Fallahi P, Ruffilli I
Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
Clin Ter. 2016 Sep-Oct;167(5):e112-e116. doi: 10.7417/CT.2016.1953.
Inflammation of the skin is the pathological base of contact dermatitis (CD), and cytokines are very important in its pathogenesis. Recently it has been shown that interferon (IFN)-γ, and the IFN-γ dependent chemokines, monokine induced by IFN-γ (MIG), IFN-γ-induced protein 10 (IP-10), and IFN-inducible T cell alpha chemoattractant (I-TAC), play an important role in CD. Allergic CD (ACD) is a T-cell-mediated disease in which expression of a distinct repertoire of chemokines results in the recruitment of effector T cells into the skin. An increased expression of MIG, IP-10 and I-TAC in the skin has been observed by many studies in ACD, but not in irritant CD. The IFN-γ dependent chemokines are produced by keratinocytes, mainly during the clinically inflammatory phase of ACD. Also chemokine (C-X-C motif) receptor (CXCR) 3, the common receptor of the three IFN-γ dependent chemokines, is upregulated in chemical-induced allergic skin responses when compared with irritant skin responses. However, other studies have shown a low level increase of IP-10 in irritant sodium dodecyl sulphate dermatitis. The above mentioned results show that although skin inflammation contact sensitizer-induced is similar to irritant-induced, the regulation of allergic inflammation-related gene MIG and IP-10, could help to discriminate skin sensitization from chemically irritation.
皮肤炎症是接触性皮炎(CD)的病理基础,细胞因子在其发病机制中非常重要。最近研究表明,干扰素(IFN)-γ以及IFN-γ依赖性趋化因子,即IFN-γ诱导的单核细胞因子(MIG)、IFN-γ诱导蛋白10(IP-10)和IFN诱导的T细胞α趋化因子(I-TAC),在接触性皮炎中起重要作用。过敏性接触性皮炎(ACD)是一种T细胞介导的疾病,其中特定趋化因子库的表达导致效应T细胞募集到皮肤中。许多关于ACD的研究观察到皮肤中MIG、IP-10和I-TAC的表达增加,但在刺激性接触性皮炎中未观察到。IFN-γ依赖性趋化因子主要由角质形成细胞在ACD的临床炎症期产生。此外,与刺激性皮肤反应相比,化学诱导的过敏性皮肤反应中,这三种IFN-γ依赖性趋化因子的共同受体趋化因子(C-X-C基序)受体(CXCR)3上调。然而,其他研究表明在刺激性十二烷基硫酸钠皮炎中IP-10有低水平增加。上述结果表明,虽然接触致敏剂诱导的皮肤炎症与刺激诱导的相似,但过敏性炎症相关基因MIG和IP-10的调节有助于区分皮肤致敏和化学刺激。