中华皮肤科杂志 ›› 2021, Vol. 54 ›› Issue (9): 830-834.doi: 10.35541/cjd.20191104
林路洋1,2 陈政良2 张锡宝1
收稿日期:
2019-11-21
修回日期:
2020-07-12
发布日期:
2021-09-02
通讯作者:
张锡宝;陈政良
E-mail:zxibao@126.com; zhlchen@smu.edu.cn
基金资助:
Lin Luyang1,2, Chen Zhengliang2, Zhang Xibao1
Received:
2019-11-21
Revised:
2020-07-12
Published:
2021-09-02
Contact:
Zhang Xibao; Chen Zhengliang
E-mail:zxibao@126.com; zhlchen@smu.edu.cn
Supported by:
摘要: 【摘要】 寻常型银屑病是一种反复发作的炎症性皮肤病,多种因素,如外伤、感染等,可以破坏皮肤屏障功能,进而打破免疫自稳和免疫耐受平衡,使皮肤局部多种免疫相关细胞的功能和/或数量异常,引起皮损部位角质形成细胞异常增生及过度的炎症反应等银屑病性损害。皮损部位各种免疫细胞通过表面分子感受周围环境变化(自分泌或旁分泌)后,表达并分泌多种炎症相关因子,如果免疫自稳和免疫耐受的维持机制失效,则在局部形成由炎症相关因子介导的炎症正反馈网络,从而引发寻常型银屑病。本文从皮损部位免疫相关细胞的角度,特别是固有免疫细胞如γδT细胞等,综述寻常型银屑病的免疫病理机制研究进展。
林路洋 陈政良 张锡宝. 寻常型银屑病皮损部位主要免疫相关细胞的研究进展[J]. 中华皮肤科杂志, 2021, 54(9): 830-834.doi:10.35541/cjd.20191104
Lin Luyang, Chen Zhengliang, Zhang Xibao. Major immune-related cells in psoriasis vulgaris lesions[J]. Chinese Journal of Dermatology, 2021, 54(9): 830-834.doi:10.35541/cjd.20191104
[1] | Christophers E, Metzler G, Rocken M. Bimodal immune activation in psoriasis [J]. Br J Dermatol, 2014,170(1):59⁃65. doi: 10. 1111/bjd.12631. |
[2] | Deng Y, Chang C, Lu Q. The inflammatory response in psoriasis: a comprehensive review[J]. Clin Rev Allergy Immunol, 2016,50(3):377⁃389. doi: 10.1007/s12016⁃016⁃8535⁃x. |
[3] | Cai Y, Xue F, Quan C, et al. A critical role of the IL⁃1β⁃IL⁃1R signaling pathway in skin inflammation and psoriasis pathogenesis[J]. J Invest Dermatol, 2019,139(1):146⁃156. doi: 10.1016/j.jid.2018.07.025. |
[4] | Kim TG, Jee H, Fuentes⁃Duculan J, et al. Dermal clusters of mature dendritic cells and T cells are associated with the CCL20/CCR6 chemokine system in chronic psoriasis[J]. J Invest Dermatol, 2014,134(5):1462⁃1465. doi: 10.1038/jid.2013.534. |
[5] | Kopp T, Riedl E, Bangert C, et al. Clinical improvement in psoriasis with specific targeting of interleukin⁃23[J]. Nature, 2015,521(7551):222⁃226. doi: 10.1038/nature14175. |
[6] | Meng Y, Wang M, Xie X, et al. Paeonol ameliorates imiquimod⁃induced psoriasis⁃like skin lesions in BALB/c mice by inhibiting the maturation and activation of dendritic cells[J]. Int J Mol Med, 2017,39(5):1101⁃1110. doi: 10.3892/ijmm.2017.2930. |
[7] | Lowes MA, Kikuchi T, Fuentes⁃Duculan J, et al. Psoriasis vulgaris lesions contain discrete populations of Th1 and Th17 T cells[J]. J Invest Dermatol, 2008,128(5):1207⁃1211. doi: 10. 1038/sj.jid.5701213. |
[8] | Res PC, Piskin G, de Boer OJ, et al. Overrepresentation of IL⁃17A and IL⁃22 producing CD8 T cells in lesional skin suggests their involvement in the pathogenesis of psoriasis[J/OL]. PLoS One, 2010,5(11):e14108. doi: 10.1371/journal.pone.0014108. |
