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NF-κB subunits RelA and c-Rel selectively control CD4+ T cell function in multiple sclerosis and cancer. NF-κB 亚基 RelA 和 c-Rel 可选择性地控制多发性硬化症和癌症中 CD4+ T 细胞的功能。
IF 12.6 1区 医学 Q1 IMMUNOLOGY Pub Date : 2024-06-03 Epub Date: 2024-04-02 DOI: 10.1084/jem.20231348
Guilhem Lalle, Raphaëlle Lautraite, Khaled Bouherrou, Maud Plaschka, Aurora Pignata, Allison Voisin, Julie Twardowski, Marlène Perrin-Niquet, Pierre Stéphan, Sarah Durget, Laurie Tonon, Maude Ardin, Cyril Degletagne, Alain Viari, Laurence Belgarbi Dutron, Nathalie Davoust, Thomas S Postler, Jingyao Zhao, Christophe Caux, Julie Caramel, Stéphane Dalle, Philippe A Cassier, Ulf Klein, Marc Schmidt-Supprian, Roland Liblau, Sankar Ghosh, Yenkel Grinberg-Bleyer

The outcome of cancer and autoimmunity is often dictated by the effector functions of CD4+ conventional T cells (Tconv). Although activation of the NF-κB signaling pathway has long been implicated in Tconv biology, the cell-autonomous roles of the separate NF-κB transcription-factor subunits are unknown. Here, we dissected the contributions of the canonical NF-κB subunits RelA and c-Rel to Tconv function. RelA, rather than c-Rel, regulated Tconv activation and cytokine production at steady-state and was required for polarization toward the TH17 lineage in vitro. Accordingly, RelA-deficient mice were fully protected against neuroinflammation in a model of multiple sclerosis due to defective transition to a pathogenic TH17 gene-expression program. Conversely, Tconv-restricted ablation of c-Rel impaired their function in the microenvironment of transplanted tumors, resulting in enhanced cancer burden. Moreover, Tconv required c-Rel for the response to PD-1-blockade therapy. Our data reveal distinct roles for canonical NF-κB subunits in different disease contexts, paving the way for subunit-targeted immunotherapies.

癌症和自身免疫的结果往往取决于 CD4+ 传统 T 细胞(Tconv)的效应功能。虽然 NF-κB 信号通路的激活与 Tconv 的生物学特性有关,但不同 NF-κB 转录因子亚基的细胞自主作用尚不清楚。在这里,我们剖析了典型 NF-κB 亚基 RelA 和 c-Rel 对 Tconv 功能的贡献。RelA而不是c-Rel调节Tconv的活化和稳态细胞因子的产生,并且是体外向TH17系极化所必需的。因此,在多发性硬化症模型中,由于向致病性 TH17 基因表达程序过渡的缺陷,RelA 缺失的小鼠对神经炎症具有完全的保护作用。相反,Tconv 限制性消减 c-Rel 会损害它们在移植肿瘤微环境中的功能,导致癌症负担加重。此外,Tconv需要c-Rel才能对PD-1阻断疗法产生反应。我们的数据揭示了典型 NF-κB 亚基在不同疾病中的不同作用,为亚基靶向免疫疗法铺平了道路。
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引用次数: 0
Correction: Individuals with JAK1 variants are affected by syndromic features encompassing autoimmunity, atopy, colitis, and dermatitis. 更正:JAK1变异体的个体受综合征的影响,包括自身免疫、过敏、结肠炎和皮炎。
IF 15.3 1区 医学 Q1 Medicine Pub Date : 2024-06-03 Epub Date: 2024-05-06 DOI: 10.1084/jem.2023238704302024c
Michael E Horesh, Marta Martin-Fernandez, Conor Gruber, Sofija Buta, Tom Le Voyer, Eve Puzenat, Harry Lesmana, Yiming Wu, Ashley Richardson, David Stein, Stephanie Hodeib, Mariam Youssef, Jacob A Kurowski, Elizabeth Feuille, Luis A Pedroza, Ramsay L Fuleihan, Alexandria Haseley, Alain Hovnanian, Pierre Quartier, Jérémie Rosain, Georgina Davis, Daniel Mullan, O'Jay Stewart, Roosheel Patel, Angelica E Lee, Rebecca Rubinstein, Leyla Ewald, Nikhil Maheshwari, Virginia Rahming, Ivan K Chinn, James R Lupski, Jordan S Orange, Vanessa Sancho-Shimizu, Jean-Laurent Casanova, Noura S Abul-Husn, Yuval Itan, Joshua D Milner, Jacinta Bustamante, Dusan Bogunovic
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引用次数: 0
Sounding the alarm in the lung with TL1A. 用 TL1A 敲响肺部的警钟。
IF 15.3 1区 医学 Q1 Medicine Pub Date : 2024-06-03 Epub Date: 2024-04-10 DOI: 10.1084/jem.20240389
Silvia Pires, Randy S Longman

