Homeostatic tissue responses in skin biopsies from NOMID patients with constitutive overproduction of IL-1β.

The autoinflammatory disorder, Neonatal-onset Multisystem Inflammatory Disease (NOMID) is the most severe phenotype of disorders caused by mutations in CIAS1 that result in increased production and secretion of active IL-1β. NOMID patients present with systemic and organ-specific inflammation of the...

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Autores principales: Pamela Aubert, Mayte Suárez-Fariñas, Hiroshi Mitsui, Leanne M Johnson-Huang, Jamie Lynn Harden, Katherine C Pierson, Joseph G Dolan, Inna Novitskaya, Israel Coats, Jacob Estes, Edward W Cowen, Nicole Plass, Chyi-Chia Richard Lee, Hong-Wei Sun, Michelle A Lowes, Raphaela Goldbach-Mansky
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Publicado: Public Library of Science (PLoS) 2012
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spelling oai:doaj.org-article:8a9aeb4526b5468588188cde3238cfac2021-11-18T08:06:58ZHomeostatic tissue responses in skin biopsies from NOMID patients with constitutive overproduction of IL-1β.1932-620310.1371/journal.pone.0049408https://doaj.org/article/8a9aeb4526b5468588188cde3238cfac2012-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23226210/?tool=EBIhttps://doaj.org/toc/1932-6203The autoinflammatory disorder, Neonatal-onset Multisystem Inflammatory Disease (NOMID) is the most severe phenotype of disorders caused by mutations in CIAS1 that result in increased production and secretion of active IL-1β. NOMID patients present with systemic and organ-specific inflammation of the skin, central nervous system and bone, and respond dramatically to treatment with IL-1 blocking agents. We compared the cellular infiltrates and transcriptome of skin biopsies from patients with NOMID (n = 14) before treatment (lesional (LS) and non-lesional (pre-NL) skin) and after treatment (post-NL) with the IL-1 blocker anakinra (recombinant IL-1 receptor antagonist, Kineret®, Swedish Orphan Biovitrum AB, SOBI), to normal skin (n = 5) to assess tissue responses in the context of untreated and treated disease. Abundant neutrophils distinguish LS skin from pre-NL and post-NL skin. CD11c(+) dermal dendritic cells and CD163(+) macrophages expressed activated caspase-1 and are a likely source of cutaneous IL-1 production. Treatment with anakinra led to the disappearance of neutrophils, but CD3(+) T cells and HLA-DR(+) cells remained elevated. Among the upregulated genes IL-6, IL-8, TNF, IL-17A, CCL20, and the neutrophil defensins DEFA1 and DEFA3 were differentially regulated in LS tissues (compared to normal skin). Important significantly downregulated pathways in LS skin included IL-1R/TLR signaling, type I and II cytokine receptor signaling, mitochondrial dysfunction, and antigen presentation. The differential expression and regulation of microRNAs and pathways involved in post-transcriptional modification were suggestive of epigenetic modification in the chronically inflamed tissue. Overall, the dysregulated genes and pathways suggest extensive "adaptive" mechanisms to control inflammation and maintain tissue homeostasis, likely triggered by chronic IL-1 release in the skin of patients with NOMID.Pamela AubertMayte Suárez-FariñasHiroshi MitsuiLeanne M Johnson-HuangJamie Lynn HardenKatherine C PiersonJoseph G DolanInna NovitskayaIsrael CoatsJacob EstesEdward W CowenNicole PlassChyi-Chia Richard LeeHong-Wei SunMichelle A LowesRaphaela Goldbach-ManskyPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 7, Iss 11, p e49408 (2012)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Pamela Aubert
Mayte Suárez-Fariñas
Hiroshi Mitsui
Leanne M Johnson-Huang
Jamie Lynn Harden
Katherine C Pierson
Joseph G Dolan
Inna Novitskaya
Israel Coats
Jacob Estes
Edward W Cowen
Nicole Plass
Chyi-Chia Richard Lee
Hong-Wei Sun
Michelle A Lowes
Raphaela Goldbach-Mansky
Homeostatic tissue responses in skin biopsies from NOMID patients with constitutive overproduction of IL-1β.
