[HTML][HTML] Psoriasiform dermatitis is driven by IL-36–mediated DC-keratinocyte crosstalk

L Tortola, E Rosenwald, B Abel… - The Journal of …, 2012 - Am Soc Clin Investig
L Tortola, E Rosenwald, B Abel, H Blumberg, M Schäfer, AJ Coyle, JC Renauld, S Werner…
The Journal of clinical investigation, 2012Am Soc Clin Investig
Psoriasis is a chronic inflammatory disorder of the skin affecting approximately 2% of the
world's population. Accumulating evidence has revealed that the IL-23/IL-17/IL-22 pathway
is key for development of skin immunopathology. However, the role of keratinocytes and
their crosstalk with immune cells at the onset of disease remains poorly understood. Here,
we show that IL-36R–deficient (Il36r–/–) mice were protected from imiquimod-induced
expansion of dermal IL-17–producing γδ T cells and psoriasiform dermatitis. Furthermore, IL …
Psoriasis is a chronic inflammatory disorder of the skin affecting approximately 2% of the world’s population. Accumulating evidence has revealed that the IL-23/IL-17/IL-22 pathway is key for development of skin immunopathology. However, the role of keratinocytes and their crosstalk with immune cells at the onset of disease remains poorly understood. Here, we show that IL-36R–deficient (Il36r–/–) mice were protected from imiquimod-induced expansion of dermal IL-17–producing γδ T cells and psoriasiform dermatitis. Furthermore, IL-36R antagonist-deficient (Il36rn–/–) mice showed exacerbated pathology. TLR7 ligation on DCs induced IL-36–mediated crosstalk with keratinocytes and dermal mesenchymal cells that was crucial for control of the pathological IL-23/IL-17/IL-22 axis and disease development. Notably, mice lacking IL-23, IL-17, or IL-22 were less well protected from disease compared with Il36r–/– mice, indicating an additional distinct activity of IL-36 beyond induction of the pathological IL-23 axis. Moreover, while the absence of IL-1R1 prevented neutrophil infiltration, it did not protect from acanthosis and hyperkeratosis, demonstrating that neutrophils are dispensable for disease manifestation. These results highlight a central and unique IL-1–independent role for IL-36 in control of the IL-23/IL-17/IL-22 pathway and development of psoriasiform dermatitis.
The Journal of Clinical Investigation