Environmental airborne antigens are central to the development of allergic asthma, but the cellular processes that trigger disease remain incompletely understood. In this report, Schmitt et al. (https://doi.org/10.1084/jem.20231236) identify TNF-like protein 1A (TL1A) as an epithelial alarmin constitutively expressed by a subset of lung epithelial cells, which is released in response to airborne microbial challenge and synergizes with IL-33 to drive allergic disease.

环境空气中的抗原是过敏性哮喘发病的核心因素,但引发疾病的细胞过程仍不完全清楚。在这份报告中,Schmitt 等人(https://doi.org/10.1084/jem.20231236)发现 TNF 样蛋白 1A(TL1A)是由肺上皮细胞亚群组成性表达的上皮警戒素,它会在空气传播的微生物挑战时释放,并与 IL-33 协同驱动过敏性疾病。
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引用次数: 0
Divergent local and systemic antitumor response in primary uveal melanomas. 原发性葡萄膜黑色素瘤的局部和全身抗肿瘤反应存在差异。
IF 12.6 1区 医学 Q1 IMMUNOLOGY Pub Date : 2024-06-03 Epub Date: 2024-04-02 DOI: 10.1084/jem.20232094
Francesca Lucibello, Ana I Lalanne, Anne-Laure Le Gac, Abdoulaye Soumare, Setareh Aflaki, Joanna Cyrta, Lea Dubreuil, Martin Mestdagh, Marion Salou, Alexandre Houy, Christina Ekwegbara, Camille Jamet, Sophie Gardrat, Anais Le Ven, Karine Bernardeau, Nathalie Cassoux, Alexandre Matet, Denis Malaise, Gaelle Pierron, Sophie Piperno-Neumann, Marc-Henri Stern, Manuel Rodrigues, Olivier Lantz

Uveal melanoma (UM) is the most common cancer of the eye. The loss of chromosome 3 (M3) is associated with a high risk of metastases. M3 tumors are more infiltrated by T-lymphocytes than low-risk disomic-3 (D3) tumors, contrasting with other tumor types in which T cell infiltration correlates with better prognosis. Whether these T cells represent an antitumor response and how these T cells would be primed in the eye are both unknown. Herein, we characterized the T cells infiltrating primary UMs. CD8+ and Treg cells were more abundant in M3 than in D3 tumors. CD39+PD-1+CD8+ T cells were enriched in M3 tumors, suggesting specific responses to tumor antigen (Ag) as confirmed using HLA-A2:Melan-A tetramers. scRNAseq-VDJ analysis of T cells evidenced high numbers of proliferating CD39+PD1+CD8+ clonal expansions, suggesting in situ antitumor Ag responses. TCRseq and tumor-Ag tetramer staining characterized the recirculation pattern of the antitumor responses in M3 and D3 tumors. Thus, tumor-Ag responses occur in localized UMs, raising the question of the priming mechanisms in the absence of known lymphatic drainage.

