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Schäbitz A, Hillig C, Mubarak M, Jargosch M, Farnoud A, Scala E, Kurzen N, Pilz AC, Bhalla N, Thomas J, Stahle M, Biedermann T, Schmidt-Weber CB, Theis F, Garzorz-Stark N, Eyerich K, Menden MP, Eyerich S. Spatial transcriptomics landscape of lesions from non-communicable inflammatory skin diseases. Nat Commun 2022; 13:7729. [PMID: 36513651 PMCID: PMC9747967 DOI: 10.1038/s41467-022-35319-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2021] [Accepted: 11/28/2022] [Indexed: 12/15/2022] Open
Abstract
Abundant heterogeneous immune cells infiltrate lesions in chronic inflammatory diseases and characterization of these cells is needed to distinguish disease-promoting from bystander immune cells. Here, we investigate the landscape of non-communicable inflammatory skin diseases (ncISD) by spatial transcriptomics resulting in a large repository of 62,000 spatially defined human cutaneous transcriptomes from 31 patients. Despite the expected immune cell infiltration, we observe rather low numbers of pathogenic disease promoting cytokine transcripts (IFNG, IL13 and IL17A), i.e. >125 times less compared to the mean expression of all other genes over lesional skin sections. Nevertheless, cytokine expression is limited to lesional skin and presented in a disease-specific pattern. Leveraging a density-based spatial clustering method, we identify specific responder gene signatures in direct proximity of cytokines, and confirm that detected cytokine transcripts initiate amplification cascades of up to thousands of specific responder transcripts forming localized epidermal clusters. Thus, within the abundant and heterogeneous infiltrates of ncISD, only a low number of cytokine transcripts and their translated proteins promote disease by initiating an inflammatory amplification cascade in their local microenvironment.
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Affiliation(s)
- A. Schäbitz
- grid.4714.60000 0004 1937 0626Division of Dermatology and Venereology, Department of Medicine Solna, and Center for Molecular Medicine, Karolinska Institutet, Stockholm, Sweden
| | - C. Hillig
- grid.4567.00000 0004 0483 2525Institute of Computational Biology, Helmholtz Zentrum München—German Research Centre for Environmental Health, Ingolstädter Landstrasse 1, 85764 Neuherberg, Germany
| | - M. Mubarak
- grid.6936.a0000000123222966Center for Allergy and Environment (ZAUM), Technical University and Helmholtz Center Munich, Biedersteinerstrasse 29, 80802 Munich, Germany
| | - M. Jargosch
- grid.6936.a0000000123222966Center for Allergy and Environment (ZAUM), Technical University and Helmholtz Center Munich, Biedersteinerstrasse 29, 80802 Munich, Germany ,grid.6936.a0000000123222966Department of Dermatology and Allergy, Technical University of Munich, Biedersteinerstrasse 29, 80802 Munich, Germany
| | - A. Farnoud
- grid.4567.00000 0004 0483 2525Institute of Computational Biology, Helmholtz Zentrum München—German Research Centre for Environmental Health, Ingolstädter Landstrasse 1, 85764 Neuherberg, Germany
| | - E. Scala
- grid.4714.60000 0004 1937 0626Division of Dermatology and Venereology, Department of Medicine Solna, and Center for Molecular Medicine, Karolinska Institutet, Stockholm, Sweden ,grid.5963.9Department of Dermatology and Venerology, Medical Center—University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany
| | - N. Kurzen
- grid.6936.a0000000123222966Center for Allergy and Environment (ZAUM), Technical University and Helmholtz Center Munich, Biedersteinerstrasse 29, 80802 Munich, Germany
| | - A. C. Pilz
- grid.6936.a0000000123222966Department of Dermatology and Allergy, Technical University of Munich, Biedersteinerstrasse 29, 80802 Munich, Germany ,grid.5963.9Department of Dermatology and Venerology, Medical Center—University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany
| | - N. Bhalla
- grid.5037.10000000121581746Department of Gene Technology, School of Engineering Sciences in Chemistry, Biotechnology and Health, KTH Royal Institute of Technology, Stockholm, Sweden
| | - J. Thomas
- grid.6936.a0000000123222966Center for Allergy and Environment (ZAUM), Technical University and Helmholtz Center Munich, Biedersteinerstrasse 29, 80802 Munich, Germany
| | - M. Stahle
- grid.4714.60000 0004 1937 0626Division of Dermatology and Venereology, Department of Medicine Solna, and Center for Molecular Medicine, Karolinska Institutet, Stockholm, Sweden
| | - T. Biedermann
- grid.6936.a0000000123222966Department of Dermatology and Allergy, Technical University of Munich, Biedersteinerstrasse 29, 80802 Munich, Germany
| | - C. B. Schmidt-Weber
- grid.6936.a0000000123222966Center for Allergy and Environment (ZAUM), Technical University and Helmholtz Center Munich, Biedersteinerstrasse 29, 80802 Munich, Germany
| | - F. Theis
- grid.4567.00000 0004 0483 2525Institute of Computational Biology, Helmholtz Zentrum München—German Research Centre for Environmental Health, Ingolstädter Landstrasse 1, 85764 Neuherberg, Germany
