Department of Dermatology, University of Massachusetts Medical School, Worcester, MA, USA.
Pigment Cell Melanoma Res. 2021 Jul;34(4):683-695. doi: 10.1111/pcmr.12935. Epub 2020 Oct 26.
Vitiligo is an autoimmune skin disease in which epidermal melanocytes are targeted for destruction by CD8 T cells specific for melanocyte/melanoma-shared antigens. IFNγ is the central cytokine driving disease, but the role of type I IFN in vitiligo remains unclear. We investigated the functional role of type I IFN during vitiligo progression using two different mouse models: one induced with a vaccinia virus (VV) vaccine and one induced with dendritic cells to prime autoimmune T cells. Induction of vitiligo by VV in IFNaR-deficient mice led to the development of severe vitiligo compared with wild-type (WT) mice and was characterized by a significantly enhanced effector CD8 T-cell response. Severe vitiligo in this model was a result of VV persistence, because exacerbation of disease in IFNaR-deficient mice was not observed when antigen-pulsed dendritic cells were used to induce vitiligo instead of virus. Treatment of B16F10 melanoma-inoculated mice with VV vaccine therapy also induced a significantly enhanced anti-tumor response in IFNaR-deficient mice compared with WT. These results not only help define the pathways responsible for vitiligo progression but also suggest that blockade of type I IFNs following administration of a VV vaccine may provide increased immunogenicity and efficacy for melanoma immunotherapy.
白癜风是一种自身免疫性皮肤疾病,其中表皮黑素细胞被针对黑素细胞/黑素瘤共享抗原的 CD8 T 细胞靶向破坏。IFNγ 是驱动疾病的中心细胞因子,但 I 型 IFN 在白癜风中的作用仍不清楚。我们使用两种不同的小鼠模型研究了 I 型 IFN 在白癜风进展过程中的功能作用:一种是用牛痘病毒 (VV) 疫苗诱导的,另一种是用树突状细胞诱导自身免疫 T 细胞的。与野生型 (WT) 小鼠相比,IFNAR 缺陷型小鼠中 VV 诱导的白癜风导致严重的白癜风,其特征是效应性 CD8 T 细胞反应显著增强。在该模型中,严重的白癜风是由于 VV 的持续存在,因为当用抗原脉冲的树突状细胞诱导白癜风而不是病毒时,IFNAR 缺陷型小鼠的疾病恶化并未观察到。与 WT 相比,VV 疫苗治疗对 B16F10 黑色素瘤接种小鼠的治疗也诱导了 IFNAR 缺陷型小鼠中明显增强的抗肿瘤反应。这些结果不仅有助于确定导致白癜风进展的途径,而且还表明在施用 VV 疫苗后阻断 I 型 IFNs 可能为黑色素瘤免疫治疗提供更高的免疫原性和疗效。