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Plasmacytoid predendritic cells initiate psoriasis through interferon-α production

2005/07/04 by Frank O. Nestlé, Frank O. Nestle, Curdin Conrad +8 · 31 citations
Immunology and Microbiology · #T-cell and B-cell Immunology #Psoriasis: Treatment and Pathogenesis #Immunotherapy and Immune Responses

paper · pdf · doi:10.1084/jem.20050500

Abstract

Psoriasis is one of the most common T cell-mediated autoimmune diseases in humans. Although a role for the innate immune system in driving the autoimmune T cell cascade has been proposed, its nature remains elusive. We show that plasmacytoid predendritic cells (PDCs), the natural interferon (IFN)-alpha-producing cells, infiltrate the skin of psoriatic patients and become activated to produce IFN-alpha early during disease formation. In a xenograft model of human psoriasis, we demonstrate that blocking IFN-alpha signaling or inhibiting the ability of PDCs to produce IFN-alpha prevented the T cell-dependent development of psoriasis. Furthermore, IFN-alpha reconstitution experiments demonstrated that PDC-derived IFN-alpha is essential to drive the development of psoriasis in vivo. These findings uncover a novel innate immune pathway for triggering a common human autoimmune disease and suggest that PDCs and PDC-derived IFN-alpha represent potential early targets for the treatment of psoriasis.

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