| | - N. Garzorz-Stark
- grid.4714.60000 0004 1937 0626Division of Dermatology and Venereology, Department of Medicine Solna, and Center for Molecular Medicine, Karolinska Institutet, Stockholm, Sweden ,grid.6936.a0000000123222966Department of Dermatology and Allergy, Technical University of Munich, Biedersteinerstrasse 29, 80802 Munich, Germany
| | - K. Eyerich
- grid.4714.60000 0004 1937 0626Division of Dermatology and Venereology, Department of Medicine Solna, and Center for Molecular Medicine, Karolinska Institutet, Stockholm, Sweden ,grid.5963.9Department of Dermatology and Venerology, Medical Center—University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany ,grid.24381.3c0000 0000 9241 5705Department of Dermatology and Venereology, Unit of Dermatology, Karolinska University Hospital, Stockholm, Sweden
| | - M. P. Menden
- grid.4567.00000 0004 0483 2525Institute of Computational Biology, Helmholtz Zentrum München—German Research Centre for Environmental Health, Ingolstädter Landstrasse 1, 85764 Neuherberg, Germany ,grid.5252.00000 0004 1936 973XDepartment of Biology, Ludwig-Maximilians University, Goßhadernerstrasse 2, Martinsried, 82152 Germany ,grid.452622.5German Center for Diabetes Research (DZD e.V.), Ingolstädter Landstrasse 1, 85764 Neuherberg, Germany
| | - S. Eyerich
- grid.6936.a0000000123222966Center for Allergy and Environment (ZAUM), Technical University and Helmholtz Center Munich, Biedersteinerstrasse 29, 80802 Munich, Germany
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Seiringer P, Hillig C, Schäbitz A, Eyerich S, Fazekas F, Zouboulis C, Biedermann T, Eyerich K, Töröcsik D. 032 Sebaceous glands are actively and differentially involved in the pathogenesis of atopic dermatitis and psoriasis as revealed by spatial transcriptomics. J Invest Dermatol 2022. [DOI: 10.1016/j.jid.2022.09.041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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Thomas J, Mahapatra KD, Quaranta M, Krause L, Atenhan A, Buters J, Ohnmacht C, de Jong R, Schmidt-Weber C, Eyerich S. 344 Foxo4 and AHR control inflammation-induced tissue damage via secretion of IL-22 in T cells. J Invest Dermatol 2022. [DOI: 10.1016/j.jid.2022.09.357] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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Mubarak M, Jargosch M, Hillig C, Menden M, Eyerich K, Eyerich S. 328 The transcription factor CEBPB is a novel hub gene and multi-functional disease driver in Psoriatic skin inflammation. J Invest Dermatol 2022. [DOI: 10.1016/j.jid.2022.09.341] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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Das Mahapatra K, Jargosch M, Hillig C, Buchholz B, Thomas J, Eyerich S, Eyerich K, Garzorz-Stark N. 002 The role of HIF-1α in the pathogenesis of psoriasis. J Invest Dermatol 2022. [DOI: 10.1016/j.jid.2022.09.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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Lauffer F, Jargosch M, Baghin V, Krause L, Kempf W, Absmaier‐Kijak M, Morelli M, Madonna S, Marsais F, Lepescheux L, Albanesi C, Müller N, Theis F, Schmidt‐Weber C, Eyerich S, Biedermann T, Vandeghinste N, Steidl S, Eyerich K. IL‐17C amplifies epithelial inflammation in human psoriasis and atopic eczema. J Eur Acad Dermatol Venereol 2020; 34:800-809. [DOI: 10.1111/jdv.16126] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2019] [Accepted: 11/19/2019] [Indexed: 12/11/2022]
Affiliation(s)
- F. Lauffer
- Department of Dermatology and Allergy Technical University of Munich Munich Germany
| | - M. Jargosch
- Department of Dermatology and Allergy Technical University of Munich Munich Germany
| | - V. Baghin
- Department of Dermatology and Allergy Technical University of Munich Munich Germany
| | - L. Krause
- Institute of Computational Biology Helmholtz Center Munich Neuherberg Germany
| | - W. Kempf
- Department of Dermatology and Allergy Technical University of Munich Munich Germany
| | - M. Absmaier‐Kijak
- Department of Dermatology and Allergy Technical University of Munich Munich Germany
| | - M. Morelli
- Laboratory of Experimental Immunology IDI‐IRCCS Rome Italy
| | - S. Madonna
- Laboratory of Experimental Immunology IDI‐IRCCS Rome Italy
| | | | | | - C. Albanesi
- Laboratory of Experimental Immunology IDI‐IRCCS Rome Italy
| | - N.S. Müller
- Institute of Computational Biology Helmholtz Center Munich Neuherberg Germany
| | - F.J. Theis
- Institute of Computational Biology Helmholtz Center Munich Neuherberg Germany
- Department of Mathematics Technical University of Munich Garching Germany
| | - C. Schmidt‐Weber
- Center of Allergy and Environment (ZAUM) Helmholtzzentrum Munich Technical University of Munich Munich Germany
- German Center of Lung Research (DZL) Gießen Germany
| | - S. Eyerich
- Center of Allergy and Environment (ZAUM) Helmholtzzentrum Munich Technical University of Munich Munich Germany
| | - T. Biedermann
- Department of Dermatology and Allergy Technical University of Munich Munich Germany