葡萄膜黑色素瘤(UM)是最常见的眼癌。3 号染色体(M3)缺失与高转移风险有关。与低风险的 3 号染色体缺失(D3)肿瘤相比,M3 肿瘤的 T 淋巴细胞浸润更多,这与其他肿瘤类型形成鲜明对比,后者的 T 细胞浸润与较好的预后有关。这些 T 细胞是否代表一种抗肿瘤反应,以及这些 T 细胞如何在眼部被激活,这些都是未知数。在这里,我们描述了浸润原发性 UMs 的 T 细胞的特征。M3肿瘤中的CD8+细胞和Treg细胞比D3肿瘤中的更多。CD39+PD-1+CD8+T细胞在M3肿瘤中富集,表明对肿瘤抗原(Ag)有特异性反应,这一点已通过HLA-A2:Melan-A四聚体得到证实。T细胞的scRNAseq-VDJ分析表明CD39+PD1+CD8+克隆扩增数量较多,表明原位抗肿瘤Ag反应。TCRseq和肿瘤-Ag四聚体染色描述了M3和D3肿瘤中抗肿瘤反应的再循环模式。因此,肿瘤-Ag 反应发生在局部 UMs 中,这就提出了在没有已知淋巴引流的情况下的启动机制问题。
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引用次数: 0
Correction: Treg-tissue cell interactions in repair and regeneration. 更正:修复和再生过程中 Treg 与组织细胞的相互作用。
IF 15.3 1区 医学 Q1 Medicine Pub Date : 2024-06-03 Epub Date: 2024-05-13 DOI: 10.1084/jem.2023124405032024c
Lucas F Loffredo, Thomas M Savage, Olivia R Ringham, Nicholas Arpaia
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引用次数: 0
Irene Salinas: The joy of continuous growth and learning. 艾琳-萨利纳斯不断成长和学习的快乐
IF 15.3 1区 医学 Q1 Medicine Pub Date : 2024-06-03 Epub Date: 2024-05-21 DOI: 10.1084/jem.20240813
Lucie Van Emmenis

Irene Salinas is a professor in the Department of Biology, University of New Mexico. Her lab uses multiple animal models to study nasal immunity and neuroimmune interactions in the olfactory-central nervous system axis in response to microorganisms. We recently spoke with Irene about her current work, her diversity, equity, and inclusion (DEI) work, and how her leadership style has changed over the years.

艾琳-萨利纳斯(Irene Salinas)是新墨西哥大学生物系教授。她的实验室利用多种动物模型研究鼻腔免疫以及嗅觉-中枢神经系统轴在应对微生物时的神经免疫相互作用。最近,我们与艾琳就她目前的工作、她的多样性、公平性和包容性(DEI)工作以及她的领导风格多年来的变化进行了交谈。
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引用次数: 0
Individuals with JAK1 variants are affected by syndromic features encompassing autoimmunity, atopy, colitis, and dermatitis. 患有 JAK1 变异的个体会受到综合征的影响,包括自身免疫、过敏、结肠炎和皮炎。
IF 12.6 1区 医学 Q1 IMMUNOLOGY Pub Date : 2024-06-03 Epub Date: 2024-04-02 DOI: 10.1084/jem.20232387
Michael E Horesh, Marta Martin-Fernandez, Conor Gruber, Sofija Buta, Tom Le Voyer, Eve Puzenat, Harry Lesmana, Yiming Wu, Ashley Richardson, David Stein, Stephanie Hodeib, Mariam Youssef, Jacob A Kurowski, Elizabeth Feuille, Luis A Pedroza, Ramsay L Fuleihan, Alexandria Haseley, Alain Hovnanian, Pierre Quartier, Jérémie Rosain, Georgina Davis, Daniel Mullan, O'Jay Stewart, Roosheel Patel, Angelica E Lee, Rebecca Rubinstein, Leyla Ewald, Nikhil Maheshwari, Virginia Rahming, Ivan K Chinn, James R Lupski, Jordan S Orange, Vanessa Sancho-Shimizu, Jean-Laurent Casanova, Noura S Abul-Husn, Yuval Itan, Joshua D Milner, Jacinta Bustamante, Dusan Bogunovic

