One remarkable molecule: filaggrin
Open accessAbstract
The discovery, in 2006, that loss-of-function mutations in the filaggrin (FLG) gene are the cause of ichthyosis vulgaris-the most common disorder of keratinization-and also a strong genetic risk factor for atopic eczema, marked a significant breakthrough in the understanding of eczema pathogenesis. Subsequent investigations of the role of FLG-null mutations have identified a series of significant associations with atopic disease phenotypes, including atopic asthma, allergic rhinitis, and peanut allergy. However, many questions remain to be answered in relation to the precise mechanisms by which deficiency of an intracellular protein expressed primarily in the differentiating epidermis may contribute to the development of cutaneous and systemic pathology. This review aims to highlight the key milestones in filaggrin research over the past 25 years, to discuss the mechanistic, clinical, and therapeutic implications, and to consider possible future directions for ongoing investigation.
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FLG deficiency and increased TEWL are associated with skin barrier dysfunction and increased allergen sensitization.
“It is also well known that FLG deficiency and increased TEWL are associated with skin barrier dysfunction and increased allergen sensitization (20, 35, 63–65).”
From Particulate matter causes skin barrier dysfunction. (2021) · cites this paper as [35]
The section on maintenance of the skin barrier reports barrier impairment and enhanced allergen sensitization in murine models of filaggrin deficiency. The section on filaggrin deficiency in eczema says transepidermal water loss measures barrier impairment and correlates somewhat with FLG null genotype. It does not establish a separate association between increased TEWL and allergen sensitization. (LLM, conf=0.82)
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“5 is strongly associated with the development of inflammatory skin diseases (21, 22), and FLG is a key epidermal barrier protein in maintaining skin barrier function (20, 35).”
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- Authors
- Brown, S. J., & Irwin McLean, W. H.
- Affiliations
- University of Dundee (GB)
- ORCID
- Brown, Sara J.
- Venue
- Journal of Investigative Dermatology
- Publisher
- Elsevier BV
- Published
- 2012-03
- Volume
- 132
- Issue
- 3
- Pages
- 751-762
- ISSN
- 0022-202X (ISSN-L)
- PMC
- PMC3378480
- OpenAlex
- W2032896969
- Cited by
- 527
- References
- 144
- Citations by year
- 2026: 26 · 2025: 19 · 2024: 25 · 2023: 32 · 2022: 32 · 2021: 49 · 2020: 39 · 2019: 40 · 2018: 33 · 2017: 47 · 2016: 41 · 2015: 36 · 2014: 54 · 2013: 33 · 2012: 21
- FWCI
- 5.71
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of Investigative Dermatology (publishedVersion)
- PubMed (publishedVersion)
- Discovery Research Portal (University of Dundee) (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Wellcome Trust (086398, 092530, 090066/B/09/Z, 086398/Z/08/Z, 092530/Z/10/Z, 090066)
- Topics
- Health Sciences › Medicine › Dermatology › Dermatology and Skin Diseases
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Skin and Cellular Biology Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic and rare skin diseases.
- Keywords
- filaggrin, FLG gene, ichthyosis vulgaris, atopic dermatitis, keratinization, allergic asthma, allergic rhinitis, peanut allergy, epidermis, loss-of-function mutations, eczema pathogenesis, filaggrin deficiency
- MeSH terms
- Filaggrin Proteins, Dermatitis, Atopic, Humans, Intermediate Filament Proteins, Risk Factors, Ichthyosis Vulgaris, Genetic Predisposition to Disease
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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