A microscopic lab slide

Integrated Program for Cutaneous Immune-Stromal Interactions in SLE (IPCISS)

The U-M Medical School Department of Internal Medicine Division of Rheumatology Integrated Program for Cutaneous Immune-Stromal interactions in SLE (IPCISS) is a research center dedicated to understanding the drivers of and improving the treatment for cutaneous and systemic lupus.

The center has four main components: Two projects, a Bioinformatics and Integrated Omics Pipeline for Stromal and Immune Interaction (BIOPSII) core and an administrative core to facilitate organization and patient engagement with the center.

Research

Project 1: Stromal-Immune Interactions in Priming for and Maintaining Inflammation in CLE

Project Lead: Johann Gudjonsson, MD, PhD

Our understanding of how the different cells in the skin contribute to inflammation in cutaneous manifestations of lupus (CLE) remains incomplete. Our preliminary data indicate a highly dynamic crosstalk between stromal cells and immune cells that may be critical both in priming disease activity in the skin as well as facilitating relapse. Aims to be investigated include 1) dissect the crosstalk between keratinocytes (KCs), fibroblasts (FBs) and endothelial cells with immune cells and role in maintaining interferon (IFN) responses; 2) map the spatial context in stromal and immune cell interactions in shaping inflammatory responses in CLE; and 3) identify epigenetic modifications and “inflammatory memory” in stromal skin cells.

 

Project 2: Dissecting the Etiology of Photosensitivity

Project Lead: J. Michelle Kahlenberg, MD, PhD

UV light exposures are a frequent trigger for skin and systemic inflammation in SLE patients3,4. This project will build upon an established collaborative working group seeking to understand the etiologies of abnormal UV responses in SLE patients. Our preliminary data point to dysregulation of key inflammatory and cell proliferative pathways that lead to the following research aims:

  1. Map the infiltrate and expression changes within SLE and HC skin after UV exposure
  2. Identify the role of UV-induced extracellular vessicles (EVs) in driving KC-immune crosstalk
  3. Determine how UV exposure modulates inflammatory memory within keratinocytes

 

Scientific Core: Bioinformatics and Integrated Omics Pipeline for Stromal and Immune Interaction (BIOPSII) Core

Director: Lam C. Tsoi, PhD

Technology is making it easier to get detailed, cellular level data from human specimens, but the real challenge is in the meaningful integration and interpretation of the data.  We will harness our expertise and developed pipelines in this arena to offer bioinformatics services that will focus on integration of Single-cell and Spatial Seq data: spatial integration of cell-cell interactions; integration of other skin relevant -omic data (cytokine signatures (KCs/FBs); cellular signatures; UV signature data; GWAS data; and epigenetic data (methylation, histone, ATAC-seq) to facilitate successful completion of both proposed projects.

 

Administrative Core

The Administrative Core will:

  1. provide leadership and oversight for the project
  2. develop and enact effective management strategies
  3. effectively disseminate information regarding the project
  4. build and administer a robust Enrichment Program to benefit the IPCISS

     

Integrated Approach to Skin Inflammation Research

A detailed graphic showing the research projects involved with the IPCISS program

The image is an illustrated scientific diagram, organized into two main sections labeled "Project 1" (on the left, in dark red) and "Project 2" (on the right, in dark blue). Between these two sections, arrows, icons, and colored text describe interactions, research focus and shared resources.

The graphic is a conceptual illustration of two related research projects (Project 1 and Project 2) connected by a core and synergy framework.

At the top center, there are two labeled sections:

Project 1 (on the left, red text) focuses on IFN (interferon) responses. A triangular gradient arrow indicates increasing IFN responses from left to right.

Project 2 (on the right, blue text) focuses on sun exposure and skin inflammation. There are three yellow suns with red rays to symbolize ultraviolet (UV) exposure, connected to the immune cell interactions shown in the middle.

Supporting Elements:
- BIOPSII Core (green text, bottom): Spans across both projects with a horizontal arrow. It highlights data processing, pipeline development, and analysis.

- Synergy (purple text, below core): Another horizontal arrow stresses collaboration across the projects with shared samples, shared personnel, shared data, and shared analytics.

Faculty Collaborations

Upcoming Events

See all events
10 30 2026 12:00 pm 10 30 2026 - 1:00 pm

Internal Medicine Grand Rounds

Dr. Samuel Dagogo-Jack, MD, D.Sc, professor and chief of the Division of Med Endocrinology at the University of Tennessee Health Science Center College of Medicine, presents "Pathobiology and Reversibility of Prediabetes: Observations from the POP-ABC and PROP-ABC Studies."
11 6 2026 12:00 pm 11 6 2026 - 1:00 pm

Internal Medicine Grand Rounds

Dr. Marisa Miceli, MD, clinical professor of infectious diseases, presents "The Many Shades of Gray: Decoding Fungal Disease."
11 13 2026 12:00 pm 11 13 2026 - 1:00 pm

Internal Medicine Grand Rounds

Sarah Elizabeth Austin, MS, CGC, clinical assistant professor of genetic medicine, presents "Genetic Counseling for Hereditary Cancer Risk: Current Practice and Future Directions."
11 20 2026 12:00 pm 11 20 2026 - 1:00 pm

Internal Medicine Grand Rounds

Jonathan Segal, MD, clinical professor of nephrology will be presenting.
12 4 2026 12:00 pm 12 4 2026 - 1:00 pm

Internal Medicine Grand Rounds

May Hua, MD, associate professor of geriatric & palliative care medicine, presents "Understanding Palliative Care Effectiveness: From Population Data to Practice-Level Mechanisms."
12 11 2026 12:00 pm 12 11 2026 - 1:00 pm

Internal Medicine Grand Rounds

Sara McCoy, MD, clinical instructor of rheumatology, presents "The Omics of Sjögren’s Disease Symptoms: Linking Molecular Mechanisms to Patient Experience."
12 18 2026 12:00 pm 12 18 2026 - 1:00 pm

Internal Medicine Grand Rounds

Joseph Mauch, MD, house officer, presents on "Morbidity & Mortality."

Outreach & Engagement

Event Spotlight

  • IPCISS Speaker Series - Lam (Alex) Tsoi, PhD “Building Spatial Analytics for Inflammatory Skin Diseases”
    Wednesday, September 23, 2026
    NCRC10 Research Auditorium & Zoom (Meeting ID: 962 0400 2124)
  • 2026 Lupus Conference
    Saturday, September 26, 2026
    UM Detroit Center (3663 Woodward Ave., Detroit, MI)

 

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Program Leadership

Michelle Kahlenberg

J Michelle Kahlenberg MD, PhD

Professor
Johann Gudjonsson

Johann E Gudjonsson, MD, PhD

Professor
portrait of Alex Tsoi

Lam (Alex) C Tsoi, PhD

Associate Professor
Celine C. Berthier

Celine Berthier, PhD

Associate Research Scientist
Dominique Kinnerr-Hopkins

Dominique Kinnett-Hopkins, PhD

Assistant Professor, Applied Exercise Science
Director, Translational Physical Activity Laboratory

Advisory Board

Kretzler

Matthias Kretzler, MD

Professor
modlin

Robert L. Modlin, MD

Klein Professor of Dermatology
Professor of Microbiology, Immunology, and Molecular Genetics
Vice Chair for Cutaneous Medicine and Dermatologic Research
UCLA David Geffen School of Medicine
Steven Parker

Stephen CJ Parker, PhD

Professor