Nowak Karolin, Linzner Daniela, Thrasher Adrian J, Lambert Paul F, Di Wei-Li, Burns Siobhan O
Molecular and Cellular Immunology, Institute of Child Health, University College London, London, UK.
Molecular and Cellular Immunology, Institute of Child Health, University College London, London, UK; Great Ormond Street Hospital NHS Foundation Trust, London, UK.
J Invest Dermatol. 2017 Oct;137(10):2120-2130. doi: 10.1016/j.jid.2017.05.024. Epub 2017 Jun 17.
Loss-of-function mutations in the common gamma (γc) chain cytokine receptor subunit give rise to severe combined immunodeficiency characterized by lack of T and natural killer cells and infant death from infection. Hematopoietic stem cell transplantation or gene therapy offer a cure, but despite successful replacement of lymphoid immune lineages, a long-term risk of severe cutaneous human papilloma virus infections persists, possibly related to persistent γc-deficiency in other cell types. Here we show that keratinocytes, the only cell type directly infected by human papilloma virus, express functional γc and its co-receptors. After stimulation with the γc-ligand IL-15, γc-deficient keratinocytes show significantly impaired secretion of specific chemokines including CXCL1, CXCL8, and CCL20, resulting in reduced chemotaxis of dendritic cells and CD4 T cells. Furthermore, γc-deficient keratinocytes also exhibit defective induction of T-cell chemotaxis in a model of stable human papilloma virus-18 infection. These findings suggest that persistent γc-deficiency in keratinocytes alters immune cell recruitment to the skin, which may contribute to the development and persistence of warts in this condition and would require different treatment approaches.
常见γ(γc)链细胞因子受体亚基的功能丧失突变会导致严重联合免疫缺陷,其特征是缺乏T细胞和自然杀伤细胞,并导致婴儿因感染而死亡。造血干细胞移植或基因治疗可提供治愈方法,但尽管成功替换了淋巴免疫谱系,但严重皮肤人乳头瘤病毒感染的长期风险仍然存在,这可能与其他细胞类型中持续存在的γc缺陷有关。在这里,我们表明,人乳头瘤病毒直接感染的唯一细胞类型角质形成细胞表达功能性γc及其共受体。在用γc配体IL-15刺激后,γc缺陷的角质形成细胞显示包括CXCL1、CXCL8和CCL20在内的特定趋化因子的分泌明显受损,导致树突状细胞和CD4 T细胞的趋化性降低。此外,在稳定的人乳头瘤病毒18感染模型中,γc缺陷的角质形成细胞在诱导T细胞趋化性方面也存在缺陷。这些发现表明,角质形成细胞中持续存在的γc缺陷会改变免疫细胞向皮肤的募集,这可能导致这种情况下疣的发生和持续存在,并且需要不同的治疗方法。