Overview
Dr. Klein’s junior research group investigates the molecular and immunological mechanisms that drive inflammatory skin diseases, with a special focus on their cytokine signatures. Our work spans common conditions such as atopic dermatitis as well as challenging, difficult-to-treat diseases including cutaneous lupus erythematosus, dermatomyositis, and hidradenitis suppurativa.
At the heart of our research is a simple question: how do signals from the epidermis shape immune responses? We focus on identifying epidermal and immunological signatures in skin and blood that can be translated into personalized therapeutic strategies. In particular, we study how epidermal cytokines educate and recruit immune cells, driving local and systemic inflammation.
Our recent work has revealed a central role for type I interferon signaling in keratinocytes. We showed that increased interferon secretion enhances photosensitivity in lupus erythematosus and dermatomyositis through the stabilization of pro-inflammatory DNA structures (Klein B et al., Science Immunology, 2025). In mouse models, chronic epidermal type I interferon activation induces a lupus-like skin phenotype, marked by UV sensitivity, immune cell maturation, and autoantibody formation (Klein B et al., Arthritis & Rheumatology, 2026).
In atopic dermatitis, our findings highlight a clear compartmentalization of immune signaling: cytokine-driven pathways differ between skin and blood, and T-cell activation depends on tissue context, pointing to distinct local versus systemic disease mechanisms (Boldt et al., Allergy, 2025).
Current projects explore
- gender-specific disease mechanisms in hidradenitis suppurativa,
- predictors of therapy response in lupus and dermatomyositis, and
- mitochondrial stress signatures and epidermal metabolism in inflammatory skin disease.
By uncovering novel signaling pathways at the skin–immune interface, our goal is to pave the way toward truly personalized therapies for inflammatory skin diseases.
Scientific staff
cand. med. Sophie Gering
Press releases
Relevant publications
- Klein B, Reynolds MB, Xu B, Gharaee-Kermani M, Gao Y, Berthier CC, Henning S, Tsoi LC, Loftus SN, McNeely KE, Goudsmit CM, Victory AM, Dobry C, Hile GA, Ma F, Turnier JL, Gudjonsson JE, O'Riordan MX, Kahlenberg JM. Epidermal ZBP1 stabilizes mitochondrial Z-DNA to drive UV-induced IFN signaling in autoimmune photosensitivity. Sci Immunol. 2025 Mar 7;10(105):eado1710. doi: 10.1126/sciimmunol.ado1710. Epub 2025 Mar 7. PMID: 40053607; PMCID: PMC12805495.
- Klein B, Billi AC, Abernathy-Close L, Kahlenberg JM. Cutaneous lupus erythematosus - from pathogenesis to targeted therapy. Nat Rev Rheumatol. 2025 Dec;21(12):703-718. doi: 10.1038/s41584-025-01318-6. Epub 2025 Nov 7. PMID: 41204012; PMCID: PMC12616405.
https://www.nature.com/articles/s41584-025-01318-6
- Klein B, Billi AC, Kahlenberg JM. Increasing evidence for the pathogenic role of keratinocytes in lupus. Cell Mol Immunol. 2025 Mar;22(3):333-335. doi: 10.1038/s41423-024-01254-7. Epub 2025 Jan 17. PMID: 39825106; PMCID: PMC11868540.
- Klein B, Colesa DJ, Gao Y, O'Brien PA, Zhang L, Lowe L, McNeely KE, Nguyen NTK, Henning S, Gharaee-Kermani M, Hodgin JB, Martens JWS, Gudjonsson JE, Berthier CC, Kahlenberg JM. Epidermal Interferon-κ Drives Cutaneous Lupus-Like Lesions, Photosensitivity, and Systemic Autoimmunity In Vivo. Arthritis Rheumatol. 2026 Jan;78(1):184-197. doi: 10.1002/art.43350. Epub 2025 Nov 27. PMID: 40776772; PMCID: PMC12854000.
- Boldt A, Treudler R, Rabe M, Artz N, Seiffert S, Bogle R, Xing X, Wilkens L, Bialas A, Präger L, Tsoi LC, Koehl U, Franz S, Grunewald S, Simon JC, Kahlenberg JM, Gudjonsson JE, Klein B. Dichotomous STAT5 and STAT6 Activation in T Cells Reflects Cytokine Shifts Between Blood and Skin in Atopic Dermatitis. Allergy. 2025 Aug;80(8):2379-2383. doi: 10.1111/all.16492. Epub 2025 Jan 30. PMID: 39888010; PMCID: PMC12368756.
- Klein B, Kahlenberg JM, Gudjonsson JE. Proteins lead the way: JAK inhibitors as a new treatment option in toxic epidermal necrolysis. Signal Transduct Target Ther. 2025 Feb 3;10(1):32. doi: 10.1038/s41392-024-02122-6. PMID: 39894857; PMCID: PMC11788422.
- Bialas A, Rabe M, Artz N, Boldt A, Simon JC, Treudler R, Klein B. Atopic Multimorbidity in Adults With a Focus on Sensitization Patterns and T Cell Activation. Clin Transl Allergy. 2025 Dec;15(12):e70129. doi: 10.1002/clt2.70129. PMID: 41311258; PMCID: PMC12661119.
- Osborne GA, Zhang L, Ma F, Gharaee-Kermani M, Turnier JL, Victory AN, Hurst A, Xu B, Pedersen EA, Bogle R, Berthier CC, Ognenovski V, Nakamura M, Tsoi LC, Billi AC, Gudjonsson JE, Klein B, Tsou PS, Kahlenberg JM. Dermatomyositis is characterized by JAK1-mediated monocyte-driven vasculopathy and inflammation. Sci Transl Med. 2025 Dec 24;17(830):eaea9007. doi: 10.1126/scitranslmed.aea9007. Epub 2025 Dec 24. PMID: 41442501; PMCID: PMC12799294.
- Klein B, Nguyen NTK, Moallemian R, Kahlenberg JM. Keratinocytes - Amplifiers of Immune Responses in Systemic Lupus Erythematosus. Curr Rheumatol Rep. 2024 Nov 21;27(1):1. doi: 10.1007/s11926-024-01168-3. PMID: 39570551; PMCID: PMC12554390.
- Reynolds MB, Klein B, McFadden MJ, Judge NK, Navarrete HE, Michmerhuizen BC, Awad D, Schultz TL, Harms PW, Zhang L, O'Meara TR, Sexton JZ, Lyssiotis CA, Kahlenberg JM, O'Riordan MX. Type I interferon governs immunometabolic checkpoints that coordinate inflammation during Staphylococcal infection. Cell Rep. 2024 Aug 27;43(8):114607. doi: 10.1016/j.celrep.2024.114607. Epub 2024 Aug 9. PMID: 39126652; PMCID: PMC11590196.
- Klein B, Kunz M. Current concepts of photosensitivity in cutaneous lupus erythematosus. Front Med (Lausanne). 2022 Aug 25;9:939594. doi: 10.3389/fmed.2022.939594. PMID: 36091671; PMCID: PMC9452788.
- Klein B, Treudler R, Simon JC. JAK-inhibitors in dermatology - small molecules, big impact? Overview of the mechanism of action, previous study results and potential adverse effects. J Dtsch Dermatol Ges. 2022 Jan;20(1):19-24. doi: 10.1111/ddg.14668. Epub 2021 Dec 28. PMID: 34962052.