| | | | | | - K. Eyerich
- Department of Dermatology and Allergy Technical University of Munich Munich Germany
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Thomas J, Küpper M, Batra R, Jargosch M, Atenhan A, Baghin V, Krause L, Lauffer F, Biedermann T, Theis FJ, Eyerich K, Schmidt-Weber CB, Eyerich S, Garzorz-Stark N. Corrigendum: Is the humoral immunity dispensable for the pathogenesis of psoriasis? J Eur Acad Dermatol Venereol 2019; 33:2380. [PMID: 31779039 DOI: 10.1111/jdv.16019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- J Thomas
- ZAUM-Center of Allergy and Environment, Technical University and Helmholtz Munich, Munich, Germany
| | - M Küpper
- Department of Dermatology and Allergy, Technical University of Munich, Munich, Germany
| | - R Batra
- Department of Dermatology and Allergy, Technical University of Munich, Munich, Germany.,Institute of Computational Biology, Helmholtz Center Munich, Neuherberg, Germany
| | - M Jargosch
- Department of Dermatology and Allergy, Technical University of Munich, Munich, Germany
| | - A Atenhan
- ZAUM-Center of Allergy and Environment, Technical University and Helmholtz Munich, Munich, Germany
| | - V Baghin
- Department of Dermatology and Allergy, Technical University of Munich, Munich, Germany
| | - L Krause
- Institute of Computational Biology, Helmholtz Center Munich, Neuherberg, Germany
| | - F Lauffer
- Department of Dermatology and Allergy, Technical University of Munich, Munich, Germany
| | - T Biedermann
- Department of Dermatology and Allergy, Technical University of Munich, Munich, Germany
| | - F J Theis
- Institute of Computational Biology, Helmholtz Center Munich, Neuherberg, Germany.,Institute of Mathematics, Technical University of Munich, Garching, Germany
| | - K Eyerich
- Department of Dermatology and Allergy, Technical University of Munich, Munich, Germany
| | - C B Schmidt-Weber
- ZAUM-Center of Allergy and Environment, Technical University and Helmholtz Munich, Munich, Germany
| | - S Eyerich
- ZAUM-Center of Allergy and Environment, Technical University and Helmholtz Munich, Munich, Germany
| | - N Garzorz-Stark
- Department of Dermatology and Allergy, Technical University of Munich, Munich, Germany
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Wasserer S, Hebsgaard J, Bertelsen M, Jargosch M, Eyerich K, Litman T, Batra R, Blanchetot C, Ursoe B, Eyerich S. 366 Blocking the IL-22 receptor represents a novel treatment option for atopic eczema. J Invest Dermatol 2019. [DOI: 10.1016/j.jid.2019.07.368] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Thomas J, Küpper M, Batra R, Jargosch M, Atenhan A, Baghin V, Krause L, Lauffer F, Biedermann T, Theis FJ, Eyerich K, Schmidt-Weber CB, Eyerich S, Garzorz-Stark N. Is the humoral immunity dispensable for the pathogenesis of psoriasis? J Eur Acad Dermatol Venereol 2018; 33:115-122. [PMID: 29856508 DOI: 10.1111/jdv.15101] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2018] [Accepted: 05/23/2018] [Indexed: 12/14/2022]
Abstract
BACKGROUND Imbalances of T-cell subsets are hallmarks of disease-specific inflammation in psoriasis. However, the relevance of B cells for psoriasis remains poorly investigated. OBJECTIVE To analyse the role of B cells and immunoglobulins for the disease-specific immunology of psoriasis. METHODS We characterized B-cell subsets and immunoglobulin levels in untreated psoriasis patients (n = 37) and compared them to healthy controls (n = 20) as well as to psoriasis patients under disease-controlling systemic treatment (n = 28). B-cell subsets were analysed following the flow cytometric gating strategy based on the surface markers CD24, CD38 and CD138. Moreover, immunofluorescence stainings were used to detect IgA in psoriatic skin. RESULTS We found significantly increased levels of IgA in the serum of treatment-naïve psoriasis patients correlating with disease score. However, IgA was only observed in dermal vessels of skin sections. Concerning B-cell subsets, we only found a moderately positive correlation of CD138+ plasma cells with IgA levels and disease score in treatment-naïve psoriasis patients. Confirming our hypothesis that psoriasis can develop in the absence of functional humoral immunity, we investigated a patient who suffered concomitantly from both psoriasis and a hereditary common variable immune defect (CVID) characterized by a lack of B cells and immunoglobulins. We detected variants in three of the 13 described genes of CVID and a so far undescribed variant in the ligand of the TNFRSF13B receptor leading to disturbed B-cell maturation and antibody production. However, this patient showed typical psoriasis regarding clinical presentation, histology or T-cell infiltrate. Finally, in a group of psoriasis patients under systemic treatment, neither did IgA levels drop nor did plasma cells correlate with IgA levels and disease score. CONCLUSION B-cell alterations might rather be an epiphenomenal finding in psoriasis with a clear dominance of T cells over shifts in B-cell subsets.
