RIPping the skin apart: necroptosis signaling in toxic epidermal necrolysis

Toxic epidermal necrolysis (TEN) is a rare but potentially fatal drug hypersensitivity reaction. Although a number of pathophysiological hints have been identified over the past decade, details of the effector mechanisms within the skin remain obscure. A novel study by Kim et al. now sheds light on...

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Main Authors: Panayotova Dimitrova, Diana (Author) , Feoktistova, Maria (Author) , Leverkus, Martin (Author)
Format: Article (Journal)
Language:English
Published: August 2015
In: The journal of investigative dermatology
Year: 2015, Volume: 135, Issue: 8, Pages: 1940-1943
ISSN:1523-1747
DOI:10.1038/jid.2015.159
Online Access:Verlag, Volltext: http://dx.doi.org/10.1038/jid.2015.159
Verlag, Volltext: http://www.sciencedirect.com/science/article/pii/S0022202X15390539
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Author Notes:Diana Panayotova-Dimitrova, Maria Feoktistova, Martin Leverkus

MARC

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520 |a Toxic epidermal necrolysis (TEN) is a rare but potentially fatal drug hypersensitivity reaction. Although a number of pathophysiological hints have been identified over the past decade, details of the effector mechanisms within the skin remain obscure. A novel study by Kim et al. now sheds light on its pathophysiology. The investigators demonstrate convincingly that receptor-interacting kinase 3 (RIPK3) levels are upregulated substantially in the lesional skin of patients with TEN and that this is followed by the generation of reactive oxygen species, activation of mixed lineage kinase-like protein, and subsequent necroptotic cell death of keratinocytes. These data suggest that therapies that interfere with RIPK3 activation and necroptosis induction could benefit patients with TEN. 
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