Inborn errors of immunity lead to autoimmunity, inflammation, allergy, infection, and/or malignancy. Disease-causing JAK1 gain-of-function (GoF) mutations are considered exceedingly rare and have been identified in only four families. Here, we use forward and reverse genetics to identify 59 individuals harboring one of four heterozygous JAK1 variants. In vitro and ex vivo analysis of these variants revealed hyperactive baseline and cytokine-induced STAT phosphorylation and interferon-stimulated gene (ISG) levels compared with wild-type JAK1. A systematic review of electronic health records from the BioME Biobank revealed increased likelihood of clinical presentation with autoimmunity, atopy, colitis, and/or dermatitis in JAK1 variant-positive individuals. Finally, treatment of one affected patient with severe atopic dermatitis using the JAK1/JAK2-selective inhibitor, baricitinib, resulted in clinically significant improvement. These findings suggest that individually rare JAK1 GoF variants may underlie an emerging syndrome with more common presentations of autoimmune and inflammatory disease (JAACD syndrome). More broadly, individuals who present with such conditions may benefit from genetic testing for the presence of JAK1 GoF variants.

先天性免疫错误会导致自身免疫、炎症、过敏、感染和/或恶性肿瘤。致病的JAK1功能增益(GoF)突变被认为是极其罕见的,目前仅在四个家族中发现了这种突变。在这里,我们利用正向和反向遗传学方法鉴定出 59 个携带四种杂合 JAK1 变异之一的个体。对这些变异体的体外和体内分析表明,与野生型 JAK1 相比,基线和细胞因子诱导的 STAT 磷酸化和干扰素刺激基因(ISG)水平异常活跃。对 BioME 生物库的电子健康记录进行的系统性审查显示,JAK1 变体阳性者临床表现为自身免疫、过敏、结肠炎和/或皮炎的可能性增加。最后,对一名患有严重特应性皮炎的患者使用 JAK1/JAK2 选择性抑制剂巴利替尼进行治疗后,临床症状得到了明显改善。这些研究结果表明,个别罕见的 JAK1 GoF 变异可能是一种新出现的综合征的基础,这种综合征具有更常见的自身免疫性和炎症性疾病表现(JAACD 综合征)。从更广泛的意义上讲,患有此类疾病的人可能会受益于JAK1 GoF变体的基因检测。
{"title":"Individuals with JAK1 variants are affected by syndromic features encompassing autoimmunity, atopy, colitis, and dermatitis.","authors":"Michael E Horesh, Marta Martin-Fernandez, Conor Gruber, Sofija Buta, Tom Le Voyer, Eve Puzenat, Harry Lesmana, Yiming Wu, Ashley Richardson, David Stein, Stephanie Hodeib, Mariam Youssef, Jacob A Kurowski, Elizabeth Feuille, Luis A Pedroza, Ramsay L Fuleihan, Alexandria Haseley, Alain Hovnanian, Pierre Quartier, Jérémie Rosain, Georgina Davis, Daniel Mullan, O'Jay Stewart, Roosheel Patel, Angelica E Lee, Rebecca Rubinstein, Leyla Ewald, Nikhil Maheshwari, Virginia Rahming, Ivan K Chinn, James R Lupski, Jordan S Orange, Vanessa Sancho-Shimizu, Jean-Laurent Casanova, Noura S Abul-Husn, Yuval Itan, Joshua D Milner, Jacinta Bustamante, Dusan Bogunovic","doi":"10.1084/jem.20232387","DOIUrl":"10.1084/jem.20232387","url":null,"abstract":"<p><p>Inborn errors of immunity lead to autoimmunity, inflammation, allergy, infection, and/or malignancy. Disease-causing JAK1 gain-of-function (GoF) mutations are considered exceedingly rare and have been identified in only four families. Here, we use forward and reverse genetics to identify 59 individuals harboring one of four heterozygous JAK1 variants. In vitro and ex vivo analysis of these variants revealed hyperactive baseline and cytokine-induced STAT phosphorylation and interferon-stimulated gene (ISG) levels compared with wild-type JAK1. A systematic review of electronic health records from the BioME Biobank revealed increased likelihood of clinical presentation with autoimmunity, atopy, colitis, and/or dermatitis in JAK1 variant-positive individuals. Finally, treatment of one affected patient with severe atopic dermatitis using the JAK1/JAK2-selective inhibitor, baricitinib, resulted in clinically significant improvement. These findings suggest that individually rare JAK1 GoF variants may underlie an emerging syndrome with more common presentations of autoimmune and inflammatory disease (JAACD syndrome). More broadly, individuals who present with such conditions may benefit from genetic testing for the presence of JAK1 GoF variants.</p>","PeriodicalId":15760,"journal":{"name":"Journal of Experimental Medicine","volume":null,"pages":null},"PeriodicalIF":12.6,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10986756/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140335852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
TL1A is an epithelial alarmin that cooperates with IL-33 for initiation of allergic airway inflammation. TL1A 是一种上皮警报蛋白,它与 IL-33 相互配合,共同引发过敏性气道炎症。
IF 15.3 1区 医学 Q1 Medicine Pub Date : 2024-06-03 Epub Date: 2024-04-10 DOI: 10.1084/jem.20231236
Pauline Schmitt, Anais Duval, Mylène Camus, Emma Lefrançais, Stéphane Roga, Cécile Dedieu, Nathalie Ortega, Elisabeth Bellard, Emilie Mirey, Emmanuelle Mouton-Barbosa, Odile Burlet-Schiltz, Anne Gonzalez-de-Peredo, Corinne Cayrol, Jean-Philippe Girard