description The autoinflammatory disorder, Neonatal-onset Multisystem Inflammatory Disease (NOMID) is the most severe phenotype of disorders caused by mutations in CIAS1 that result in increased production and secretion of active IL-1β. NOMID patients present with systemic and organ-specific inflammation of the skin, central nervous system and bone, and respond dramatically to treatment with IL-1 blocking agents. We compared the cellular infiltrates and transcriptome of skin biopsies from patients with NOMID (n = 14) before treatment (lesional (LS) and non-lesional (pre-NL) skin) and after treatment (post-NL) with the IL-1 blocker anakinra (recombinant IL-1 receptor antagonist, Kineret®, Swedish Orphan Biovitrum AB, SOBI), to normal skin (n = 5) to assess tissue responses in the context of untreated and treated disease. Abundant neutrophils distinguish LS skin from pre-NL and post-NL skin. CD11c(+) dermal dendritic cells and CD163(+) macrophages expressed activated caspase-1 and are a likely source of cutaneous IL-1 production. Treatment with anakinra led to the disappearance of neutrophils, but CD3(+) T cells and HLA-DR(+) cells remained elevated. Among the upregulated genes IL-6, IL-8, TNF, IL-17A, CCL20, and the neutrophil defensins DEFA1 and DEFA3 were differentially regulated in LS tissues (compared to normal skin). Important significantly downregulated pathways in LS skin included IL-1R/TLR signaling, type I and II cytokine receptor signaling, mitochondrial dysfunction, and antigen presentation. The differential expression and regulation of microRNAs and pathways involved in post-transcriptional modification were suggestive of epigenetic modification in the chronically inflamed tissue. Overall, the dysregulated genes and pathways suggest extensive "adaptive" mechanisms to control inflammation and maintain tissue homeostasis, likely triggered by chronic IL-1 release in the skin of patients with NOMID.
format article
author Pamela Aubert
Mayte Suárez-Fariñas
Hiroshi Mitsui
Leanne M Johnson-Huang
Jamie Lynn Harden
Katherine C Pierson
Joseph G Dolan
Inna Novitskaya
Israel Coats
Jacob Estes
Edward W Cowen
Nicole Plass
Chyi-Chia Richard Lee
Hong-Wei Sun
Michelle A Lowes
Raphaela Goldbach-Mansky
author_facet Pamela Aubert
Mayte Suárez-Fariñas
Hiroshi Mitsui
Leanne M Johnson-Huang
Jamie Lynn Harden
Katherine C Pierson
Joseph G Dolan
Inna Novitskaya
Israel Coats
Jacob Estes
Edward W Cowen
Nicole Plass
Chyi-Chia Richard Lee
Hong-Wei Sun
Michelle A Lowes
Raphaela Goldbach-Mansky
author_sort Pamela Aubert
title Homeostatic tissue responses in skin biopsies from NOMID patients with constitutive overproduction of IL-1β.
title_short Homeostatic tissue responses in skin biopsies from NOMID patients with constitutive overproduction of IL-1β.
title_full Homeostatic tissue responses in skin biopsies from NOMID patients with constitutive overproduction of IL-1β.
title_fullStr Homeostatic tissue responses in skin biopsies from NOMID patients with constitutive overproduction of IL-1β.
title_full_unstemmed Homeostatic tissue responses in skin biopsies from NOMID patients with constitutive overproduction of IL-1β.
title_sort homeostatic tissue responses in skin biopsies from nomid patients with constitutive overproduction of il-1β.
publisher Public Library of Science (PLoS)
publishDate 2012
url https://doaj.org/article/8a9aeb4526b5468588188cde3238cfac
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