1. CARD14 Gain-of-Function Mutation Alone Is Sufficient to Drive IL-23/IL-17–Mediated Psoriasiform Skin Inflammation In Vivo
- Author
-
Deepa Mohanan, Stephan Nobbe, Lars E. French, Caroline Ospelt, Mark Mellett, Emmanuel Contassot, Barbara Meier, Phil F. Cheng, Margot Thome, Betina Kiefer, Rebekka Schairer, Takashi K. Satoh, University of Zurich, and Mellett, Mark
- Subjects
Keratinocytes ,0301 basic medicine ,Chemokine ,1303 Biochemistry ,medicine.medical_treatment ,DNA Mutational Analysis ,610 Medicine & health ,Inflammation ,Dermatology ,Biology ,Interleukin-23 ,Biochemistry ,Proinflammatory cytokine ,2708 Dermatology ,1307 Cell Biology ,Mice ,03 medical and health sciences ,Animals ,CARD Signaling Adaptor Proteins/genetics ,CARD Signaling Adaptor Proteins/metabolism ,Cells, Cultured ,Cytokines/metabolism ,DNA/genetics ,Disease Models, Animal ,Female ,Gain of Function Mutation ,Guanylate Kinases/genetics ,Guanylate Kinases/metabolism ,Humans ,Inflammation/genetics ,Inflammation/metabolism ,Inflammation/pathology ,Interleukin-17/metabolism ,Interleukin-23/metabolism ,Keratinocytes/metabolism ,Keratinocytes/pathology ,Membrane Proteins ,Psoriasis/genetics ,Psoriasis/metabolism ,Psoriasis/pathology ,Psoriasis ,1312 Molecular Biology ,Interleukin 23 ,medicine ,Molecular Biology ,Interleukin-17 ,10051 Rheumatology Clinic and Institute of Physical Medicine ,10177 Dermatology Clinic ,DNA ,Cell Biology ,medicine.disease ,CARD Signaling Adaptor Proteins ,030104 developmental biology ,medicine.anatomical_structure ,Cytokine ,Immunology ,biology.protein ,Cytokines ,Interleukin 17 ,medicine.symptom ,Keratinocyte ,Guanylate Kinases - Abstract
Rare autosomal dominant mutations in the gene encoding the keratinocyte signaling molecule CARD14, have been associated with an increased susceptibility to psoriasis, but the physiological impact of CARD14 gain-of-function mutations remains to be fully determined in vivo. Here, we report that heterozygous mice harboring a CARD14 gain-of-function mutation (Card14ΔE138) spontaneously develop a chronic psoriatic phenotype with characteristic scaling skin lesions, epidermal thickening, keratinocyte hyperproliferation, hyperkeratosis, and immune cell infiltration. Affected skin of these mice is characterized by elevated expression of anti-microbial peptides, chemokines, and cytokines (including T helper type 17 cell-signature cytokines) and an immune infiltrate rich in neutrophils, myeloid cells, and T cells, reminiscent of human psoriatic skin. Disease pathogenesis was driven by the IL-23/IL-17 axis, and neutralization of IL-23p19, the key cytokine in maintaining T helper type 17 cell polarization, significantly reduced skin lesions and the expression of antimicrobial peptides and proinflammatory cytokines. Therefore, hyperactivation of CARD14 alone is sufficient to orchestrate the complex immunopathogenesis that drives T helper type 17-mediated psoriasis skin disease in vivo.
- Published
- 2018
- Full Text
- View/download PDF