Mizutani Nobuaki, Sae-Wong Chutha, Kangsanant Sureeporn, Nabe Takeshi, Yoshino Shin
Department of Pharmacology, Kobe Pharmaceutical University, Higashinada, Kobe, Japan.
Nutraceutical and Functional Food Research and Development Centre, Prince of Songkla University, Hat-Yai, Songkhla, Thailand.
Immunology. 2015 Dec;146(4):568-81. doi: 10.1111/imm.12528. Epub 2015 Sep 24.
Atopic dermatitis (AD) is a chronic inflammatory skin disease associated with elevated levels of allergen-specific IgE. Although thymic stromal lymphopoietin (TSLP) and interleukin-17A (IL-17A) have been considered as important factors in allergic diseases, their relationships in AD have not been fully defined. Here, we show the contribution of TSLP-induced IL-17A responses to IgE-mediated AD-like skin lesions. BALB/c mice passively sensitized by intraperitoneal injections of ovalbumin (OVA)-specific IgE monoclonal antibody (mAb) were challenged with OVA applied to the skin six times. Treatment with anti-TSLP mAb during the second to sixth challenges inhibited IgE-mediated AD-like skin lesions and IL-17A production in lymph nodes. Furthermore, the increased number of IL-17A-producing CD4(+) and γδ T cells in lymph nodes and neutrophilic inflammation in the skin were reduced by anti-TSLP mAb. These findings prompted us to examine the roles of IL-17A. Treatment with anti-IL-17A mAb suppressed the AD-like skin lesions and neutrophilic inflammation; anti-Gr-1 mAb also inhibited them. Furthermore, treatment with CXCR2 antagonist reduced the AD-like skin lesions and neutrophilic inflammation accompanied by the reduction of IL-17A production; the increased CXCR2 expression in the epidermal cells was suppressed by anti-TSLP mAb. Meanwhile, these treatments, except for anti-Gr-1 mAb, inhibited the increased mast cell accumulation in the skin. Collectively, the mechanism of IgE mediating IL-17A-producing CD4(+) and γδ T cells through TSLP by repeated antigen challenges is involved in AD-like skin lesions associated with skin inflammation, such as neutrophil and mast cell accumulation; TSLP may regulate CXCR2 signalling-induced IL-17A production.
特应性皮炎(AD)是一种与变应原特异性IgE水平升高相关的慢性炎症性皮肤病。尽管胸腺基质淋巴细胞生成素(TSLP)和白细胞介素-17A(IL-17A)被认为是过敏性疾病的重要因素,但它们在AD中的关系尚未完全明确。在此,我们展示了TSLP诱导的IL-17A反应对IgE介导的类AD皮肤病变的作用。通过腹腔注射卵清蛋白(OVA)特异性IgE单克隆抗体(mAb)被动致敏的BALB/c小鼠,用OVA对皮肤进行6次激发。在第二次至第六次激发期间用抗TSLP mAb治疗可抑制IgE介导的类AD皮肤病变以及淋巴结中IL-17A的产生。此外,抗TSLP mAb减少了淋巴结中产生IL-17A的CD4(+)和γδ T细胞数量的增加以及皮肤中的嗜中性粒细胞炎症。这些发现促使我们研究IL-17A的作用。用抗IL-17A mAb治疗可抑制类AD皮肤病变和嗜中性粒细胞炎症;抗Gr-1 mAb也可抑制它们。此外,用CXCR2拮抗剂治疗可减少类AD皮肤病变和嗜中性粒细胞炎症,并伴有IL-17A产生的减少;抗TSLP mAb可抑制表皮细胞中CXCR2表达的增加。同时,除抗Gr-1 mAb外,这些治疗均抑制了皮肤中肥大细胞积聚的增加。总体而言,通过反复抗原激发,IgE通过TSLP介导产生IL-17A的CD4(+)和γδ T细胞的机制参与了与皮肤炎症相关的类AD皮肤病变,如嗜中性粒细胞和肥大细胞积聚;TSLP可能调节CXCR2信号诱导的IL-17A产生。