Epithelium-derived cytokines or alarmins, such as interleukin-33 (IL-33) and thymic stromal lymphopoietin (TSLP), are major players in type 2 immunity and asthma. Here, we demonstrate that TNF-like ligand 1A (TL1A) is an epithelial alarmin, constitutively expressed in alveolar epithelium at steady state in both mice and humans, which cooperates with IL-33 for early induction of IL-9high ILC2s during the initiation of allergic airway inflammation. Upon synergistic activation by IL-33 and TL1A, lung ILC2s acquire a transient IL-9highGATA3low "ILC9" phenotype and produce prodigious amounts of IL-9. A combination of large-scale proteomic analyses, lung intravital microscopy, and adoptive transfer of ILC9 cells revealed that high IL-9 expression distinguishes a multicytokine-producing state-of-activated ILC2s with an increased capacity to initiate IL-5-dependent allergic airway inflammation. Similar to IL-33 and TSLP, TL1A is expressed in airway basal cells in healthy and asthmatic human lungs. Together, these results indicate that TL1A is an epithelium-derived cytokine and an important cofactor of IL-33 in the airways.

上皮源性细胞因子或警报素,如白细胞介素-33(IL-33)和胸腺基质淋巴细胞生成素(TSLP),是 2 型免疫和哮喘的主要参与者。在这里,我们证明了 TNF 样配体 1A(TL1A)是一种上皮警戒素,在小鼠和人类肺泡上皮稳态时均为组成型表达,它与 IL-33 相互配合,在过敏性气道炎症的起始阶段早期诱导 IL-9 高的 ILC2。在 IL-33 和 TL1A 的协同激活下,肺部 ILC2 获得短暂的 IL-9highGATA3low "ILC9 "表型,并产生大量的 IL-9。结合大规模蛋白质组学分析、肺内显微镜和 ILC9 细胞的收养性转移发现,IL-9 的高表达区分了多细胞因子产生状态的活化 ILC2s,它们启动 IL-5 依赖性过敏性气道炎症的能力更强。与 IL-33 和 TSLP 相似,TL1A 也在健康和哮喘患者肺部的气道基础细胞中表达。这些结果表明,TL1A 是一种上皮源性细胞因子,也是 IL-33 在气道中的重要辅助因子。
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引用次数: 0
A culture shift to support public involvement and engagement in research. 转变文化,支持公众参与研究。
IF 15.3 1区 医学 Q1 Medicine Pub Date : 2024-06-03 Epub Date: 2024-05-15 DOI: 10.1084/jem.20240268
Matthias Eberl, Sheena M Cruickshank

The need to empower people to understand their health and well-being has never been greater. However, current research culture does not necessarily prioritize public involvement and engagement, and many scientists are left under-equipped to reap its benefits. Here, we outline both the positive need for purposeful public involvement and engagement in biomedical research and major systemic challenges. While some of our examples stem from the UK, we believe the learnings from them have global significance.

