{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T20:51:16Z","timestamp":1791406276216,"version":"4.3.3"},"reference-count":55,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2018,1,17]],"date-time":"2018-01-17T00:00:00Z","timestamp":1516147200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001711","name":"Schweizerischer Nationalfonds zur F\u00f6rderung der Wissenschaftlichen Forschung","doi-asserted-by":"publisher","award":["310030_166473"],"award-info":[{"award-number":["310030_166473"]}],"id":[{"id":"10.13039\/501100001711","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001659","name":"Deutsche Forschungsgemeinschaft","doi-asserted-by":"publisher","award":["SI\u20101281\/6\u20101"],"award-info":[{"award-number":["SI\u20101281\/6\u20101"]}],"id":[{"id":"10.13039\/501100001659","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Allergy"],"published-print":{"date-parts":[[2018,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      Lesions of bullous pemphigoid (\n                      <jats:styled-content style=\"fixed-case\">BP<\/jats:styled-content>\n                      ), an autoimmune subepidermal blistering disease characterized by the presence of tissue\u2010bound and circulating autoantibodies to hemidesmosomal antigens, harbor a mixed inflammatory cellular infiltrate. In various models, neutrophils, eosinophils, mast cells, monocytes as well as B and T cells have been shown to be involved in the pathogenesis of\n                      <jats:styled-content style=\"fixed-case\">BP<\/jats:styled-content>\n                      . However, their interactions with and effective role in blister formation remain uncertain. This study was aimed at investigating the effect of monocyte\/neutrophil interaction on blister formation in an ex vivo\n                      <jats:styled-content style=\"fixed-case\">BP<\/jats:styled-content>\n                      model.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Skin cryosections were incubated with purified human neutrophils and monocytes, in the presence or absence of\n                      <jats:styled-content style=\"fixed-case\">BP<\/jats:styled-content>\n                      autoantibodies. Production of reactive oxygen species (\n                      <jats:styled-content style=\"fixed-case\">ROS<\/jats:styled-content>\n                      ), degranulation, mediator release (neutrophil elastase [\n                      <jats:styled-content style=\"fixed-case\">NE<\/jats:styled-content>\n                      ], myeloperoxidase [\n                      <jats:styled-content style=\"fixed-case\">MPO<\/jats:styled-content>\n                      ], matrix metalloproteinase\u20109 [\n                      <jats:styled-content style=\"fixed-case\">MMP<\/jats:styled-content>\n                      \u20109]), binding of Fc\u03b3 receptor (\n                      <jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content>\n                      16,\n                      <jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content>\n                      32,\n                      <jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content>\n                      64), and cell adhesion (\n                      <jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content>\n                      18,\n                      <jats:styled-content style=\"fixed-case\">ICAM<\/jats:styled-content>\n                      \u20101) was investigated using appropriate inhibitors. Dermal\u2010epidermal separation (\n                      <jats:styled-content style=\"fixed-case\">DES<\/jats:styled-content>\n                      ) was assessed by light microscopy and quantified by Fiji software.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Monocytes and neutrophils synergistically interact resulting in a significantly higher\n                      <jats:styled-content style=\"fixed-case\">DES<\/jats:styled-content>\n                      compared to either monocytes or neutrophils separately (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .0001). Monocyte\/neutrophil\u2010induced\n                      <jats:styled-content style=\"fixed-case\">DES<\/jats:styled-content>\n                      was associated with increased\n                      <jats:styled-content style=\"fixed-case\">ROS<\/jats:styled-content>\n                      production and was dependent on adhesion and Fc\u03b3\n                      <jats:styled-content style=\"fixed-case\">RIII<\/jats:styled-content>\n                      binding. Upon stimulation by the granule\u2010poor fraction of monocyte supernatants, neutrophils increased their release of\n                      <jats:styled-content style=\"fixed-case\">MMP<\/jats:styled-content>\n                      \u20109, thereby also\n                      <jats:styled-content style=\"fixed-case\">DES<\/jats:styled-content>\n                      at the dermal\u2010epidermal junction of skin cryosections.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      Our observations suggest that the interaction of cells, as shown here for monocytes and neutrophils, enhances mediator release resulting in an increased subepidermal blister formation. Thus, blocking intercellular cross talk promises a new therapeutic approach for blocking tissue damage in\n                      <jats:styled-content style=\"fixed-case\">BP<\/jats:styled-content>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/all.13376","type":"journal-article","created":{"date-parts":[[2017,12,8]],"date-time":"2017-12-08T21:36:53Z","timestamp":1512769013000},"page":"1119-1130","source":"Crossref","is-referenced-by-count":38,"title":["Monocytes enhance neutrophil\u2010induced blister formation in an ex vivo model of bullous pemphigoid"],"prefix":"10.1111","volume":"73","author":[{"given":"E.","family":"de Graauw","sequence":"first","affiliation":[{"name":"Institute of Pharmacology University of Bern Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Sitaru","sequence":"additional","affiliation":[{"name":"Department of Dermatology University Medical Center Freiburg Freiburg Germany"},{"name":"BIOSS Centre for Biological Signalling Studies Albert Ludwig University of Freiburg Freiburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. 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