Department of Medicine and Department of Microbiology and Immunology, James Graham Brown Cancer Center, University of Louisville, Louisville, Kentucky, USA.
Department of Dermatology, Ruijin Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai, China.
J Invest Dermatol. 2019 Jan;139(1):146-156. doi: 10.1016/j.jid.2018.07.025. Epub 2018 Aug 16.
The IL-1 signaling pathway has been shown to play a critical role in the pathogenesis of chronic, autoinflammatory skin diseases such as psoriasis. However, the exact cellular and molecular mechanisms have not been fully understood. Here, we show that IL-1β is significantly elevated in psoriatic lesional skin and imiquimod-treated mouse skin. In addition, IL-1R signaling appears to correlate with psoriasis disease progression and treatment response. IL-1 signaling in both dermal γδ T cells and other cells such as keratinocytes is essential to an IMQ-induced skin inflammation. IL-1β induces dermal γδ T cell proliferation and IL-17 production in mice. In addition, IL-1β stimulates keratinocytes to secrete chemokines that preferentially chemoattract peripheral CD27 CCR6IL-17 capable of producing γδ T cells (γδT17). Further studies showed that endogenous IL-1β secretion is regulated by skin commensals to maintain dermal γδT17 homeostasis in mice. Mouse skin associated with Corynebacterium species, bacteria enriched in human psoriatic lesional skin, has increased IL-1β and dermal γδT17 cell expansion. Thus, the IL-1β-IL-1R signaling pathway may contribute to skin inflammation and psoriasis pathogenesis via the direct regulation of dermal IL-17-producing cells and stimulation of keratinocytes for amplifying inflammatory cascade.
IL-1 信号通路已被证明在慢性、自身炎症性皮肤病(如银屑病)的发病机制中发挥关键作用。然而,确切的细胞和分子机制尚未完全阐明。在这里,我们显示 IL-1β 在银屑病皮损皮肤和咪喹莫特处理的小鼠皮肤中显著升高。此外,IL-1R 信号似乎与银屑病疾病进展和治疗反应相关。IL-1 信号在真皮 γδ T 细胞和其他细胞(如角质形成细胞)中对于 IMQ 诱导的皮肤炎症是必不可少的。IL-1β 在小鼠中诱导真皮 γδ T 细胞增殖和 IL-17 的产生。此外,IL-1β 刺激角质形成细胞分泌趋化因子,这些趋化因子优先趋化外周 CD27+CCR6+IL-17 能够产生 γδ T 细胞(γδT17)。进一步的研究表明,内源性 IL-1β 的分泌受皮肤共生菌的调节,以维持小鼠皮肤中真皮 γδT17 的稳态。与棒状杆菌属相关的小鼠皮肤,在人类银屑病皮损皮肤中富集的细菌,具有增加的 IL-1β 和真皮 γδT17 细胞扩增。因此,IL-1β-IL-1R 信号通路可能通过直接调节真皮中产生 IL-17 的细胞和刺激角质形成细胞放大炎症级联反应,从而导致皮肤炎症和银屑病发病机制。