2010
DOI: 10.4049/jimmunol.0903719
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8-Methoxypsoralen Plus Ultraviolet A Therapy Acts via Inhibition of the IL-23/Th17 Axis and Induction of Foxp3+ Regulatory T Cells Involving CTLA4 Signaling in a Psoriasis-Like Skin Disorder

Abstract: To elucidate the molecular action of 8-methoxypsoralen plus UVA (PUVA), a standard dermatological therapy, we used K5.hTGF-β1 transgenic mice exhibiting a skin phenotype and cytokine abnormalities with strong similarities to human psoriasis. We observed that impaired function of CD4+CD25+ regulatory T cells (Tregs) and increased cytokine levels of the IL-23/Th17 pathway were responsible for the psoriatic phenotype in this mouse model. Treatment of K5.hTGF-β1 transgenic mice with PUVA suppressed the IL-23/Th17 … Show more

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Cited by 112 publications
(110 citation statements)
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“…Studies have shown that although TGF␤1 has an anti-inflammatory effect in internal organs as evidenced by autoimmune responses in TGF␤1 knockout mice, 35,36 keratinocyte-specific TGF␤1 overexpression causes Th1/Th17-associated skin inflammation. [37][38][39] Consistently, keratinocyte-specific Smad7 overexpression blocked T-cell infiltration more significantly than macrophage infiltration ( Figure 5), which could enable the remaining macrophages to promote wound repair. 27,28 Additionally, although Smad7 transgene is not expressed in the stroma, reduced pSmad2 staining was observed in the stroma of Smad7 tg wounds.…”
Section: Stromal Effects Of Epithelial-specific Smad7 Overexpression mentioning
confidence: 59%
“…Studies have shown that although TGF␤1 has an anti-inflammatory effect in internal organs as evidenced by autoimmune responses in TGF␤1 knockout mice, 35,36 keratinocyte-specific TGF␤1 overexpression causes Th1/Th17-associated skin inflammation. [37][38][39] Consistently, keratinocyte-specific Smad7 overexpression blocked T-cell infiltration more significantly than macrophage infiltration ( Figure 5), which could enable the remaining macrophages to promote wound repair. 27,28 Additionally, although Smad7 transgene is not expressed in the stroma, reduced pSmad2 staining was observed in the stroma of Smad7 tg wounds.…”
Section: Stromal Effects Of Epithelial-specific Smad7 Overexpression mentioning
confidence: 59%
“…This treatment is used against psoriasis and various other dermatoses and results in premature skin aging in vivo and in cellular senescence in vitro (reviewed in Wlaschek et al, 2003). Therefore, we exposed C57BL/6mice to PUVA doses reported to induce cellular senescence in vivo (Singh et al, 2010). Forty-eight hours after treatment, we observed a significant induction of miR-21 using at least 5 animals per group (Fig.…”
Section: Cdc25a and Nfib Knock-down Phenocopies The Effect Of Mir-21 mentioning
confidence: 87%
“…property of UV is a key event in skin carcinogenesis 1 ; but it may also have beneficial effects, including protection from multiple sclerosis, 2 enhancing allograft tolerance, 3 as well as treating psoriasis, 4 atopic dermatitis, 5 and graft-versus-host disease. 6 Other health benefits of UV exposure include vitamin D synthesis 7 and the production of antimicrobial peptides.…”
mentioning
confidence: 99%