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Affiliation(s)
- J Thomas
- ZAUM - Center of Allergy and Environment, Technical University and Helmholtz Munich, Munich, Germany
| | - M Küpper
- Department of Dermatology and Allergy, Technical University of Munich, Munich, Germany
| | - R Batra
- Department of Dermatology and Allergy, Technical University of Munich, Munich, Germany.,Institute of Computational Biology, Helmholtz Center Munich, Neuherberg, Germany
| | - M Jargosch
- Department of Dermatology and Allergy, Technical University of Munich, Munich, Germany
| | - A Atenhan
- ZAUM - Center of Allergy and Environment, Technical University and Helmholtz Munich, Munich, Germany
| | - V Baghin
- Department of Dermatology and Allergy, Technical University of Munich, Munich, Germany
| | - L Krause
- Institute of Computational Biology, Helmholtz Center Munich, Neuherberg, Germany
| | - F Lauffer
- Department of Dermatology and Allergy, Technical University of Munich, Munich, Germany
| | - T Biedermann
- Department of Dermatology and Allergy, Technical University of Munich, Munich, Germany
| | - F J Theis
- Institute of Computational Biology, Helmholtz Center Munich, Neuherberg, Germany.,Institute of Mathematics, Technical University of Munich, Garching, Germany
| | - K Eyerich
- Department of Dermatology and Allergy, Technical University of Munich, Munich, Germany
| | | | - S Eyerich
- ZAUM - Center of Allergy and Environment, Technical University and Helmholtz Munich, Munich, Germany
| | - N Garzorz-Stark
- Department of Dermatology and Allergy, Technical University of Munich, Munich, Germany
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10
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Eyerich K, Eyerich S. Immune response patterns in non-communicable inflammatory skin diseases. J Eur Acad Dermatol Venereol 2018; 32:692-703. [PMID: 29114938 PMCID: PMC5947562 DOI: 10.1111/jdv.14673] [Citation(s) in RCA: 90] [Impact Index Per Article: 15.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2017] [Accepted: 10/19/2017] [Indexed: 12/26/2022]
Abstract
Non-communicable inflammatory skin diseases (ncISD) such as psoriasis or atopic eczema are a major cause of global disease burden. Due to their impact and complexity, ncISD represent a major challenge of modern medicine. Dermatology textbooks describe more than 100 different ncISD based on clinical phenotype and histological architecture. In the last decades, this historical description was complemented by increasing molecular knowledge - and this knowledge is now being translated into specific therapeutics. Combining the enormous advances made in lymphocyte immunology and molecular genetics with clinical and histological phenotyping reveals six immune response patterns of the skin - type I immune cells cause the lichenoid pattern characterized by immune-mediated cell death of keratinocytes; type II immune cells underlie the eczematous pattern with impaired epidermal barrier, infection and eosinophils as well as the bullous pattern with loss of epithelial integrity; Th17 cells and ILC3 mediate the psoriatic pattern characterized by acanthosis, high metabolic activity and neutrophils; dysbalance of regulatory T cells causes either the fibrogenic pattern with rarefication of cells and dermal thickening or the granulomatous pattern defined by formation of granulomas. With more and more specific therapeutic agents approved, classifying ncISD also according to their immune response pattern will become highly relevant. This review defines the six immune response patterns of ncISD and highlights therapeutic strategies targeting key lymphocyte mediators.
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Affiliation(s)
- K Eyerich
- Department of Dermatology and Allergy, Technical University of Munich, Munich, Germany
| | - S Eyerich
- ZAUM - Center of Allergy and Environment, Technical University and Helmholtz Center Munich, Munich, Germany
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11
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Lovászi M, Gácsi A, Csányi E, Kovács D, Eyerich K, Kemény L, Szegedi A, Zouboulis C, Eyerich S, Törcsik D. 1029 Sebum component lipids penetrate through the epidermis and modulate macrophage – P. acnes interaction. J Invest Dermatol 2018. [DOI: 10.1016/j.jid.2018.03.1041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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12
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Jargosch M, Lauffer F, Pätzold K, Krause L, Garzorz-Stark N, Biedermann T, Eyerich S, Eyerich K. 685 Necroptosis as special type of cell death in inflammatory skin diseases. J Invest Dermatol 2018. [DOI: 10.1016/j.jid.2018.03.694] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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13
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Eyerich K, Eyerich S. 092 Immune response patterns in chronic inflammatory skin diseases a basis of targeted therapy. J Invest Dermatol 2018. [DOI: 10.1016/j.jid.2018.03.096] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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14
