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The Actions Each Person Must Know Regarding Ku-0059436

Thus, DC-derived IL-1 cytokines, including IL-1��, IL-1��, IL-18, and IL-33, may act as major enhancers of vaccine-based immune responses. 3.4. Regulation of Inflammatory Skin Diseases The role of DC in chronic inflammatory skin diseases is markedly controlled by the local environment.

Skin-resident cDC, as well as infiltrating populations, are mediating the induction and maintenance of psoriasis and AD, thereby critically contributing to the individual cytokine pattern. In fact, both skin diseases are characterized by the biphasic presence of distinct T lymphocyte populations, namely, Th1/Th17 in psoriasis and Th2/Th1 in AD. Interestingly, despite the distinct Th profiles in vivo, isolated DC from skin lesions of psoriasis and AD patients display a similar T cell polarizing capacity ex vivo [125]. However, both subsets differ in the release of specific chemokines, able to recruit different memory T cell subsets into the skin. This underlines the importance of the local pathogenic cytokine and chemokine pattern to modulate the function of DC. Given their capacity to initiate

a cascade of immune responses, DC of both plasmacytoid and myeloid lineage are thought to display a pathogenic role in psoriasis [81]. The interplay between DC, T cells, and KC gives rise to a self-perpetuating loop, amplifying and sustaining inflammation. The local cytokine profile of psoriatic skin mediates an enhanced and persistent activation of DC, driving the activity of Th1 and cytotoxic Tc1 cells or Th17/Tc17 lymphocytes, by secretion of TNF, IL-12, and IL-23 [126, 127]. The most prominent characteristic of psoriatic skin is the presence of pDC as a consequence of chemerin expression in early plaques [70]. In patient biopsies, only low numbers of pDC are present in nonlesional skin but are significantly increased within lesional psoriatic skin [37]. Importantly, self-nucleotides,

released from stressed and dying skin cells, are forming immunogenic aggregates with the cathelicidin LL37, an AMP produced by activated neutrophils and KC in response to pathogens. LL37/self-RNA complexes promote a TLR7- and TLR9-dependent stimulation of pDC, Sitaxentan inducing a massive release of type 1 IFN via activation of the IFN regulating factor-7 (IRF-7) [67, 128, 129]. INF-�� is a potential pathogenic cytokine in the initiation of psoriasis and is capable of stimulating local bystander DDC, which themselves produce IL-12 and drive the polarization of Th1/Tc1 lymphocytes [33]. Interestingly, studies in the imiquimod-induced psoriasis mouse model revealed a pivotal role of dermal cDC in the formation of psoriatic skin lesions [130]. The selective activation of TLR7 on CD11c+ DDC induced local skin inflammation independent of pDC and the presence of type 1 IFN, whereas Langerin+ DC, including LC, were dispensable during imiquimod-induced psoriasis.
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