[9] | Hijnen D, Knol EF, Gent YY, et al. CD8(+) T cells in the lesional skin of atopic dermatitis and psoriasis patients are an important source of IFN⁃γ, IL⁃13, IL⁃17, and IL⁃22[J]. J Invest Dermatol, 2013,133(4):973⁃979. doi: 10.1038/jid.2012.456. |
[10] | Karamehic J, Zecevic L, Resic H, et al. Immunophenotype lymphocyte of peripheral blood in patients with psoriasis[J]. Med Arch, 2014,68(4):236⁃238. doi: 10.5455/medarh.2014.68. 236⁃238. |
[11] | Furuhashi T, Saito C, Torii K, et al. Photo(chemo)therapy reduces circulating Th17 cells and restores circulating regulatory T cells in psoriasis[J/OL]. PLoS One, 2013,8(1):e54895. doi: 10.1371/journal.pone.0054895. |
[12] | Zhang J, Lin Y, Li C, et al. IL⁃35 decelerates the inflammatory process by regulating inflammatory cytokine secretion and M1/M2 macrophage ratio in psoriasis[J]. J Immunol, 2016,197(6):2131⁃2144. doi: 10.4049/jimmunol.1600446. |
[13] | Clark RA. Resident memory T cells in human health and disease[J]. Sci Transl Med, 2015,7(269):269rv1. doi: 10.1126/scitranslmed.3010641. |
[14] | Raeber ME, Zurbuchen Y, Impellizzieri D, et al. The role of cytokines in T⁃cell memory in health and disease[J]. Immunol Rev, 2018,283(1):176⁃193. doi: 10.1111/imr.12644. |
[15] | Cheuk S, Schlums H, Gallais Sérézal I, et al. CD49a expression defines tissue⁃resident CD8+ T cells poised for cytotoxic function in human skin[J]. Immunity, 2017,46(2):287⁃300. doi: 10.1016/ j.immuni.2017.01.009. |
[16] | Matos TR, O′Malley JT, Lowry EL, et al. Clinically resolved psoriatic lesions contain psoriasis⁃specific IL⁃17⁃producing αβ T cell clones[J]. J Clin Invest, 2017,127(11):4031⁃4041. doi: 10.1172/JCI93396. |
[17] | Rosales C, Lowell CA, Schnoor M, et al. Neutrophils: their role in innate and adaptive immunity, 2017[J]. J Immunol Res, 2017,2017:9748345. doi: 10.1155/2017/9748345. |
[18] | Chiang CC, Cheng WJ, Korinek M, et al. Neutrophils in psoriasis[J]. Front Immunol, 2019,10:2376. doi: 10.3389/fimmu.2019. 02376. |
[19] | Conti P, Gallenga CE, Ronconi G, et al. Activation of mast cells mediates inflammatory response in psoriasis: potential new therapeutic approach with IL⁃37[J]. Dermatol Ther, 2019,32(4):e12943. doi: 10.1111/dth.12943. |
[20] | Mjosberg J, Spits H. Human innate lymphoid cells[J]. J Allergy Clin Immunol, 2016,138(5):1265⁃1276. doi: 10.1016/j.jaci.2016. 09.009. |
[21] | Villanova F, Flutter B, Tosi I, et al. Characterization of innate lymphoid cells in human skin and blood demonstrates increase of NKp44+ ILC3 in psoriasis[J]. J Invest Dermatol, 2014,134(4):984⁃991. doi: 10.1038/jid.2013.477. |
