Université de Strasbourg, Illkirch, France.
J Invest Dermatol. 2013 Jan;133(1):154-63. doi: 10.1038/jid.2012.239. Epub 2012 Jul 26.
Atopic dermatitis often precedes the development of asthma, a phenomenon known as "atopic march". An important role of allergen sensitization developed through barrier-defective skin has been recognized in the onset of atopic march; however, the underlying mechanism remains poorly understood. In this study, we use an experimental atopic march mouse model, in which the sensitization to allergen is achieved through barrier-impaired skin, followed by allergen challenge in the airway. By using thymic stromal lymphopoietin (TSLP)(iep-/-) mice in which the cytokine TSLP is selectively and inducibly ablated in epidermal keratinocytes, we demonstrate that keratinocytic TSLP, the expression of which is induced by skin barrier impairment, is essential for generating skin allergic inflammation and allergen-induced T helper type 2 response, for developing sensitization to allergen, and for triggering a subsequent allergic asthma. Furthermore, using TSLP(over) mice in which overexpression of keratinocytic TSLP is induced by skin topical application of MC903 (a vitamin D3 analog) in a dose-dependent manner, we show that keratinocytic TSLP levels are correlated with skin sensitization strength and asthma severity. Taken together, our study uncovers a crucial role of keratinocytic TSLP in the "atopic march" by promoting allergen sensitization occurring in barrier-impaired skin, which ultimately leads to allergic asthma.
特应性皮炎常先于哮喘发生,这种现象被称为“特应性进行曲”。过敏原致敏是通过有缺陷的皮肤屏障发展而来,在特应性进行曲的发病机制中起着重要作用;然而,其潜在机制仍知之甚少。在这项研究中,我们使用了一种实验性特应性进行曲小鼠模型,其中过敏原致敏是通过有缺陷的皮肤屏障实现的,随后在气道中进行过敏原挑战。通过使用胸腺基质淋巴细胞生成素(TSLP)(iep-/-)小鼠,其中细胞因子 TSLP 在表皮角质形成细胞中被选择性和诱导性地剔除,我们证明角质形成细胞 TSLP 的表达是由皮肤屏障损伤诱导的,对于产生皮肤过敏炎症和过敏原诱导的 T 辅助细胞 2 反应、产生对过敏原的致敏以及引发随后的过敏性哮喘是必不可少的。此外,我们使用 TSLP(过表达)小鼠,通过皮肤局部应用 MC903(一种维生素 D3 类似物)以剂量依赖性方式诱导角质形成细胞 TSLP 的过表达,我们表明角质形成细胞 TSLP 水平与皮肤致敏强度和哮喘严重程度相关。总之,我们的研究揭示了角质形成细胞 TSLP 通过促进发生在有缺陷的皮肤屏障中的过敏原致敏在“特应性进行曲”中起着关键作用,最终导致过敏性哮喘。