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Cutaneous barrier leakage and gut inflammation drive skin disease in Omenn syndrome
BACKGROUND: Severe early-onset erythroderma and gut inflammation, with massive tissue infiltration of oligoclonal activated T cells are the hallmark of Omenn syndrome (OS). OBJECTIVE: The impact of altered gut homeostasis in the cutaneous manifestations of OS remains to be clarified. METHODS: We ana...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Mosby
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7649331/ https://www.ncbi.nlm.nih.gov/pubmed/32311393 http://dx.doi.org/10.1016/j.jaci.2020.04.005 |
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author | Rigoni, Rosita Fontana, Elena Dobbs, Kerry Marrella, Veronica Taverniti, Valentina Maina, Virginia Facoetti, Amanda D’Amico, Giovanna Al-Herz, Waleed Cruz-Munoz, Mario Ernesto Schuetz, Catharina Gennery, Andrew R. Garabedian, Elizabeth K. Giliani, Silvia Draper, Deborah Dbaibo, Ghassan Geha, Raif S. Meyts, Isabelle Tousseyn, Thomas Neven, Benedicte Moshous, Despina Fischer, Alain Schulz, Ansgar Finocchi, Andrea Kuhns, Douglas B. Fink, Danielle L. Lionakis, Michail S. Swamydas, Muthulekha Guglielmetti, Simone Alejo, Julie Myles, Ian A. Pittaluga, Stefania Notarangelo, Luigi D. Villa, Anna Cassani, Barbara |
author_facet | Rigoni, Rosita Fontana, Elena Dobbs, Kerry Marrella, Veronica Taverniti, Valentina Maina, Virginia Facoetti, Amanda D’Amico, Giovanna Al-Herz, Waleed Cruz-Munoz, Mario Ernesto Schuetz, Catharina Gennery, Andrew R. Garabedian, Elizabeth K. Giliani, Silvia Draper, Deborah Dbaibo, Ghassan Geha, Raif S. Meyts, Isabelle Tousseyn, Thomas Neven, Benedicte Moshous, Despina Fischer, Alain Schulz, Ansgar Finocchi, Andrea Kuhns, Douglas B. Fink, Danielle L. Lionakis, Michail S. Swamydas, Muthulekha Guglielmetti, Simone Alejo, Julie Myles, Ian A. Pittaluga, Stefania Notarangelo, Luigi D. Villa, Anna Cassani, Barbara |
author_sort | Rigoni, Rosita |
collection | PubMed |
description | BACKGROUND: Severe early-onset erythroderma and gut inflammation, with massive tissue infiltration of oligoclonal activated T cells are the hallmark of Omenn syndrome (OS). OBJECTIVE: The impact of altered gut homeostasis in the cutaneous manifestations of OS remains to be clarified. METHODS: We analyzed a cohort of 15 patients with OS and the 129Sv/C57BL/6 knock-in Rag2(R229Q/R229Q) (Rag2(R229Q)) mouse model. Homing phenotypes of circulating lymphocytes were analyzed by flow cytometry. Inflammatory cytokines and chemokines were examined in the sera by ELISA and in skin biopsies by immunohistochemistry and in situ RNA hybridization. Experimental colitis was induced in mice by dextran sulfate sodium salt. RESULTS: We show that memory/activated T cells from patients with OS and from the Rag2(R229Q) mouse model of OS abundantly express the skin homing receptors cutaneous lymphocyte associated antigen and CCR4 (Ccr4), associated with high levels of chemokine C-C motif ligands 17 and 22. Serum levels of LPS are also elevated. A broad T(h)1/T(h)2/T(h)17 inflammatory signature is detected in the periphery and in the skin. Increased Tlr4 expression in the skin of Rag2(R229Q) mice is associated with enhanced cutaneous inflammation on local and systemic administration of LPS. Likewise, boosting colitis in Rag2(R229Q) mice results in increased frequency of Ccr4(+) splenic T cells and worsening of skin inflammation, as indicated by epidermal thickening, enhanced epithelial cell activation, and dermal infiltration by T(h)1 effector T cells. CONCLUSIONS: These results support the existence of an interplay between gut and skin that can sustain skin inflammation in OS. |
format | Online Article Text |
id | pubmed-7649331 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Mosby |
record_format | MEDLINE/PubMed |
