke, focusing on genetic factors.
  • It employs Mendelian randomization to analyze data from large genome-wide association studies (GWAS) to establish potential causative links between psoriasis and these cardiovascular conditions.
  • The analysis encompasses nearly 3.4 million individuals, providing insights into how genetic predictors of CAD and stroke may influence the risk of developing psoriasis and nine other IMIDs.
View Article and Find Full Text PDF

Background: Palmoplantar pustulosis (PPP) is an inflammatory skin disorder that mostly affects smokers and manifests with painful pustular eruptions on the palms and soles. Although the disease can present with concurrent plaque psoriasis, TNF and IL-17/IL-23 inhibitors show limited efficacy. There is therefore a pressing need to uncover PPP disease drivers and therapeutic targets.

View Article and Find Full Text PDF
Article Synopsis
  • More severe forms of atopic dermatitis and psoriasis significantly impact quality of life, lead to higher healthcare costs, and are linked to other health issues; addressing these problems early can help lessen the burden.
  • The BIOMAP consortium is a large-scale research initiative that compiles clinical and molecular data from various studies to improve the understanding of disease severity and identify reliable biomarkers.
  • The consortium emphasizes the importance of using consistent definitions for disease severity and considers various factors when analyzing data to ensure that findings are relevant to both patients and healthcare practitioners.
View Article and Find Full Text PDF

Psoriasis is a common, debilitating immune-mediated skin disease. Genetic studies have identified biological mechanisms of psoriasis risk, including those targeted by effective therapies. However, the genetic liability to psoriasis is not fully explained by variation at robustly identified risk loci.

View Article and Find Full Text PDF

Background: Urticaria is characterized by inappropriate mast cell degranulation leading to the development of wheals and/or angioedema. Twin and family studies indicate that there is a substantial heritable component to urticaria risk.

Objective: Our aim was to identify genomic loci at which common genetic variation influences urticaria susceptibility.

View Article and Find Full Text PDF
Article Synopsis
  • Targeted biologic therapies, such as adalimumab, can provoke the creation of antidrug antibodies (ADA), leading to treatment failures in immune-mediated diseases.
  • This study focused on identifying genetic variations that make certain patients more likely to develop ADA against adalimumab, particularly in psoriasis patients on their first treatment course.
  • The researchers found specific genetic markers in the major histocompatibility complex (MHC) that correlate with resistance to ADA development, suggesting that these markers play a key role in the effectiveness of biologic therapies.
View Article and Find Full Text PDF

Background: Responses to the systemic treatments commonly used to treat psoriasis vary. Biomarkers that accurately predict effectiveness and safety would enable targeted treatment selection, improved patient outcomes and more cost-effective healthcare.

Objectives: To perform a scoping review to identify and catalogue candidate biomarkers of systemic treatment response in psoriasis for the translational research community.

View Article and Find Full Text PDF

Background: Identification of those at risk of more severe psoriasis and/or associated morbidities offers opportunity for early intervention, reduced disease burden and more cost-effective healthcare. Prognostic biomarkers of disease progression have thus been the focus of intense research, but none are part of routine practice.

Objectives: To identify and catalogue candidate biomarkers of disease progression in psoriasis for the translational research community.

View Article and Find Full Text PDF
Article Synopsis
  • * A genome-wide association study (GWAS) examined over 20,000 individuals and discovered 29 new genetic locations linked to acne, alongside confirming 14 previously recognized risk factors, raising the total to 46.
  • * The study also found connections between acne genetics and other health issues, such as hormone levels and psychiatric traits, and created a polygenic risk score that accounts for about 5.6% of acne risk in another group.
View Article and Find Full Text PDF
Article Synopsis
  • Biologic therapies, like adalimumab, have improved psoriasis treatment, but predicting patient responses remains a challenge due to variability in outcomes.
  • This study examines blood immune cells in 67 psoriasis patients before and during adalimumab therapy to identify potential biomarkers that can predict treatment response.
  • Key findings suggest that higher NF-κBp65 phosphorylation in type-2 dendritic cells before treatment correlates with a lack of response, providing a potential predictive biomarker with high sensitivity and specificity.
View Article and Find Full Text PDF

Adult articular cartilage synthesises very little type II collagen in comparison to young cartilage. The age-related difference in collagen II synthesis is poorly understood. This is the first systematic investigation of age-related differences in extracellular matrix synthesis in fresh articular cartilage and following isolation of chondrocytes.