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Mattii M, Lovászi M, Garzorz N, Atenhan A, Quaranta M, Lauffer F, Konstantinow A, Küpper M, Zouboulis C, Kemeny L, Eyerich K, Schmidt-Weber C, Törőcsik D, Eyerich S. 皮脂腺细胞通过促进辅助性T细胞17的分化从而引起皮肤炎症. Br J Dermatol 2018. [DOI: 10.1111/bjd.16456] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Mattii M, Lovászi M, Garzorz N, Atenhan A, Quaranta M, Lauffer F, Konstantinow A, Küpper M, Zouboulis C, Kemeny L, Eyerich K, Schmidt-Weber C, Törőcsik D, Eyerich S. Sebocytes contribute to skin inflammation by promoting the differentiation of T helper 17 cells. Br J Dermatol 2018. [DOI: 10.1111/bjd.16389] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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16
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Mattii M, Lovászi M, Garzorz N, Atenhan A, Quaranta M, Lauffer F, Konstantinow A, Küpper M, Zouboulis C, Kemeny L, Eyerich K, Schmidt-Weber C, Törőcsik D, Eyerich S. Sebocytes contribute to skin inflammation by promoting the differentiation of T helper 17 cells. Br J Dermatol 2018; 178:722-730. [DOI: 10.1111/bjd.15879] [Citation(s) in RCA: 33] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/30/2017] [Indexed: 12/20/2022]
Affiliation(s)
- M. Mattii
- ZAUM - Center for Allergy and Environment; Technische Universität and Helmholtz Center Munich; Member of the German Center for Lung Research (DZL); Biedersteinerstraße 29 80802 Munich Germany
| | - M. Lovászi
- Department of Dermatology; Faculty of Medicine; University of Debrecen; Debrecen Hungary
| | - N. Garzorz
- Department of Dermatology and Allergy; Technische Universität Munich; Munich Germany
| | - A. Atenhan
- ZAUM - Center for Allergy and Environment; Technische Universität and Helmholtz Center Munich; Member of the German Center for Lung Research (DZL); Biedersteinerstraße 29 80802 Munich Germany
| | - M. Quaranta
- ZAUM - Center for Allergy and Environment; Technische Universität and Helmholtz Center Munich; Member of the German Center for Lung Research (DZL); Biedersteinerstraße 29 80802 Munich Germany
| | - F. Lauffer
- Department of Dermatology and Allergy; Technische Universität Munich; Munich Germany
| | - A. Konstantinow
- Department of Dermatology and Allergy; Technische Universität Munich; Munich Germany
| | - M. Küpper
- ZAUM - Center for Allergy and Environment; Technische Universität and Helmholtz Center Munich; Member of the German Center for Lung Research (DZL); Biedersteinerstraße 29 80802 Munich Germany
| | - C.C. Zouboulis
- Departments of Dermatology, Venereology, Allergology and Immunology; Dessau Medical Center; Dessau Germany
| | - L. Kemeny
- Department of Dermatology and Allergology; University of Szeged; Szeged Hungary
| | - K. Eyerich
- Department of Dermatology and Allergy; Technische Universität Munich; Munich Germany
| | - C.B. Schmidt-Weber
- ZAUM - Center for Allergy and Environment; Technische Universität and Helmholtz Center Munich; Member of the German Center for Lung Research (DZL); Biedersteinerstraße 29 80802 Munich Germany
| | - D. Törőcsik
- Department of Dermatology; Faculty of Medicine; University of Debrecen; Debrecen Hungary
| | - S. Eyerich
- ZAUM - Center for Allergy and Environment; Technische Universität and Helmholtz Center Munich; Member of the German Center for Lung Research (DZL); Biedersteinerstraße 29 80802 Munich Germany
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Lovászi M, Mattii M, Eyerich K, Gácsi A, Csányi E, Kovács D, Rühl R, Szegedi A, Kemény L, Ståhle M, Zouboulis CC, Eyerich S, Törőcsik D. Sebum lipids influence macrophage polarization and activation. Br J Dermatol 2017. [PMID: 28646583 DOI: 10.1111/bjd.15754] [Citation(s) in RCA: 52] [Impact Index Per Article: 7.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
BACKGROUND As lipids are known to regulate macrophage functions, it is reasonable to suppose that a sebocyte-macrophage axis mediated by sebum lipids may exist. OBJECTIVES To investigate if sebocytes could contribute to the differentiation, polarization and function of macrophages with their secreted lipids. METHODS Oil Red O lipid staining and Raman spectroscopy were used to assess the dermal lipid content and penetration. Immunohistochemistry was used to analyse the macrophage subsets. Human peripheral blood monocytes were differentiated in the presence of either supernatant from human SZ95 sebocytes or major sebum lipid components and activated with Propionibacterium acnes. Macrophage surface markers and their capacity to uptake fluorescein isothiocyanate-conjugated P. acnes were detected by fluorescence-activated cell sorting measurements. Cytokine protein levels were evaluated by enzyme-linked immunosorbent assay and Western blot analysis. RESULTS Sebaceous gland-rich skin had an increased dermal lipid content vs. sebaceous gland-poor skin to which all the tested sebum component lipids could contribute by penetrating the dermoepidermal barrier. Of the lipids, oleic acid and linoleic acid promoted monocyte differentiation into alternatively activated macrophages. Moreover, linoleic acid also had an anti-inflammatory effect in P. acnes-activated macrophages, inhibiting the secretion of interleukin (IL)-1β, IL-6 and tumour necrosis factor (TNF)-α. Squalene, palmitic acid, stearic acid and oleic acid augmented the secretion of IL-1β, even in the absence of P. acnes, whereas oleic acid had a selective effect of inducing IL-1β but downregulating IL-6 and TNF-α secretion. CONCLUSIONS Our results suggest a role for sebaceous glands in modulating innate immune responses via their secreted lipids that are of possible pathological and therapeutic relevance.