spelling | pubmed-76493312020-11-16 Cutaneous barrier leakage and gut inflammation drive skin disease in Omenn syndrome Rigoni, Rosita Fontana, Elena Dobbs, Kerry Marrella, Veronica Taverniti, Valentina Maina, Virginia Facoetti, Amanda D’Amico, Giovanna Al-Herz, Waleed Cruz-Munoz, Mario Ernesto Schuetz, Catharina Gennery, Andrew R. Garabedian, Elizabeth K. Giliani, Silvia Draper, Deborah Dbaibo, Ghassan Geha, Raif S. Meyts, Isabelle Tousseyn, Thomas Neven, Benedicte Moshous, Despina Fischer, Alain Schulz, Ansgar Finocchi, Andrea Kuhns, Douglas B. Fink, Danielle L. Lionakis, Michail S. Swamydas, Muthulekha Guglielmetti, Simone Alejo, Julie Myles, Ian A. Pittaluga, Stefania Notarangelo, Luigi D. Villa, Anna Cassani, Barbara J Allergy Clin Immunol Translational and Clinical Immunology BACKGROUND: Severe early-onset erythroderma and gut inflammation, with massive tissue infiltration of oligoclonal activated T cells are the hallmark of Omenn syndrome (OS). OBJECTIVE: The impact of altered gut homeostasis in the cutaneous manifestations of OS remains to be clarified. METHODS: We analyzed a cohort of 15 patients with OS and the 129Sv/C57BL/6 knock-in Rag2(R229Q/R229Q) (Rag2(R229Q)) mouse model. Homing phenotypes of circulating lymphocytes were analyzed by flow cytometry. Inflammatory cytokines and chemokines were examined in the sera by ELISA and in skin biopsies by immunohistochemistry and in situ RNA hybridization. Experimental colitis was induced in mice by dextran sulfate sodium salt. RESULTS: We show that memory/activated T cells from patients with OS and from the Rag2(R229Q) mouse model of OS abundantly express the skin homing receptors cutaneous lymphocyte associated antigen and CCR4 (Ccr4), associated with high levels of chemokine C-C motif ligands 17 and 22. Serum levels of LPS are also elevated. A broad T(h)1/T(h)2/T(h)17 inflammatory signature is detected in the periphery and in the skin. Increased Tlr4 expression in the skin of Rag2(R229Q) mice is associated with enhanced cutaneous inflammation on local and systemic administration of LPS. Likewise, boosting colitis in Rag2(R229Q) mice results in increased frequency of Ccr4(+) splenic T cells and worsening of skin inflammation, as indicated by epidermal thickening, enhanced epithelial cell activation, and dermal infiltration by T(h)1 effector T cells. CONCLUSIONS: These results support the existence of an interplay between gut and skin that can sustain skin inflammation in OS. Mosby 2020-11 /pmc/articles/PMC7649331/ /pubmed/32311393 http://dx.doi.org/10.1016/j.jaci.2020.04.005 Text en © 2020 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Translational and Clinical Immunology Rigoni, Rosita Fontana, Elena Dobbs, Kerry Marrella, Veronica Taverniti, Valentina Maina, Virginia Facoetti, Amanda D’Amico, Giovanna Al-Herz, Waleed Cruz-Munoz, Mario Ernesto Schuetz, Catharina Gennery, Andrew R. Garabedian, Elizabeth K. Giliani, Silvia Draper, Deborah Dbaibo, Ghassan Geha, Raif S. Meyts, Isabelle Tousseyn, Thomas Neven, Benedicte Moshous, Despina Fischer, Alain Schulz, Ansgar Finocchi, Andrea Kuhns, Douglas B. Fink, Danielle L. Lionakis, Michail S. Swamydas, Muthulekha Guglielmetti, Simone Alejo, Julie Myles, Ian A. Pittaluga, Stefania Notarangelo, Luigi D. Villa, Anna Cassani, Barbara Cutaneous barrier leakage and gut inflammation drive skin disease in Omenn syndrome |
title | Cutaneous barrier leakage and gut inflammation drive skin disease in Omenn syndrome |
title_full | Cutaneous barrier leakage and gut inflammation drive skin disease in Omenn syndrome |
title_fullStr | Cutaneous barrier leakage and gut inflammation drive skin disease in Omenn syndrome |
title_full_unstemmed | Cutaneous barrier leakage and gut inflammation drive skin disease in Omenn syndrome |
title_short | Cutaneous barrier leakage and gut inflammation drive skin disease in Omenn syndrome |
title_sort | cutaneous barrier leakage and gut inflammation drive skin disease in omenn syndrome |
topic | Translational and Clinical Immunology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7649331/ https://www.ncbi.nlm.nih.gov/pubmed/32311393 http://dx.doi.org/10.1016/j.jaci.2020.04.005 |
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