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. 2023 Aug 29;220(10):e20230105. doi: 10.1084/jem.20230105

Figure 5.

Figure 5.

ZAKα inhibition rescues epidermal integrity by limiting pyroptosis in a model of cutaneous diphtheria. (A) Outline of the 3D human skin model of cutaneous diphtheria. (B) H&E staining demonstrating the histological changes caused by DT and VbP. Yellow arrows indicate dyskeratotic keratinocytes with vacuolated cytoplasm and condensed nuclei. Images representative of three biological replicates. Tissues were fixed 24 h after treatment. (C) Correlation between the fold change (FC) of 65 cytokines/chemokines after 24 h of DT or VbP treatment. (D) H&E staining of 3D skin treated with the indicated bacteria filtrate or compound. Yellow arrows indicate dyskeratotic keratinocytes with vacuolated cytoplasm and condensed nuclei. Gray arrows mark putative apoptotic cells with eosin-rich cytosol and condensed nuclei. Compound 6p is a ZAKα inhibitor. Images representative of three biological replicates. Tissues were fixed 24 h after treatment. (E) Quantification of the extent of the detachment between the dermal–epidermal layer based on the H&E staining of 3D skin in D. Significance values were calculated from one-way ANOVA. **, P ≤ 0.01. ****, P ≤ 0.0001. (F) GSDMD p30 staining of 3D skin treated with C. diphtheriae filtrate with and without compound 6p. Black arrows indicate membranous staining around foci of epithelial barrier damage. (G) Western blot of IL-18 and IL-1β p17 in the cultured media of 3D skin after the indicated treatment. (H) Significantly upregulated cytokines/chemokines in DT-treated 3D skin culture relative to untreated 3D skin from D. Log10(adjusted P values) and log2(fold change) were calculated from a multiparametric t test. Fold change cutoff is set at 5. (I) Significantly upregulated cytokines/chemokines in DT + 6p 3D skin culture relative to 6p only 3D skin from D. Log10(adjusted P values) and log2(fold change) were calculated from a multiparametric t test. Fold change cutoff is set at 5. Source data are available for this figure: SourceData F5.