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Affiliation(s)
- M Lovászi
- Department of Dermatology, Faculty of Medicine, University of Debrecen, Debrecen, Hungary
| | - M Mattii
- ZAUM - Centre for Allergy and Environment, Technische Universität and Helmholtz Centre Munich, Member of the German Centre for Lung Research (DZL), Munich, Germany
| | - K Eyerich
- Department of Dermatology and Allergy, Technische Universität Munich, Munich, Germany
| | - A Gácsi
- Institute of Pharmaceutical Technology and Regulatory Affairs, Faculty of Pharmacy, University of Szeged, Szeged, Hungary
| | - E Csányi
- Institute of Pharmaceutical Technology and Regulatory Affairs, Faculty of Pharmacy, University of Szeged, Szeged, Hungary
| | - D Kovács
- Department of Dermatology, Faculty of Medicine, University of Debrecen, Debrecen, Hungary
| | - R Rühl
- MTA-DE Public Health Research Group of the Hungarian Academy of Sciences, Faculty of Public Health, University of Debrecen, Debrecen, Hungary
| | - A Szegedi
- Department of Dermatology, Faculty of Medicine, University of Debrecen, Debrecen, Hungary.,Division of Dermatological Allergology, Faculty of Medicine, University of Debrecen, Debrecen, Hungary
| | - L Kemény
- Department of Dermatology and Allergology, University of Szeged, Szeged, Hungary.,MTA-SZTE Dermatological Research Group, University of Szeged, Szeged, Hungary
| | - M Ståhle
- Unit of Dermatology and Venereology, Department of Medicine, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden
| | - C C Zouboulis
- Departments of Dermatology, Venereology, Allergology and Immunology, Dessau Medical Centre, Brandenburg Medical School Theodore Fontane, Dessau, Germany
| | - S Eyerich
- ZAUM - Centre for Allergy and Environment, Technische Universität and Helmholtz Centre Munich, Member of the German Centre for Lung Research (DZL), Munich, Germany
| | - D Törőcsik
- Department of Dermatology, Faculty of Medicine, University of Debrecen, Debrecen, Hungary.,Unit of Dermatology and Venereology, Department of Medicine, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden
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18
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Garzorz-Stark N, Lauffer F, Krause L, Groß O, Traidl-Hoffmann C, Theis F, Schmidt-Weber C, Biedermann T, Eyerich S, Eyerich K. 489 TLR7/8 agonists stimulate plasmacytoid dendritic cells to initiate a Th17-deviated acute contact dermatitis in humans. J Invest Dermatol 2017. [DOI: 10.1016/j.jid.2017.07.685] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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19
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Fischer J, Eberlein B, Hilger C, Eyer F, Eyerich S, Ollert M, Biedermann T. Alpha-gal is a possible target of IgE-mediated reactivity to antivenom. Allergy 2017; 72:764-771. [PMID: 27775867 DOI: 10.1111/all.13073] [Citation(s) in RCA: 41] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/19/2016] [Indexed: 01/21/2023]
Abstract
BACKGROUND Antivenoms are mammalian immunoglobulins with the ability to neutralize snake venom components and to mitigate the progression of toxic effects. Immediate hypersensitivity to antivenoms often occurs during the first administration of these heterologous antibodies. A comparable clinical situation occurred after introduction of cetuximab, a chimeric mouse-human antibody, for cancer treatment. The carbohydrate epitope galactose-alpha-1,3-galactose, located on the Fab region of cetuximab, was identified as the target responsible for IgE reactivity. OBJECTIVE To investigate whether serum IgE antibodies directed to the α-gal epitope are associated with hypersensitivity to equine antivenoms. METHODS Antivenoms were screened for α-gal epitopes via immunoblot and in comparison with cetuximab and pork kidney by IgE reactivity assays. Basophil activation tests were used to investigate reactivity to antivenoms in samples from 20 patients with specific IgE antibodies to α-gal and 10 controls. Additional IgE detection, IgE inhibition, ImmunoCAP inhibition, and skin prick tests were performed using samples from selected patients. RESULTS Both antivenoms and cetuximab induced positive skin prick test results in patients with sIgE to α-gal. Alpha-gal epitopes were detected by immunoblotting on antivenoms. Measurements of IgE reactivity and ImmunoCAP inhibition indicated that the antivenoms contained lower α-gal contents than cetuximab. Deglycosylation assays and IgE inhibition tests confirmed that IgE-mediated reactivity to antivenom is associated with α-gal. Antivenoms, pork kidney, and cetuximab activated basophils from patients with IgE to α-gal. CONCLUSION Alpha-gal is a potential target of IgE-mediated reactivity to equine antivenom and a possible cause of the high incidence of hypersensitivity reactions during the first application of equine antivenom.
