title: Psoriasis is characterized by accumulation of immunostimulatory and Th1/Th17 cell-polarizing myeloid dendritic cells.
abstract: Myeloid dermal dendritic cells (DCs) accumulate in chronically inflamed tissues such as psoriasis. The importance of these cells for psoriasis pathogenesis is suggested by comparative T-cell and DC-cell counts, where DCs outnumber T cells. We have previously identified CD11c(+)-blood dendritic cell antigen (BDCA)-1(+) cells as the main resident dermal DC population found in normal skin. We now show that psoriatic lesional skin has two populations of dermal DCs: (1) CD11c(+)BDCA-1(+) cells, which are phenotypically similar to those contained in normal skin and (2) CD11c(+)BDCA-1(-) cells, which are phenotypically immature and produce inflammatory cytokines. Although BDCA-1(+) DCs are not increased in number in psoriatic lesional skin compared with normal skin, BDCA-1(-) DCs are increased 30-fold. For functional studies, we FACS-sorted psoriatic dermal single-cell suspensions to isolate these two cutaneous DC populations, and cultured them as stimulators in an allogeneic mixed leukocyte reaction. Both BDCA-1(+) and BDCA-1(-) myeloid dermal DC populations induced T-cell proliferation, and polarized T cells to become T helper 1 (Th1) and T helper 17 (Th17) cells. In addition, psoriatic dermal DCs induced a population of activated T cells that simultaneously produced IL-17 and IFN-gamma, which was not induced by normal skin dermal DCs. As psoriasis is believed to be a mixed Th17/Th1 disease, it is possible that induction of these IL-17(+)IFN-gamma(+) cells is pathogenic. These cytokines, the T cells that produce them, and the inducing inflammatory DCs may all be important new therapeutic targets in psoriasis.
authors.affiliation: Laboratory for Investigative Dermatology, The Rockefeller University, New York, New York 10065, USA.
authors.forename: Lisa C
authors.initials: LC
authors.lastname: Zaba
authors.forename: Judilyn
authors.initials: J
authors.lastname: Fuentes-Duculan
authors.forename: Narat John
authors.initials: NJ
authors.lastname: Eungdamrong
authors.forename: Maria Veronica
authors.initials: MV
authors.lastname: Abello
authors.forename: Inna
authors.initials: I
authors.lastname: Novitskaya
authors.forename: Katherine C
authors.initials: KC
authors.lastname: Pierson
authors.forename: Juana
authors.initials: J
authors.lastname: Gonzalez
authors.forename: James G
authors.initials: JG
authors.lastname: Krueger
authors.forename: Michelle A
authors.initials: MA
authors.lastname: Lowes
mesh_terms: D039521:CD11c Antigen / Q000096:biosynthesis; D002469:Cell Separation; D003713:Dendritic Cells / Q000166:cytology* / Q000276:immunology; D005434:Flow Cytometry; D006801:Humans; D007107:Immune System; D007249:Inflammation; D007371:Interferon-gamma / Q000378:metabolism; D020381:Interleukin-17 / Q000378:metabolism*; D007962:Leukocytes / Q000378:metabolism; D010641:Phenotype; D011565:Psoriasis / Q000175:diagnosis* / Q000276:immunology*; D012867:Skin / Q000473:pathology; D013601:T-Lymphocytes / Q000276:immunology; D018417:Th1 Cells / Q000276:immunology*
chemical_list: D039521:CD11c Antigen; D020381:Interleukin-17; D007371:Interferon-gamma