Macrophage Inflammatory Protein 3alpha Deficiency in Atopic Dermatitis Skin and Role in Innate Immune Response to Vaccinia Virus.
From: Department of Pediatrics, National Jewish Medical and Research Center, Denver, CO 80206, USA.
The Journal of allergy and clinical immunology
- Publish Date: Feb 2007
- ISSN: 0091-6749
- Volume: 119
- Issue: 2
- Pages: 457-63
- Medium: Print
- Language: English
- Citation (JAMA): Kim Byung Eui, Leung Donald Y M, Streib Joanne E, et al. Macrophage Inflammatory Protein 3alpha Deficiency in Atopic Dermatitis Skin and Role in Innate Immune Response to Vaccinia Virus.. J. Allergy Clin. Immunol. Feb 2007;119:457-63
Abstract
BACKGROUND: Patients with atopic dermatitis (AD) are prone to disseminated viral skin infections and therefore are not vaccinated against smallpox because of potential complications. Macrophage inflammatory protein 3alpha (MIP-3alpha) is a C-C chemokine expressed by keratinocytes that exhibits antimicrobial activity against bacteria and fungi; however, its role in antiviral innate immunity is unknown. OBJECTIVE: Evaluate the level of MIP-3alpha in AD skin and its role in the innate immune response to vaccinia virus (VV). METHODS: Macrophage inflammatory protein 3alpha levels were evaluated using real-time RT-PCR, immunodot-blot, and immunohistochemistry. The antiviral activity of MIP-3alpha was determined using a standard viral plaque assay. RESULTS: Macrophage inflammatory protein 3alpha gene expression was significantly (P < .01) decreased in AD skin (0.21 +/- 0.05 ng MIP-3alpha/ng glyceraldehyde-3-phosphate dehydrogenase) compared with psoriasis skin (0.67 +/- 0.13). This was confirmed at the protein level using immunohistochemistry. We further demonstrate that T(H)2 cytokines downregulate MIP-3alpha expression. The importance of MIP-3alpha in the innate immune response against VV was established by first demonstrating that MIP-3alpha exhibits activity against VV. Second, VV replication was significantly increased (P < .01) in keratinocytes treated with an antibody to neutralize MIP-3alpha. CONCLUSION: The current study demonstrates that MIP-3alpha exhibits antiviral activity against VV and demonstrates the importance of MIP-3alpha in the innate immune response against VV. In addition, AD skin is deficient in MIP-3alpha, in part because of the overexpression of T(H)2 cytokines in AD skin. CLINICAL IMPLICATIONS: MIP-3alpha deficiency in AD skin contributes to patients’ increased propensity toward eczema vaccinatum. Increasing MIP-3alpha or neutralizing T(H)2 cytokines could prevent adverse reactions in patients with AD after smallpox vaccination.
Mesh Headings (Keywords): Adult, Cells, Cultured, Chemokine CCL20, Chemokines, CC, Dermatitis, Atopic, Humans, Immunity, Natural, Macrophage Inflammatory Proteins, Middle Aged, Psoriasis, Skin, Vaccinia virus
Check for Full Text / PubMed Unique Identifier (PMID): 17141855
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