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Affiliation(s)
- J. Fischer
- Department of Dermatology; Faculty of Medicine; Eberhard Karls University Tuebingen; Tuebingen Germany
| | - B. Eberlein
- Department of Dermatology and Allergy Biederstein; Technische Universität München; Munich Germany
| | - C. Hilger
- Department of Infection and Immunity; Luxembourg Institute of Health; Esch-sur-Alzette Luxembourg
| | - F. Eyer
- Department of Clinical Toxicology; Technische Universität München; Munich Germany
| | - S. Eyerich
- Center of Allergy and Environment; HMGU/Technische Universität München; Munich Germany
| | - M. Ollert
- Department of Infection and Immunity; Luxembourg Institute of Health; Esch-sur-Alzette Luxembourg
| | - T. Biedermann
- Department of Dermatology; Faculty of Medicine; Eberhard Karls University Tuebingen; Tuebingen Germany
- Department of Dermatology and Allergy Biederstein; Technische Universität München; Munich Germany
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20
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Mattii M, Lovászi M, Garzorz-Stark N, Atenhan A, Zouboulis C, Biedermann T, Eyerich K, Schmidt-Weber C, Torocsik D, Eyerich S. 433 Sebocytes contribute to skin inflammation by promoting the differentiation of Th17 cells. J Invest Dermatol 2016. [DOI: 10.1016/j.jid.2016.06.453] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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21
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Wang R, Eyerich K, Eyerich S, Zink A, Thomas J, Biedermann T, Schmidt-Weber C. 044 Cellular mechanism of action of IgE-specific immunoadsorption in treatment of patients with severe atopic eczema. J Invest Dermatol 2016. [DOI: 10.1016/j.jid.2016.06.061] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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22
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Effner R, Hiller J, Eyerich S, Traidl-Hoffmann C, Brockow K, Triggiani M, Behrendt H, Schmidt-Weber C, Buters J. 420 Cytochrome P450s are deactivators of the aryl hydrocarbon receptor in human immune cells. J Invest Dermatol 2016. [DOI: 10.1016/j.jid.2016.06.440] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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23
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Küpper M, Thomas J, Garzorz-Stark N, Krause L, Müller N, Biedermann T, Theis F, Schmidt-Weber C, Eyerich K, Eyerich S. 330 Characterization of multiple B cell subsets in peripheral blood of psoriasis patients identifies a correlation of regulatory B cells and disease severity. J Invest Dermatol 2016. [DOI: 10.1016/j.jid.2016.06.350] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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24
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Garzorz N, Thomas J, Eberlein B, Haferlach C, Ring J, Biedermann T, Schmidt‐Weber C, Eyerich K, Seifert F, Eyerich S. Newly acquired kiwi fruit allergy after bone marrow transplantation from a kiwi‐allergic donor. J Eur Acad Dermatol Venereol 2016; 30:1136-9. [DOI: 10.1111/jdv.13617] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2015] [Accepted: 12/23/2015] [Indexed: 11/29/2022]
Affiliation(s)
- N. Garzorz
- Department of Dermatology and Allergy Technical University of Munich Munich Germany
| | - J. Thomas
- ZAUM ‐ Center of Allergy and Environment Member of the German Center for Lung Research (DZL) Technical University of Munich and Helmholtz Center Munich Munich Germany
| | - B. Eberlein
- Department of Dermatology and Allergy Technical University of Munich Munich Germany
| | | | - J. Ring
- Department of Dermatology and Allergy Technical University of Munich Munich Germany
| | - T. Biedermann
- Department of Dermatology and Allergy Technical University of Munich Munich Germany
| | - C. Schmidt‐Weber
- ZAUM ‐ Center of Allergy and Environment Member of the German Center for Lung Research (DZL) Technical University of Munich and Helmholtz Center Munich Munich Germany
| | - K. Eyerich
- Department of Dermatology and Allergy Technical University of Munich Munich Germany
| | - F. Seifert
- Department of Dermatology and Allergy Technical University of Munich Munich Germany
| | - S. Eyerich
- ZAUM ‐ Center of Allergy and Environment Member of the German Center for Lung Research (DZL) Technical University of Munich and Helmholtz Center Munich Munich Germany
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25
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Garzorz N, Alsisi M, Todorova A, Atenhan A, Thomas J, Lauffer F, Ring J, Schmidt-Weber C, Biedermann T, Eyerich S, Eyerich K. Dissecting susceptibility from exogenous triggers: the model of alopecia areata and associated inflammatory skin diseases. J Eur Acad Dermatol Venereol 2015; 29:2429-35. [PMID: 26416203 DOI: 10.1111/jdv.13325] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2015] [Accepted: 07/02/2015] [Indexed: 12/13/2022]
Abstract
BACKGROUND Alopecia areata (AA) is a T-cell-driven autoimmune disease of the hair follicle and frequently reported to be associated with inflammatory skin diseases (ISD) such as atopic eczema (AE) or psoriasis. Interestingly, AA on the one hand and both AE and psoriasis on the other hand are believed to be driven by mutually antagonistic T-cell subsets. OBJECTIVE To characterize AA-specific T-cell profiles and inflammatory pattern by intra-individual comparison of AA and coexistent ISD. METHODS 112 patients with AA were recruited and investigated for coexisting ISD. In-depth analyses were performed in patients with AA and AE (n = 2), AA and psoriasis (n = 1), AA and psoriasis and AE (n = 1) and AA and lichen planus (n = 1), using histology, immunohistochemistry and cytokine staining of T cells isolated from lesional skin. RESULTS Of 112 AA patients investigated, 23 suffered from an ISD. The prevalence of AE, vitiligo, psoriasis and lichen planus was higher in the investigated AA cohort than in the normal population. The clinical as well as histological phenotype of AA the coexistent ISD were unequivocal. In line with this, T-cell infiltrates were found to be disease-characteristics with AA and lichen planus dominated by CD8+ and IFN-γ+ TNF-α+ producing T cells while psoriasis lesions in the same patients were dominated by IL-17+ and AE by IL-4+ T cells. CONCLUSION AA patients have a higher incidence of various T-cell-driven inflammatory skin diseases than the normal population, a phenomenon which might relate to over-activation of skin-homing T cells and to specific immune triggers as the primary cause of inflammation. More importantly, we showed that by using AA as a model disease, our approach of intra-individual comparison of distinct inflammatory responses in the same patient is feasible and offers the unique possibility to gain insights into disease pathogenesis independent from genetic susceptibilities.