[22] | Doisne JM, Becourt C, Amniai L, et al. Skin and peripheral lymph node invariant NKT cells are mainly retinoic acid receptor⁃related orphan receptor (gamma)t+ and respond preferentially under inflammatory conditions[J]. J Immunol, 2009,183(3):2142⁃2149. doi: 10.4049/jimmunol.0901059. |
[23] | Chien YH, Meyer C, Bonneville M. γδ T cells: first line of defense and beyond[J]. Annu Rev Immunol, 2014,32:121⁃155. doi: 10.1146/annurev⁃immunol⁃032713⁃120216. |
[24] | Papotto PH, Reinhardt A, Prinz I, et al. Innately versatile: γδ17 T cells in inflammatory and autoimmune diseases[J]. J Autoimmun, 2018,87:26⁃37. doi: 10.1016/j.jaut.2017.11.006. |
[25] | Kazen AR, Adams EJ. Evolution of the V, D, and J gene segments used in the primate gammadelta T⁃cell receptor reveals a dichotomy of conservation and diversity[J]. Proc Natl Acad Sci U S A, 2011,108(29):E332⁃E340. doi: 10.1073/pnas. 1105105108. |
[26] | Haas JD, Ravens S, Düber S, et al. Development of interleukin⁃17⁃producing γδ T cells is restricted to a functional embryonic wave[J]. Immunity, 2012,37(1):48⁃59. doi: 10.1016/j.immuni. 2012.06.003. |
[27] | Nakamura M, Shibata K, Hatano S, et al. A genome⁃wide analysis identifies a notch⁃RBP⁃Jκ⁃IL⁃7Rα axis that controls IL⁃17⁃producing γδ T cell homeostasis in mice[J]. J Immunol, 2015,194(1):243⁃251. doi: 10.4049/jimmunol.1401619. |
[28] | Colpitts SL, Puddington L, Lefrançois L. IL⁃15 receptor α signaling constrains the development of IL⁃17⁃producing γδ T cells[J]. Proc Natl Acad Sci U S A, 2015,112(31):9692⁃9697. doi: 10.1073/pnas.1420741112. |
[29] | Ribot JC, Ribeiro ST, Correia DV, et al. Human γδ thymocytes are functionally immature and differentiate into cytotoxic type 1 effector T cells upon IL⁃2/IL⁃15 signaling[J]. J Immunol, 2014,192(5):2237⁃2243. doi: 10.4049/jimmunol.1303119. |
[30] | Michel ML, Pang DJ, Haque SF, et al. Interleukin 7 (IL⁃7) selectively promotes mouse and human IL⁃17⁃producing γδ cells[J]. Proc Natl Acad Sci U S A, 2012,109(43):17549⁃17554. doi: 10.1073/pnas.1204327109. |
[31] | Cai Y, Shen X, Ding C, et al. Pivotal role of dermal IL⁃17⁃producing γδ T cells in skin inflammation[J]. Immunity, 2011,35(4):596⁃610. doi: 10.1016/j.immuni.2011.08.001. |
[32] | Pantelyushin S, Haak S, Ingold B, et al. Rorγt+ innate lymphocytes and γδ T cells initiate psoriasiform plaque formation in mice[J]. J Clin Invest, 2012,122(6):2252⁃2256. doi: 10.1172/JCI61862. |
[33] | Kulig P, Musiol S, Freiberger SN, et al. IL⁃12 protects from psoriasiform skin inflammation[J]. Nat Commun, 2016,7:13466. doi: 10.1038/ncomms13466. |
[34] | Bouchaud G, Gehrke S, Krieg C, et al. Epidermal IL⁃15Rα acts as an endogenous antagonist of psoriasiform inflammation in mouse and man[J]. J Exp Med, 2013,210(10):2105⁃2117. doi: 10.1084/jem.20130291. |
