Laboratory of Dermatology, EA7509 IRMAIC, University of Reims-Champagne-Ardenne, Reims, France.
Department of Biological Sciences, UFR Pharmacy, University of Reims Champagne-Ardenne, Reims, France.
Front Immunol. 2019 Sep 11;10:2107. doi: 10.3389/fimmu.2019.02107. eCollection 2019.
Inflammation is largely implicated in bullous pemphigoid (BP), the most frequent skin auto-immune blistering disease. IL-17, essentially IL-17A/F, has been involved in blister formation through regulation of protease production, and its specific serum profile within BP was related to disease outcome. However, relationships between IL-17 family ligands and receptors are quite complex with six different IL-17 isoforms, and five different receptors. We here aimed at clarifying the contribution of the IL-17 axis in BP by characterizing not only the expression of IL-17 receptor (IL-17R) members within immune cells isolated from BP patients (PMNs, = 9; T-lymphocytes, = 10; and monocytes, = 10) but also the expression of IL-17 isoforms in sera ( = 83), and blister fluid ( = 31) of BP patients. We showed that at diagnosis, IL-17RA and IL-17RC expression were significantly increased in monocytes isolated from BP patients as compared to those from control subjects ( = 0.006 and = 0.016, respectively). Notably, both IL-17RA and IL-17RC mRNA expression remained elevated in BP monocytes at time of relapse. We further demonstrated a significant increase of all IL-17 isoforms tested in BP blister fluid compared with BP serum (IL-17A, < 0.0001; IL-17A/F, < 0.0001; IL-17B, = 0.0023; IL-17C, = 0.0022; IL-17E, < 0.0001). Among all, IL-17B was the only cytokine for which a significant decreased concentration within blister fluid was observed in BP patients with severe disease compared to patients with moderate disease ( = 0.012). We further evidenced a significant negative correlation between IL-17B levels and blister/erosion BPDAI subscore ( = -0.52, = 0.003). We finally identified mast cells as a potential target of IL-17B in lesional skin of BP patients. In conclusion, we showed here that IL-17RA and IL-17RC expression in monocyte was associated with disease activity and evidenced a negative correlation between BP disease activity and IL-17B, whose effects could be mediated by IL-17RB expressed by mast cell in BP lesional skin.
炎症在大疱性类天疱疮(BP)中起重要作用,BP 是最常见的皮肤自身免疫性水疱病。IL-17 主要通过调节蛋白酶的产生而参与水疱形成,其在 BP 中的特定血清特征与疾病结局有关。然而,IL-17 家族配体和受体之间的关系非常复杂,有六种不同的 IL-17 同工型和五种不同的受体。我们旨在通过阐明免疫细胞中 IL-17 受体(IL-17R)成员的表达(BP 患者分离的PMN,n = 9;T 淋巴细胞,n = 10;单核细胞,n = 10),以及 BP 患者血清(n = 83)和疱液(n = 31)中 IL-17 同工型的表达,来阐明 IL-17 轴在 BP 中的作用。结果表明,与对照组相比,BP 患者分离的单核细胞中 IL-17RA 和 IL-17RC 的表达在诊断时明显增加(分别为 = 0.006 和 = 0.016)。值得注意的是,BP 单核细胞在复发时,IL-17RA 和 IL-17RC 的 mRNA 表达仍升高。我们进一步证明,与 BP 血清相比,BP 疱液中所有测试的 IL-17 同工型均显著增加(IL-17A, < 0.0001;IL-17A/F, < 0.0001;IL-17B, = 0.0023;IL-17C, = 0.0022;IL-17E, < 0.0001)。所有这些同工型中,只有 IL-17B 的浓度在疾病严重的 BP 患者疱液中明显低于疾病中度的患者( = 0.012)。我们还进一步证明,IL-17B 水平与 BP 水疱/糜烂 BSAI 亚评分呈显著负相关( = -0.52, = 0.003)。我们最后在 BP 患者皮损中鉴定出肥大细胞是 IL-17B 的潜在靶细胞。总之,我们在此表明,单核细胞中 IL-17RA 和 IL-17RC 的表达与疾病活动度相关,并证明 BP 疾病活动度与 IL-17B 之间存在负相关,其作用可能通过 BP 皮损中肥大细胞表达的 IL-17RB 介导。