Laboratory of Regulatory Information, Institute for Frontier Life and Medical Science, Kyoto University, Sakyo-ku, Kyoto, Japan.
Laboratory of Molecular and Cellular Immunology, Graduate School of Biostudies, Kyoto University, Sakyo-ku, Kyoto, Japan.
Int Immunol. 2021 Mar 31;33(4):211-224. doi: 10.1093/intimm/dxaa071.
Mutations in DDX58 (DExD/H-box helicase 58), which encodes the cytoplasmic RNA sensor retinoic acid-inducible gene I (RIG-I), were recently identified in the rare autoimmune disease Singleton-Merten syndrome (SMS). We report the spontaneous development of psoriasis-like skin lesions as an SMS-like symptom in transgenic mice harboring one of the RIG-I SMS variants, E373A. Histological analysis revealed typical characteristics of psoriasis, including the abnormal proliferation and differentiation of keratinocytes leading to epidermal hyperplasia, and infiltrates consisting of neutrophils, dendritic cells and T cells. Levels of the IL-23/IL-17 immune axis cytokines were high in the skin lesions. Rag2-/- transgenic mice showed partial amelioration of the phenotype, with down-regulation of inflammatory cytokines, including IL-17A, suggesting the importance of lymphocytes for the pathogenesis similar to that of human psoriasis. Of note, IL-17A deficiency abolished the skin phenotype, and treatment using the JAK inhibitor tofacitinib not only prevented onset, but also improved the skin manifestations even after onset. Our study provides further evidence for the involvement of RIG-I activation in the onset and progression of psoriasis via type I interferon signaling and the IL-23/IL-17 axis.
DDX58(DEAD 框解旋酶 58)突变最近在罕见的自身免疫性疾病Singleton-Merten 综合征(SMS)中被发现,该基因编码细胞质 RNA 传感器视黄酸诱导基因 I(RIG-I)。我们报告了携带 RIG-I SMS 变异体之一 E373A 的转基因小鼠自发性地出现了类似于 SMS 的银屑病样皮肤损伤。组织学分析显示了银屑病的典型特征,包括角质形成细胞的异常增殖和分化导致表皮过度增生,以及由中性粒细胞、树突状细胞和 T 细胞组成的浸润。皮肤损伤中 IL-23/IL-17 免疫轴细胞因子的水平较高。 Rag2-/-转基因小鼠表现出部分表型改善,炎症细胞因子(包括 IL-17A)的下调表明淋巴细胞对类似于人类银屑病的发病机制的重要性。值得注意的是,IL-17A 缺陷消除了皮肤表型,使用 JAK 抑制剂托法替尼治疗不仅可以预防发病,而且在发病后也可以改善皮肤表现。我们的研究进一步证明了 RIG-I 通过 I 型干扰素信号和 IL-23/IL-17 轴的激活在银屑病的发病和进展中的参与。