Department of Dermatology and Allergy, Technical University of Munich, Munich, Germany.
Institute of Computational Biology, Helmholtz Center Munich, Neuherberg, Germany.
J Eur Acad Dermatol Venereol. 2020 Apr;34(4):800-809. doi: 10.1111/jdv.16126. Epub 2020 Jan 19.
BACKGROUND: Key pathogenic events of psoriasis and atopic eczema (AE) are misguided immune reactions of the skin. IL-17C is an epithelial-derived cytokine, whose impact on skin inflammation is unclear. OBJECTIVE: We sought to characterize the role of IL-17C in human ISD. METHODS: IL-17C gene and protein expression was assessed by immunohistochemistry and transcriptome analysis. Primary human keratinocytes were stimulated and expression of cytokines chemokines was determined by qRT-PCR and luminex assay. Neutrophil migration towards supernatant of stimulated keratinocytes was assessed. IL-17C was depleted using a new IL-17C-specific antibody (MOR106) in murine models of psoriasis (IL-23 injection model) and AE (MC903 model) as well as in human skin biopsies of psoriasis and AE. Effects on cell influx (mouse models) and gene expression (human explant cultures) were determined. RESULTS: Expression of IL-17C mRNA and protein was elevated in various ISD. We demonstrate that IL-17C potentiates the expression of innate cytokines, antimicrobial peptides (IL-36G, S100A7 and HBD2) and chemokines (CXCL8, CXCL10, CCL5 and VEGF) and the autocrine induction of IL-17C in keratinocytes. Cell-free supernatant of keratinocytes stimulated with IL-17C was strongly chemotactic for neutrophils, thus demonstrating a critical role for IL-17C in immune cell recruitment. IL-17C depletion significantly reduced cell numbers of T cells, neutrophils and eosinophils in murine models of psoriasis and AE and led to a significant downregulation of inflammatory mediators in human skin biopsies of psoriasis and AE ex vivo. CONCLUSION: IL-17C amplifies epithelial inflammation in Th2 and Th17 dominated skin inflammation and represents a promising target for the treatment of ISD.
背景:银屑病和特应性皮炎(AE)的关键致病事件是皮肤的免疫反应错误。IL-17C 是一种上皮衍生的细胞因子,其对皮肤炎症的影响尚不清楚。
目的:我们旨在研究 IL-17C 在人类特应性皮炎中的作用。
方法:通过免疫组织化学和转录组分析评估 IL-17C 的基因和蛋白表达。通过 qRT-PCR 和 Luminex 测定刺激的角质形成细胞中细胞因子和趋化因子的表达。评估刺激的角质形成细胞上清液中中性粒细胞的迁移。在银屑病(IL-23 注射模型)和 AE(MC903 模型)的小鼠模型以及银屑病和 AE 的人类皮肤活检中,使用新的 IL-17C 特异性抗体(MOR106)耗尽 IL-17C。确定对细胞浸润(小鼠模型)和基因表达(人外植体培养物)的影响。
结果:各种 ISD 中 IL-17C mRNA 和蛋白表达升高。我们证明,IL-17C 增强了天然细胞因子、抗菌肽(IL-36G、S100A7 和 HBD2)和趋化因子(CXCL8、CXCL10、CCL5 和 VEGF)的表达,并在角质形成细胞中自分泌诱导 IL-17C。用 IL-17C 刺激的角质形成细胞的无细胞上清液对中性粒细胞具有强烈的趋化性,从而证明 IL-17C 在免疫细胞募集中起关键作用。在银屑病和 AE 的小鼠模型中,IL-17C 耗竭显著减少了 T 细胞、中性粒细胞和嗜酸性粒细胞的数量,并导致银屑病和 AE 人类皮肤活检中炎症介质的显著下调。
结论:IL-17C 放大了 Th2 和 Th17 为主的皮肤炎症中的上皮炎症,是治疗 ISD 的有希望的靶点。
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