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Macrophage‐mediated psoriasis can be suppressed by regulatory T lymphocytes
Authors:Rafael Leite Dantas  Dörthe Masemann  Tanja Schied  Vera Bergmeier  Thomas Vogl  Karin Loser  Bent Brachvogel  Georg Varga  Stephan Ludwig  Viktor Wixler
Affiliation:1. Institute of Molecular Virology, ZMBE, University Hospital Muenster, Muenster, Germany;2. Center for Biochemistry, Medical Faculty, University of Cologne, Cologne, Germany;3. Institute of Immunology, University Hospital Muenster, Muenster, Germany;4. Institute of Dermatology, University Hospital Muenster, Muenster, Germany;5. Department of Pediatrics and Adolescent Medicine, University Hospital of Cologne, Cologne, Germany;6. Department of Pediatrics, Rheumatology and Immunology, University Hospital Muenster, Muenster, Germany
Abstract:We recently described an inducible human TNF transgenic mouse line (ihTNFtg) that develops psoriasis‐like arthritis after doxycycline stimulation and analysed the pathogenesis of arthritis in detail. Here, we show that the skin phenotype of these mice is characterized by hyperproliferation and aberrant activation of keratinocytes, induction of pro‐inflammatory cytokines, and infiltration with Th1 and Treg lymphocytes, particularly with macrophage infiltration into lesional skin, thus pointing to a psoriasis‐like phenotype. To reveal the contribution of T cells and macrophages to the development of TNF‐mediated psoriasis, ihTNFtg mice were crossbred into RAG1KO mice lacking mature T and B cells. Surprisingly, the psoriatic phenotype in the double mutants was not reduced; rather, it was enhanced. The skin showed significantly increased inflammation and in particular, increased infiltration by macrophages. Consequently, depletion of macrophages in RAG1KO or wild‐type mice led to decreased disease severity. On the contrary, depletion of Treg cells in wild‐type mice increased both psoriasis and the number of infiltrating macrophages, while adoptive transfer of Foxp3‐positive cells into RAG1KO or wild‐type mice decreased both the development of psoriasis and macrophage infiltration. Thus, we conclude that Treg lymphocytes inhibit the pro‐inflammatory activity of macrophages, which are the major immune effector cells in hTNF‐mediated psoriasis. Copyright © 2016 Pathological Society of Great Britain and Ireland. Published by John Wiley & Sons, Ltd.
Keywords:doxycycline‐inducible human TNFα  ‐transgenic mouse  TNFα  ‐mediated psoriasis  skin macrophages  T regulatory cells
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