View Article and Find Full Text PDF

Frontal fibrosing alopecia (FFA) is a recently described inflammatory and scarring type of hair loss affecting almost exclusively women. Despite a dramatic recent increase in incidence the aetiopathogenesis of FFA remains unknown. We undertake genome-wide association studies in females from a UK cohort, comprising 844 cases and 3,760 controls, a Spanish cohort of 172 cases and 385 controls, and perform statistical meta-analysis.

View Article and Find Full Text PDF

Acne vulgaris is a highly heritable common, chronic inflammatory disease of the skin for which five genetic risk loci have so far been identified. Here, we perform a genome-wide association study of 3823 cases and 16,144 controls followed by meta-analysis with summary statistics from a previous study, with a total sample size of 26,722. We identify 20 independent association signals at 15 risk loci, 12 of which have not been previously implicated in the disease.

View Article and Find Full Text PDF

Objectives: One mechanism by which cartilage responds to mechanical load is by releasing heparin-bound growth factors from the pericellular matrix (PCM). By proteomic analysis of the PCM, we identified connective tissue growth factor (CTGF) and here investigate its function and mechanism of action.

Methods: Recombinant CTGF (rCTGF) was used to stimulate human chondrocytes for microarray analysis.

View Article and Find Full Text PDF

The genetic diagnosis of rare monogenic diseases using exome/genome sequencing requires the true causal variant(s) to be identified from tens of thousands of observed variants. Typically a virtual gene panel approach is taken whereby only variants in genes known to cause phenotypes resembling the patient under investigation are considered. With the number of known monogenic gene-disease pairs exceeding 5,000, manual curation of personalized virtual panels using exhaustive knowledge of the genetic basis of the human monogenic phenotypic spectrum is challenging.

View Article and Find Full Text PDF

Objective: Mechanical injury to cartilage predisposes to osteoarthritis (OA). Wounding of the articular cartilage surface causes rapid activation of MAP kinases and NF-κB, mimicking the response to inflammatory cytokines. This study was undertaken to identify the upstream signaling mechanisms involved.

View Article and Find Full Text PDF

Objective: To investigate whether molecules found to be up-regulated within hours of surgical joint destabilization in the mouse are also elevated in the analogous human setting of acute knee injury, how this molecular response varies between individuals, and whether it is related to patient-reported outcomes in the 3 months after injury.

Methods: Seven candidate molecules were analyzed in blood and synovial fluid (SF) from 150 participants with recent structural knee injury at baseline (<8 weeks from injury) and in blood at 14 days and 3 months following baseline. Knee Injury and Osteoarthritis Outcome Score 4 (KOOS4 ) was obtained at baseline and 3 months.

View Article and Find Full Text PDF

Objective: The pathogenesis of osteoarthritis (OA) is poorly understood. Loss of the proteoglycan aggrecan from cartilage is an early event. Recently, we identified a role for the JNK pathway, particularly JNK-2, in human articular chondrocytes in vitro in regulating aggrecan degradation.

View Article and Find Full Text PDF

Dual-specificity phosphatase (DUSP) 1 dephosphorylates and inactivates members of the MAPK superfamily, in particular, JNKs, p38α, and p38β MAPKs. It functions as an essential negative regulator of innate immune responses, hence disruption of the Dusp1 gene renders mice extremely sensitive to a wide variety of experimental inflammatory challenges. The principal mechanisms behind the overexpression of inflammatory mediators by Dusp1(-/-) cells are not known.

View Article and Find Full Text PDF

In myeloid cells, the mRNA-destabilizing protein tristetraprolin (TTP) is induced and extensively phosphorylated in response to LPS. To investigate the role of two specific phosphorylations, at serines 52 and 178, we created a mouse strain in which those residues were replaced by nonphosphorylatable alanine residues. The mutant form of TTP was constitutively degraded by the proteasome and therefore expressed at low levels, yet it functioned as a potent mRNA destabilizing factor and inhibitor of the expression of many inflammatory mediators.

View Article and Find Full Text PDF

Objective: Aggrecan enables articular cartilage to bear load and resist compression. Aggrecan loss occurs early in osteoarthritis and rheumatoid arthritis and can be induced by inflammatory cytokines such as interleukin-1 (IL-1). IL-1 induces cleavage of specific aggrecans characteristic of the ADAMTS proteinases.

View Article and Find Full Text PDF

Objective: Identify gene changes in articular cartilage of the medial tibial plateau (MTP) at 2, 4 and 8 weeks after destabilisation of the medial meniscus (DMM) in mice. Compare our data with previously published datasets to ascertain dysregulated pathways and genes in osteoarthritis (OA).

Design: RNA was extracted from the ipsilateral and contralateral MTP cartilage, amplified, labelled and hybridized on Illumina WGv2 microarrays.

View Article and Find Full Text PDF