Skin aging is characterized by structural and functional changes that lead
to slower wound healing and higher rate of infections, which contribute to
age-associated frailty. This likely depends on synergy between alterations in
the local microenvironment and stem cell–intrinsic changes, underscored by
pro-inflammatory microenvironments that drive pleotropic changes. To date,
little is known about the precise nature and origin of the proposed
age-associated inflammatory cues, or how they affect different tissue resident
cell types. Based on deep single-cell RNA-sequencing of the entire dermal
compartment, we now provide a comprehensive understanding of the age-associated
changes in all skin cell types. We show a previously unreported skew towards an
IL-17–expressing phenotype of Th cells, γδ T cells and innate lymphoid cells in
aged skin. Aberrant IL-17 signaling is common to many autoimmune (e.g.,
rheumatoid arthritis and psoriasis) and chronic inflammatory diseases.
Importantly, in vivo blockade of IL-17–triggered
signaling during the aging process reduces the pro-inflammatory state by
affecting immune and non-immune skin cells of both dermis and epidermis.
Strikingly, IL-17 neutralization significantly delays the appearance of
age-related traits, such as decreased epidermal thickness, increased cornified
layer thickness and ameliorated hair follicle stem cell activation and hair
shaft regeneration. Our results indicate that the aged skin shows chronic and
persistent signs of inflammation, and that age-associated increased IL-17
signaling could be targeted as a strategy to prevent age-associated skin
ailments in elderly.