IL-18 contributes to the spontaneous development of atopic dermatitis-like inflammatory skin lesion independently of IgE/stat6 under specific pathogen-free conditions

  1. Hiroshi Konishi*,,
  2. Hiroko Tsutsui,,
  3. Takaaki Murakami*,,
  4. Shizue Yumikura-Futatsugi,,
  5. Kei-ichi Yamanaka*,,
  6. Minoru Tanaka§,
  7. Yohichiro Iwakura,
  8. Noboru Suzuki,
  9. Kiyoshi Takeda,**,
  10. Shizuo Akira,**,
  11. Kenji Nakanishi,,††, and
  12. Hitoshi Mizutani*,
  1. Departments of *Dermatology and §Biochemistry, and Institute of Laboratory Animals, Mie University School of Medicine, Tsu 514-8507, Japan; Department of Immunology and Medical Zoology, Hyogo College of Medicine, Nishinomiya 663-8501, Japan; Laboratory Animal Research Center, Institute of Medical Science, University of Tokyo, Tokyo 108-8639, Japan; **Department of Host Defenses, Research Institute for Microbial Diseases, Suita 565-0871, Japan; and Core Research for Evolutional Science and Technology, Japan Science and Technology Corporation, Tokyo 101-0062, Japan
  1. Communicated by Charles A. Dinarello, University of Colorado Health Sciences Center, Denver, CO (received for review January 30, 2002)

Abstract

Atopic dermatitis (AD) is a pruritic inflammatory skin disease. Because IL-18 directly stimulates T cells and mast cells to release AD-associated molecules, Th2 cytokines, and histamine, we investigated the capacity of IL-18 to induce AD-like inflammatory skin disease by analyzing KIL-18Tg and KCASP1Tg, which skin-specifically overexpress IL-18 and caspase-1, respectively. They spontaneously developed relapsing dermatitis with mastocytosis and Th2 cytokine accumulation accompanied by systemic elevation of IgE and histamine. Stat6-deficient KCASP1Tg displayed undetectable levels of IgE but manifested the same degree of cutaneous changes, whereas IL-18-deficient KCASP1Tg evaded the dermatitis, suggesting that IL-18 causes the skin changes in the absence of IgE/stat6. KIL-18Tg and IL-1-deficient KCASP1Tg took longer to display the lesion than KCASP1Tg. Thus, AD-like inflammation is initiated by overrelease of IL-18 and accelerated by IL-1. Our present study might provide insight into understanding the pathogenesis of and establishing therapeutics for chronic inflammatory skin diseases including AD.

Footnotes

  • †† To whom reprint requests should be addressed. E-mail: nakaken{at}hyo-med.ac.jp.

  • Abbreviations:
    1. AD, atopic dermatitis

    2. Ag, antigen

    3. SPF, specific pathogen-free

    4. K14, keratin 14

    5. WT, wild type

    6. CD40L, CD40 ligand

    7. PE, phycoerythrin

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