[35] | Shibata S, Tada Y, Hau CS, et al. Adiponectin regulates psoriasiform skin inflammation by suppressing IL⁃17 production from γδ⁃T cells[J]. Nat Commun, 2015,6:7687. doi: 10.1038/ncomms8687. |
[36] | Imai Y, Ayithan N, Wu X, et al. Cutting edge: PD⁃1 regulates imiquimod⁃induced psoriasiform dermatitis through inhibition of IL⁃17A expression by innate γδ⁃low T cells[J]. J Immunol, 2015,195(2):421⁃425. doi: 10.4049/jimmunol.1500448. |
[37] | Hartwig T, Pantelyushin S, Croxford AL, et al. Dermal IL⁃17⁃producing γδ T cells establish long⁃lived memory in the skin[J]. Eur J Immunol, 2015,45(11):3022⁃3033. doi: 10.1002/eji. 201545883. |
[38] | Ramírez⁃Valle F, Gray EE, Cyster JG. Inflammation induces dermal Vγ4+ γδT17 memory⁃like cells that travel to distant skin and accelerate secondary IL⁃17⁃driven responses[J]. Proc Natl Acad Sci U S A, 2015,112(26):8046⁃8051. doi: 10.1073/pnas.1508990112. |
[39] | Laggner U, Di Meglio P, Perera GK, et al. Identification of a novel proinflammatory human skin⁃homing Vγ9Vδ2 T cell subset with a potential role in psoriasis[J]. J Immunol, 2011,187(5):2783⁃2793. doi: 10.4049/jimmunol.1100804. |
[1] | 张莹 李思琪 甘璐 孔英琪 李颜 陈浩 孙建方. 外周血流式细胞仪分析在淋巴瘤性红皮病诊断中的作用研究[J]. 中华皮肤科杂志, 2021, 54(9): 808-813. |
[2] | 陈欢 尹江柳. 45例麻风病患者外周血CD4+ T细胞差异表达基因筛查[J]. 中华皮肤科杂志, 2021, 54(8): 683-687. |
[3] | 兰晓鸥 王强 李上云 孙晓冬 宋丹阳 李佳蔚 宋国强 胡兰廷 耿龙. 外用紫草素对咪喹莫特诱导银屑病样小鼠模型的干预作用及对CEBPD表达的影响[J]. 中华皮肤科杂志, 2021, 54(8): 696-701. |
[4] | 张海妮 寇彩霞 刘进权 张瑞华 马印尼 张瑞丽 王千秋. 梅毒螺旋体对巨噬细胞极化的诱导作用[J]. 中华皮肤科杂志, 2021, 54(8): 688-695. |
[5] | 刘军麟 王薇 曹智睿 刘琨 万多艳 吴智明 罗杨 肖传柳 刘璐 殷梅. 基于靶基因捕获测序法对海南省汉族寻常型银屑病与维生素D受体基因关系的研究[J]. 中华皮肤科杂志, 2021, 54(7): 597-604. |
[6] | 虞英媛 李影 余增洋 郑建锋 张希琳 丁杨峰 史玉玲. 英夫利西单抗治疗重度斑块状银屑病的疗效和安全性及其对PD-1、PD-L1表达的影响[J]. 中华皮肤科杂志, 2021, 54(7): 590-596. |
[7] | 中华医学会皮肤性病学分会银屑病学组 中华医学会皮肤性病学分会儿童学组. 中国儿童银屑病诊疗专家共识(2021)[J]. 中华皮肤科杂志, 2021, 54(7): 559-581. |
[8] | 应洁雅 相文忠 宋秀祖. 代谢综合征与皮肤病[J]. 中华皮肤科杂志, 2021, 54(7): 642-645. |
[9] | 王晓宇 王文慧 戴慧 谢嘉伟 王冠钰 郭金竹 张华 王秀娟 徐永胜 张春雷. 人脐带间充质干细胞对咪喹莫特诱导的银屑病样皮炎小鼠模型的治疗作用[J]. 中华皮肤科杂志, 2021, 54(6): 485-492. |
[10] | 陈浩 张理涛 吕成志 杨秀敏 胡凤鸣 李雪飞 张丽娟 何春霞 刁庆春 夏秀娟 路涛 栗玉珍 张汝芝 孙建方. 他扎罗汀倍他米松乳膏治疗斑块状银屑病后两种延长治疗方案的疗效和安全性的多中心临床观察[J]. 中华皮肤科杂志, 2021, 54(6): 475-479. |
[11] | 中国医师协会皮肤科医师分会自身免疫病专业委员会. 甲氨蝶呤治疗免疫相关性皮肤病专家共识[J]. 中华皮肤科杂志, 2021, 54(5): 382-390. |
[12] | 丁文媛 孙志强 黄艳平 李欣 郭燕 张雪丽 吕新翔 韩建文. 内蒙古蒙古族和汉族人群白细胞介素12通路相关基因多态性与寻常型银屑病相关性及与HLA-Cw*0602交互作用研究[J]. 中华皮肤科杂志, 2021, 54(5): 414-420. |
[13] | 李健 宋志强. 玫瑰痤疮面部潮红与红斑新认识[J]. 中华皮肤科杂志, 2021, 54(4): 360-363. |
[14] | 杨婷 张考苑 李子卓 李旭 于波 窦侠. 2型固有淋巴样细胞在MC903诱导的小鼠特应性皮炎样反应中的作用[J]. 中华皮肤科杂志, 2021, 54(4): 335-341. |
[15] | 奚婵 熊传茜 王惠平 刘原君 罗素菊. 他扎罗汀和窄谱中波紫外线对银屑病基质金属蛋白酶13表达的影响[J]. 中华皮肤科杂志, 2021, 54(3): 201-206. |
|