Spergel J M, Mizoguchi E, Oettgen H, Bhan A K, Geha R S
Division of Immunology, Children's Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA.
J Clin Invest. 1999 Apr;103(8):1103-11. doi: 10.1172/JCI5669.
Skin lesions in atopic dermatitis (AD) are characterized by hypertrophy of the dermis and epidermis, infiltration by T cells and eosinophils, and expression of the cytokines IL-4, IL-5, and IFN-gamma. The role of these cytokines in the pathogenesis of AD is not known. We took advantage of a recently described murine model of AD elicited by epicutaneous sensitization with ovalbumin (OVA) (1) and of the availability of mice with targeted deletions of the IL-4, IL-5, and IFN-gamma cytokine genes to assess the role of these cytokines in this model.OVA-sensitized skin from IL-5(-/-) mice had no detectable eosinophils and exhibited decreased epidermal and dermal thickening. Sensitized skin from IL-4(-/-) mice displayed normal thickening of the skin layers but had a drastic reduction in eosinophils and a significant increase in infiltrating T cells. These findings were associated with a reduction in eotaxin mRNA and an increase in mRNA for the T-cell chemokines macrophage inflammatory protein-2 (MIP-2), MIP-1beta, and RANTES. Sensitized skin from IFN-gamma-/- mice was characterized by reduced dermal thickening. These results suggest that both the TH2 cytokines IL-4 and IL-5 and the TH1 cytokine IFN-gamma play important roles in the inflammation and hypertrophy of the skin in AD.
特应性皮炎(AD)的皮肤病变特征为真皮和表皮肥大、T细胞和嗜酸性粒细胞浸润以及细胞因子IL-4、IL-5和IFN-γ的表达。这些细胞因子在AD发病机制中的作用尚不清楚。我们利用了一种最近描述的通过卵清蛋白(OVA)经皮致敏引发的AD小鼠模型(1),以及IL-4、IL-5和IFN-γ细胞因子基因靶向缺失的小鼠,来评估这些细胞因子在该模型中的作用。来自IL-5(-/-)小鼠的OVA致敏皮肤未检测到嗜酸性粒细胞,且表皮和真皮增厚减少。来自IL-4(-/-)小鼠的致敏皮肤显示皮肤层正常增厚,但嗜酸性粒细胞显著减少,浸润性T细胞显著增加。这些发现与嗜酸性粒细胞趋化因子mRNA减少以及T细胞趋化因子巨噬细胞炎性蛋白-2(MIP-2)、MIP-1β和RANTES的mRNA增加有关。来自IFN-γ-/-小鼠的致敏皮肤的特征是真皮增厚减少。这些结果表明,TH2细胞因子IL-4和IL-5以及TH1细胞因子IFN-γ在AD皮肤炎症和肥大中均起重要作用。