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Affiliation(s)
- N Garzorz
- Department of Dermatology and Allergy, Technical University of Munich, Munich, Germany
| | - M Alsisi
- Department of Dermatology and Allergy, Technical University of Munich, Munich, Germany
| | - A Todorova
- Department of Dermatology and Allergy, Technical University of Munich, Munich, Germany
| | - A Atenhan
- ZAUM - Center of Allergy and Environment, Technical University of Munich and Helmholtz Center Munich, Member of the German Center for Lung Research (DZL), Munich, Germany
| | - J Thomas
- ZAUM - Center of Allergy and Environment, Technical University of Munich and Helmholtz Center Munich, Member of the German Center for Lung Research (DZL), Munich, Germany
| | - F Lauffer
- Department of Dermatology and Allergy, Technical University of Munich, Munich, Germany
| | - J Ring
- Department of Dermatology and Allergy, Technical University of Munich, Munich, Germany
| | - C Schmidt-Weber
- ZAUM - Center of Allergy and Environment, Technical University of Munich and Helmholtz Center Munich, Member of the German Center for Lung Research (DZL), Munich, Germany
| | - T Biedermann
- Department of Dermatology and Allergy, Technical University of Munich, Munich, Germany
| | - S Eyerich
- ZAUM - Center of Allergy and Environment, Technical University of Munich and Helmholtz Center Munich, Member of the German Center for Lung Research (DZL), Munich, Germany
| | - K Eyerich
- Department of Dermatology and Allergy, Technical University of Munich, Munich, Germany
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26
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Garzorz N, Papanagiotou V, Atenhan A, Andres C, Eyerich S, Eyerich K, Ring J, Brockow K. Pyoderma gangrenosum, acne, psoriasis, arthritis and suppurative hidradenitis (PAPASH)-syndrome: a new entity within the spectrum of autoinflammatory syndromes? J Eur Acad Dermatol Venereol 2014; 30:141-3. [PMID: 25070077 DOI: 10.1111/jdv.12631] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2014] [Accepted: 06/10/2014] [Indexed: 12/28/2022]
Affiliation(s)
- N Garzorz
- Department of Dermatology and Allergy, Technische Universität Munich, Munich, Germany
| | - V Papanagiotou
- Department of Dermatology and Allergy, Technische Universität Munich, Munich, Germany
| | - A Atenhan
- ZAUM - Center of Allergy and Environment, Technische Universität and Helmholtz Center Munich, Member of the German Center for Lung Research (DZL), Munich, Germany
| | - C Andres
- Department of Dermatology and Allergy, Technische Universität Munich, Munich, Germany
| | - S Eyerich
- ZAUM - Center of Allergy and Environment, Technische Universität and Helmholtz Center Munich, Member of the German Center for Lung Research (DZL), Munich, Germany
| | - K Eyerich
- Department of Dermatology and Allergy, Technische Universität Munich, Munich, Germany
| | - J Ring
- Department of Dermatology and Allergy, Technische Universität Munich, Munich, Germany
| | - K Brockow
- Department of Dermatology and Allergy, Technische Universität Munich, Munich, Germany
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27
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Kretschmer A, Möller G, Lee H, Laumen H, von Toerne C, Schramm K, Prokisch H, Eyerich S, Wahl S, Baurecht H, Franke A, Claussnitzer M, Eyerich K, Teumer A, Milani L, Klopp N, Hauck SM, Illig T, Peters A, Waldenberger M, Adamski J, Reischl E, Weidinger S. A common atopy-associated variant in the Th2 cytokine locus control region impacts transcriptional regulation and alters SMAD3 and SP1 binding. Allergy 2014; 69:632-42. [PMID: 24661001 DOI: 10.1111/all.12394] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/12/2014] [Indexed: 01/17/2023]
Abstract
BACKGROUND Type 2 immune responses directed by Th2 cells and characterized by the signature cytokines IL4, IL5, and IL13 play major pathogenic roles in atopic diseases. Single nucleotide polymorphisms in the human Th2 cytokine locus in particular in a locus control region within the DNA repair gene RAD50, containing several RAD50 DNase1-hypersensitive sites (RHS), have been robustly associated with atopic traits in genome-wide association studies (GWAS). Functional variants in IL13 have been intensely studied, whereas no causative variants for the IL13-independent RAD50 signal have been identified yet. This study aimed to characterize the functional impact of the atopy-associated polymorphism rs2240032 located in the human RHS7 on cis-regulatory activity and differential binding of transcription factors. METHODS Differential transcription factor binding was analyzed by electrophoretic mobility shift assays (EMSAs) with Jurkat T-cell nuclear extracts. Identification of differentially binding factors was performed using mass spectrometry (LC-MS/MS). Reporter vector constructs carrying either the major or minor allele of rs2240032 were tested for regulating transcriptional activity in Jurkat and HeLa cells. RESULTS The variant rs2240032 impacts transcriptional activity and allele-specific binding of SMAD3, SP1, and additional putative protein complex partners. We further demonstrate that rs2240032 is located in an RHS7 subunit which itself encompasses repressor activity and might be important for the fine-tuning of transcription regulation within this region. CONCLUSION The human RHS7 critically contributes to the regulation of gene transcription, and the common atopy-associated polymorphism rs2240032 impacts transcriptional activity and transcription factor binding.
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