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Multi-omics profiling of chronic immune-mediated skin diseases: SKINERGY protocol and strategic evaluation

  • N. G. Koster*
  • , J. M.P.A. van den Reek
  • , The Next Generation ImmunoDermatology (NGID) consortium
  • , E. M.G.J. de Jong
  • , S. van Beugen
  • , A. I.M. van Laarhoven
  • , I. Haeck
  • , M. de Bruin-Weller
  • , M. L. Schuttelaar
  • , B. Horvath
  • , A. Gostyński
  • , A. Knulst
  • , M. H. Vermeer
  • , L. Nguyen
  • , L. Gerbens
  • , P. Spuls
  • , M. A. Middelkamp-Hup
  • , V. Exadaktylos
  • , T. Niemeyer-van der Kolk
  • , A. R. Schrader
  • A. M. Sluijmers, J. Versteeg, B. W.M. Arents, I. van Ee, J. L.A.G. van der Zon, M. de Leeuw, T. de Leeuw, P. van den Broek, C. Berkhof, D. Vellinga, S. Weidinger, S. Dubrac, Y. Li, M. van Steensel, M. Marchetti-Deschmann, M. Maurer, H. van der Zee, J. Damman, D. J. Hijnen, F. Wijk, M. M.B. Seyger, H. Röckmann, D. M.W. Balak, M. B.A. van Doorn, R. Rissmann*, Rob Vreeken, Eva Cuypers, Boudewijn Lelieveldt, Abdoel El Ghalbzouri, Hanna Niehues, Fauve van den Berge
*Corresponding author for this work
  • Leiden University
  • Leiden University Medical Centre
  • Center for Human Drug Research
  • Radboud University Medical Center
  • Utrecht University
  • University Medical Centre Groningen
  • Maastricht University Medical Centre
  • University Medical Centre Utrecht
  • University of Amsterdam
  • Amsterdam UMC
  • Scleroderma and MCTD)
  • Dutch Association for Patients with Hidradenitis
  • Dutch Association for People with Atopic Dermatitis (VMCE)
  • Dutch Association for People with Psoriastic Disease
  • Dutch Cutaneous Lymphoma Patient Advocacy Group
  • Dutch Skin Alliance
  • Dutch Patient Platform Advocacy Group Urticaria
  • Alrijne Hospital
  • Universitätsklinikum Schleswig-Holstein
  • Innsbruck Medical University
  • Hannover Medical School
  • Nanyang Technological University
  • TU Wien
  • Charité – Universitätsmedizin Berlin

Research output: Contribution to journalArticleAcademicpeer-review

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Abstract

Background: 

The Dutch flagship project Next Generation ImmunoDermatology (NGID) aims to profile five chronic immune-mediated inflammatory skin diseases: atopic dermatitis (AD), plaque psoriasis (PSO), hidradenitis suppurativa (HS), chronic spontaneous urticaria (CSU) and cutaneous lupus erythematosus (CLE) in comparison with cutaneous T-cell lymphoma subtype mycosis fungoides (MF) and healthy volunteers. Within NGID, a clinical study entitled: ‘SKIN disease profiling by an Exploratory, pRospective, biomarker study in dermatoloGY practice (SKINERGY)’ will be conducted as a multicentre, parallel-cohort, open-label, observational, longitudinal basket study. 

Objectives: 

Objectives include evaluation of disease-related characteristics in comparison to those of healthy volunteers and evaluation of biomarkers for disease stratification and (targeted) treatment response in patients in a real-world clinical setting. Additionally, differences and similarities in disease characteristics between diseases, changes over time, and profiles of responders versus non-responders will be evaluated. 

Methods: 

Patients with AD (N = 120), PSO (N = 160), HS (N = 80), CSU (N = 120) and CLE (N = 120) will be enrolled in groups of N ≤ 40 patients per treatment. Matched healthy volunteers (N = 120) and the MF cohort (N = 120) will serve as control groups. Assessments include blood sampling, skin punch biopsies, tape stripping, skin swabs, (multimodal) imaging, tele-health and patient- and physician-reported outcomes. This manuscript describes the study protocol prior to data collection and its strategic evaluation of multi-omics profiling. Patient advocacy groups co-defined the research agenda and contributed to study design and informed consent document development, ensuring alignment with patients' needs and real-world relevance. 

Results: 

SKINERGY will generate a machine learning-ready dataset with information about changes in various biomarkers over time, including histology, metabolomics, spatial proteomics, transcriptomics, lipidomics, microbiomics, imaging biomarkers, tele-health, patient-reported outcome measures (PROMs) and clinical parameters. 

Conclusion:

Identified biomarker profiles within SKINERGY may guide targeted treatment selection, enhance targeted therapeutic response in clinical practice and improve understanding of disease pathology in chronic immune-mediated skin diseases.

Original languageEnglish
JournalJournal of the European Academy of Dermatology and Venereology
DOIs
Publication statusE-pub ahead of print - 6 Feb 2026

Bibliographical note

Publisher Copyright:
© 2026 The Author(s). Journal of the European Academy of Dermatology and Venereology published by John Wiley & Sons Ltd on behalf of European Academy of Dermatology and Venereology.

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

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