现在比以往任何时候都更需要增强人们了解自身健康和福祉的能力。然而,当前的研究文化并不一定将公众参与和介入放在首位,许多科学家没有足够的能力从中获益。在此,我们概述了有目的的公众参与生物医学研究的积极需求和主要的系统性挑战。虽然我们的一些例子来自英国,但我们相信从中汲取的经验具有全球意义。
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引用次数: 0
Human neutrophils drive skin autoinflammation by releasing interleukin (IL)-26. 人类中性粒细胞通过释放白细胞介素(IL)-26 推动皮肤自身炎症。
IF 15.3 1区 医学 Q1 Medicine Pub Date : 2024-05-06 Epub Date: 2024-03-06 DOI: 10.1084/jem.20231464
Alessia Baldo, Jeremy Di Domizio, Ahmad Yatim, Sophie Vandenberghe-Dürr, Raphael Jenelten, Anissa Fries, Lorenzo Grizzetti, François Kuonen, Carle Paul, Robert L Modlin, Curdin Conrad, Michel Gilliet

Autoinflammation is a sterile inflammatory process resulting from increased neutrophil infiltration and overexpression of IL-1 cytokines. The factors that trigger these events are, however, poorly understood. By investigating pustular forms of psoriasis, we show that human neutrophils constitutively express IL-26 and abundantly release it from granular stores upon activation. In pustular psoriasis, neutrophil-derived IL-26 drives the pathogenic autoinflammation process by inducing the expression of IL-1 cytokines and chemokines that further recruit neutrophils. This occurs via activation of IL-26R in keratinocytes and via the formation of complexes between IL-26 and microbiota DNA, which trigger TLR9 activation of neutrophils. Thus our findings identify neutrophils as an important source of IL-26 and point to IL-26 as the key link between neutrophils and a self-sustaining autoinflammation loop in pustular psoriasis.

自身炎症是一种无菌炎症过程,由中性粒细胞浸润增加和 IL-1 细胞因子过度表达引起。然而,人们对引发这些事件的因素知之甚少。通过研究脓疱型银屑病,我们发现人类中性粒细胞会连续表达 IL-26,并在活化时从颗粒储存库中大量释放。在脓疱型银屑病中,中性粒细胞衍生的 IL-26 通过诱导 IL-1 细胞因子和趋化因子的表达,进一步招募中性粒细胞,从而推动致病性自身炎症过程。这是通过激活角朊细胞中的 IL-26R 以及 IL-26 与微生物 DNA 之间形成的复合物发生的,这些复合物会触发中性粒细胞的 TLR9 激活。因此,我们的研究结果确定中性粒细胞是IL-26的重要来源,并指出IL-26是中性粒细胞与脓疱型银屑病中自我维持的自体炎症循环之间的关键环节。
{"title":"Human neutrophils drive skin autoinflammation by releasing interleukin (IL)-26.","authors":"Alessia Baldo, Jeremy Di Domizio, Ahmad Yatim, Sophie Vandenberghe-Dürr, Raphael Jenelten, Anissa Fries, Lorenzo Grizzetti, François Kuonen, Carle Paul, Robert L Modlin, Curdin Conrad, Michel Gilliet","doi":"10.1084/jem.20231464","DOIUrl":"10.1084/jem.20231464","url":null,"abstract":"<p><p>Autoinflammation is a sterile inflammatory process resulting from increased neutrophil infiltration and overexpression of IL-1 cytokines. The factors that trigger these events are, however, poorly understood. By investigating pustular forms of psoriasis, we show that human neutrophils constitutively express IL-26 and abundantly release it from granular stores upon activation. In pustular psoriasis, neutrophil-derived IL-26 drives the pathogenic autoinflammation process by inducing the expression of IL-1 cytokines and chemokines that further recruit neutrophils. This occurs via activation of IL-26R in keratinocytes and via the formation of complexes between IL-26 and microbiota DNA, which trigger TLR9 activation of neutrophils. Thus our findings identify neutrophils as an important source of IL-26 and point to IL-26 as the key link between neutrophils and a self-sustaining autoinflammation loop in pustular psoriasis.</p>","PeriodicalId":15760,"journal":{"name":"Journal of Experimental Medicine","volume":null,"pages":null},"PeriodicalIF":15.3,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10917069/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140049637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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