The Role of the Cysteamine Dioxygenase (ADO) Gene in Atopic Dermatitis

Authors

  • Sailan Wang Division of Dermatology and Venereology, Department of Medicine, Solna; Karolinska Institutet, Stockholm, Sweden; Department of Dermatology, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China https://orcid.org/0000-0002-1269-0649
  • Raquel Vaz Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden https://orcid.org/0000-0001-7518-1801
  • Josefin Lysell Division of Dermatology and Venereology, Department of Medicine, Solna; Karolinska Institutet, Stockholm, Sweden and Department of Dermatology and Venereology, Karolinska University Hospital, Stockholm, Sweden https://orcid.org/0000-0002-0829-1493
  • Jesper Eisfeldt Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden; Department of Clinical Genetics and Genomics, Karolinska University Hospital, Stockholm, Sweden
  • Pelin Sahlén Science for Life Laboratory, School of Chemistry, Biotechnology and Health, Royal Institute of Technology, Stockholm, Sweden https://orcid.org/0000-0001-6943-9618
  • Samina Asad Division of Dermatology and Venereology, Department of Medicine, Solna, Karolinska Institutet, Stockholm, Sweden https://orcid.org/0009-0000-8506-6516
  • Carl-Fredrik Wahlgren Department of Dermatology and Venereology, Karolinska University Hospital, Stockholm, Sweden https://orcid.org/0000-0002-1769-1691
  • Magnus Nordenskjöld Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden; Department of Clinical Genetics and Genomics, Karolinska University Hospital, Stockholm, Sweden https://orcid.org/0000-0002-4974-425X
  • Maria Bradley Division of Dermatology and Venereology, Department of Medicine, Solna, Karolinska Institutet, Stockholm, Sweden; Department of Dermatology and Venereology, Karolinska University Hospital, Stockholm, Sweden https://orcid.org/0000-0001-7192-5041
  • Isabel Tapia-Paez Division of Dermatology and Venereology, Department of Medicine, Solna, Karolinska Institutet, Stockholm, Sweden, https://orcid.org/0000-0002-0535-4233

DOI:

https://doi.org/10.2340/actadv.v106.43770

Keywords:

Zebrafish, Cysteamine Dioxygenase, HaCaT cells, Capture Hi-C, atopic dermatitis, taurine

Abstract

Atopic dermatitis is a chronic inflammatory skin disorder influenced by genetic and environmental factors. A chromosome conformation capture study identified the cysteamine dioxygenase (ADO) gene as being associated with atopic dermatitis in differentiating keratinocytes. We aimed to evaluate the causal and pathophysiological roles of ADO in atopic dermatitis. This study utilized transcriptomic data and immunostaining techniques to analyse ADO expression. Human keratinocyte cell line (HaCat), and zebrafish models were employed to explore the functional role of ADO. RNA sequencing and immunostainings indicated higher ADO expression in lesional skin than in non-lesional skin in atopic dermatitis patients. Moreover, atopic dermatitis patients carrying the risk allele (C) exhibited increased levels of ADO in lesional skin. In vivo, zebrafish embryos with dysregulated ADO expression displayed impaired epidermal morphogenesis, particularly in their tails, along with increased neutrophil infiltration, indicating an inflammatory response. In vitro, alterations in ADO expression in HaCaT cells led to expression changes of proinflammatory cytokines and skin barrier markers. Further, both upregulation and downregulation of ADO were associated with enhanced reactive oxygen species production. These findings suggest that the ADO gene plays a critical role in maintaining skin homeostasis, and its dysregulation contributes to inflammation and compromised skin barrier function in the pathogenesis of atopic dermatitis.

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Published

2026-01-27

How to Cite

Wang, S., Vaz, R., Lysell, J., Eisfeldt, J., Sahlén, P., Asad, S., … Tapia-Paez, I. (2026). The Role of the Cysteamine Dioxygenase (ADO) Gene in Atopic Dermatitis. Acta Dermato-Venereologica, 106, adv43770. https://doi.org/10.2340/actadv.v106.43770