PMID- 29277538 OWN - NLM STAT- MEDLINE DCOM- 20190513 LR - 20220105 IS - 1523-1747 (Electronic) IS - 0022-202X (Print) IS - 0022-202X (Linking) VI - 138 IP - 5 DP - 2018 May TI - Sexual Dimorphism in Response to an NRF2 Inducer in a Model for Pachyonychia Congenita. PG - 1094-1100 LID - S0022-202X(17)33234-7 [pii] LID - 10.1016/j.jid.2017.09.054 [doi] AB - Sex is an influential factor regarding pathophysiology and therapeutic response in human disease. Pachyonychia congenita is caused by mutations in keratin genes and typified by dystrophic lesions affecting nails, glands, oral mucosa, and palmar-plantar epidermis. Painful palmar-plantar keratoderma (PPK) severely impairs mobility in pachyonychia congenita. Mice genetically null for keratin 16 (Krt16), one of the genes mutated in pachyonychia congenita, develop pachyonychia congenita-like PPK. In male Krt16(-/-) mice, oxidative stress associated with impaired glutathione synthesis and nuclear factor erythroid-derived 2 related factor 2 (NRF2)-dependent gene expression precedes PPK onset, which can be prevented by topical sulforaphane-mediated activation of NRF2. We report here that sulforaphane treatment fails to activate NRF2 and prevent PPK in female Krt16(-/-) mice despite a similar set of molecular circumstances. Follow-up studies reveal a temporal shift in PPK onset in Krt16(-/-) females, coinciding with sex-specific fluctuations in footpad skin glutathione levels. Dual treatment with sulforaphane and diarylpropionitrile, an estrogen receptor beta selective agonist, results in NRF2 activation, normalization of glutathione levels, and prevention of PPK in female Krt16(-/-) mice. These findings point to a sex difference in NRF2 responsiveness that needs be considered when exploring NRF2 as a therapeutic target in skin disorders. CI - Copyright (c) 2017 The Authors. Published by Elsevier Inc. All rights reserved. FAU - Kerns, Michelle L AU - Kerns ML AD - Department of Biochemistry and Molecular Biology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA. FAU - Hakim, Jill M C AU - Hakim JMC AD - Department of Biochemistry and Molecular Biology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA. FAU - Zieman, Abigail AU - Zieman A AD - Department of Biochemistry and Molecular Biology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA; Department of Cell and Developmental Biology, University of Michigan Medical School, Ann Arbor, Michigan, USA. FAU - Lu, Rosemary G AU - Lu RG AD - Department of Biochemistry and Molecular Biology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA. FAU - Coulombe, Pierre A AU - Coulombe PA AD - Department of Biochemistry and Molecular Biology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA; Department of Cell and Developmental Biology, University of Michigan Medical School, Ann Arbor, Michigan, USA; Department of Biological Chemistry, Johns Hopkins University, Baltimore, Maryland, USA; Department of Dermatology, Johns Hopkins University, Baltimore, Maryland, USA; Department of Oncology, School of Medicine, Johns Hopkins University, Baltimore, Maryland, USA; Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University, Baltimore, Maryland, USA. Electronic address: coulombe@umich.edu. LA - eng GR - R01 AR044232/AR/NIAMS NIH HHS/United States GR - T32 CA009110/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20171224 PL - United States TA - J Invest Dermatol JT - The Journal of investigative dermatology JID - 0426720 RN - 0 (2,3-bis(4-hydroxyphenyl)-propionitrile) RN - 0 (Estrogen Receptor alpha) RN - 0 (Isothiocyanates) RN - 0 (Keratin-16) RN - 0 (NF-E2-Related Factor 2) RN - 0 (NFE2L2 protein, human) RN - 0 (Nitriles) RN - 0 (Propionates) RN - 0 (Sulfoxides) RN - GA49J4310U (sulforaphane) RN - GAN16C9B8O (Glutathione) SB - IM CIN - J Invest Dermatol. 2018 May;138(5):1019-1022. PMID: 29681388 MH - Animals MH - Disease Models, Animal MH - Estrogen Receptor alpha/genetics/physiology MH - Female MH - Glutathione/metabolism MH - Humans MH - Isothiocyanates/pharmacology/therapeutic use MH - Keratin-16/physiology MH - Keratoderma, Palmoplantar/*drug therapy/etiology MH - Male MH - Mice MH - NF-E2-Related Factor 2/*physiology MH - Nitriles/therapeutic use MH - Pachyonychia Congenita/*drug therapy/etiology MH - Propionates/therapeutic use MH - Sex Characteristics MH - Sulfoxides PMC - PMC5912985 MID - NIHMS942860 EDAT- 2017/12/27 06:00 MHDA- 2019/05/14 06:00 PMCR- 2018/06/01 CRDT- 2017/12/27 06:00 PHST- 2017/05/30 00:00 [received] PHST- 2017/09/25 00:00 [revised] PHST- 2017/09/28 00:00 [accepted] PHST- 2017/12/27 06:00 [pubmed] PHST- 2019/05/14 06:00 [medline] PHST- 2017/12/27 06:00 [entrez] PHST- 2018/06/01 00:00 [pmc-release] AID - S0022-202X(17)33234-7 [pii] AID - 10.1016/j.jid.2017.09.054 [doi] PST - ppublish SO - J Invest Dermatol. 2018 May;138(5):1094-1100. doi: 10.1016/j.jid.2017.09.054. Epub 2017 Dec 24.