PMID- 34523731 OWN - NLM STAT- MEDLINE DCOM- 20220308 LR - 20220308 IS - 1440-0960 (Electronic) IS - 0004-8380 (Linking) VI - 62 IP - 4 DP - 2021 Nov TI - Association study of transition of laboratory marker levels and transition of disease activity of atopic dermatitis patients treated with dupilumab. PG - e504-e509 LID - 10.1111/ajd.13719 [doi] AB - BACKGROUND: Dupilumab, a fully human monoclonal antibody that blocks signalling pathways of interleukin (IL)-4 and IL-13, is effective in treating patients with atopic dermatitis (AD). We previously showed that transitions of serum thymus and activation-regulated chemokine (TARC) levels and eosinophil numbers were strongly associated with that of AD activity and that the transitions of serum lactate dehydrogenase (LDH) and immunoglobulin E (IgE) levels were weakly and not associated with that of AD activity, respectively, in patients treated without dupilumab. OBJECTIVES: The purpose of this study was to elucidate whether the association of the transition of laboratory marker levels and transition of disease activity in dupilumab-treated AD patients (present study) was different from that in patients who are not treated with dupilumab (previous study). METHODS: Sixty AD outpatients treated with dupilumab were included in this study. Associations between the transition of the eczema area and severity index (EASI) score and those of above-mentioned laboratory marker levels were evaluated using a mixed effects model of EASI as the response variable, laboratory markers as fixed effects and patients as random effects. RESULTS: The transitions of serum TARC and LDH levels were associated strongly with that of AD activity, but the transitions of serum IgE level and eosinophil numbers were associated with that of AD activity intermediately and weakly, respectively. CONCLUSIONS: Laboratory markers are useful for evaluating the effects of treatments for AD, but the meaning of each laboratory marker depends on the drugs used for treatment. CI - (c) 2021 The Australasian College of Dermatologists. FAU - Mizuno, Maki AU - Mizuno M AD - Department of Dermatology, Nippon Medical School, Tokyo, Japan. FAU - Horiguchi, Go AU - Horiguchi G AD - Department of Biostatistics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan. FAU - Teramukai, Satoshi AU - Teramukai S AD - Department of Biostatistics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan. FAU - Ichiyama, Susumu AU - Ichiyama S AD - Department of Dermatology, Nippon Medical School, Tokyo, Japan. FAU - Ito, Michiko AU - Ito M AD - Department of Dermatology, Nippon Medical School, Tokyo, Japan. FAU - Hoashi, Toshihiko AU - Hoashi T AD - Department of Dermatology, Nippon Medical School, Tokyo, Japan. FAU - Kanda, Naoko AU - Kanda N AUID- ORCID: 0000-0003-4389-2312 AD - Department of Dermatology, Nippon Medical School Chiba Hokusoh Hospital, Chiba, Japan. FAU - Saeki, Hidehisa AU - Saeki H AUID- ORCID: 0000-0002-1095-0355 AD - Department of Dermatology, Nippon Medical School, Tokyo, Japan. LA - eng PT - Journal Article DEP - 20210915 PL - Australia TA - Australas J Dermatol JT - The Australasian journal of dermatology JID - 0135232 RN - 0 (Antibodies, Monoclonal, Humanized) RN - 0 (Biomarkers) RN - 0 (CCL17 protein, human) RN - 0 (Chemokine CCL17) RN - 37341-29-0 (Immunoglobulin E) RN - 420K487FSG (dupilumab) RN - EC 1.1.1.27 (L-Lactate Dehydrogenase) SB - IM MH - Adult MH - Antibodies, Monoclonal, Humanized/*therapeutic use MH - Biomarkers/blood MH - Blood Cell Count MH - Chemokine CCL17/*blood MH - Cohort Studies MH - Dermatitis, Atopic/*blood/*drug therapy/pathology MH - Eosinophils MH - Female MH - Humans MH - Immunoglobulin E/*blood MH - L-Lactate Dehydrogenase/*blood MH - Male MH - Middle Aged MH - Severity of Illness Index MH - Treatment Outcome OTO - NOTNLM OT - association study OT - atopic dermatitis OT - disease activity OT - dupilumab OT - laboratory marker EDAT- 2021/09/16 06:00 MHDA- 2022/03/09 06:00 CRDT- 2021/09/15 09:05 PHST- 2021/08/13 00:00 [revised] PHST- 2021/07/26 00:00 [received] PHST- 2021/08/15 00:00 [accepted] PHST- 2021/09/16 06:00 [pubmed] PHST- 2022/03/09 06:00 [medline] PHST- 2021/09/15 09:05 [entrez] AID - 10.1111/ajd.13719 [doi] PST - ppublish SO - Australas J Dermatol. 2021 Nov;62(4):e504-e509. doi: 10.1111/ajd.13719. Epub 2021 Sep 15.