Plasmacytoid predendritic cells initiate psoriasis through interferon-α production

Journal of Experimental Medicine - Tập 202 Số 1 - Trang 135-143 - 2005
Frank O. Nestle1, Curdin Conrad1, Adrian Tun-Kyi1, Bernhard Homey2, Michael Gombert2, Onur Boyman1, Günter Burg1, Yong-Jun Liu3, Michel Gilliet1
11Department of Dermatology, University Hospital of Zurich, 8091 Zurich, Switzerland
22Department of Dermatology, Heinrich-Heine-University, 40225 Düsseldorf, Germany
33Department of Immunology, M.D. Anderson Cancer Center, Houston, TX 77030

Tóm tắt

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)-α–producing cells, infiltrate the skin of psoriatic patients and become activated to produce IFN-α early during disease formation. In a xenograft model of human psoriasis, we demonstrate that blocking IFN-α signaling or inhibiting the ability of PDCs to produce IFN-α prevented the T cell–dependent development of psoriasis. Furthermore, IFN-α reconstitution experiments demonstrated that PDC-derived IFN-α 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-α represent potential early targets for the treatment of psoriasis.

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