2015
DOI: 10.1016/j.cmet.2015.02.003
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Cutaneous Na+ Storage Strengthens the Antimicrobial Barrier Function of the Skin and Boosts Macrophage-Driven Host Defense

Abstract: Summary Immune cells regulate a hypertonic microenvironment in the skin; however, the biological advantage of increased skin Na+ concentrations is unknown. We found that Na+ accumulated at the site of bacterial skin infections in humans and in mice. We used the protozoan parasite Leishmania major as a model of skin-prone macrophage infection to test the hypothesis that skin-Na+ storage facilitates antimicrobial host defense. Activation of macrophages in the presence of high NaCl concentrations modified epigene… Show more

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Cited by 289 publications
(398 citation statements)
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“…AS-48 can be produced in large amounts from industrial fermentation broths at a reasonable cost (62,63) and possesses a very highly stable and compact structure, resistant to exopeptidase degradation, as well as low immunogenicity (32). Furthermore, AS-48 was recently patented as a topical antibacterial agent for skin infections (35), suggesting a relatively easy extrapolation into the ulcers in non-disseminated cutaneous leishmaniasis, inasmuch as AS-48 maintains its activity on high ionic strength, suitable to the hypertonic microenvironment of the skin immune cells (64). Nowadays, the native form of AS-48 is mandatory for its use.…”
Section: Discussionmentioning
confidence: 99%
“…AS-48 can be produced in large amounts from industrial fermentation broths at a reasonable cost (62,63) and possesses a very highly stable and compact structure, resistant to exopeptidase degradation, as well as low immunogenicity (32). Furthermore, AS-48 was recently patented as a topical antibacterial agent for skin infections (35), suggesting a relatively easy extrapolation into the ulcers in non-disseminated cutaneous leishmaniasis, inasmuch as AS-48 maintains its activity on high ionic strength, suitable to the hypertonic microenvironment of the skin immune cells (64). Nowadays, the native form of AS-48 is mandatory for its use.…”
Section: Discussionmentioning
confidence: 99%
“…Thus, salt deposition might serve as an ancient mechanism to aid in immune-mediated pathogen removal. 64 …”
Section: T H 1 and T Hmentioning
confidence: 99%
“…Osmotic stress, associated with systemic infections 43 , is sensed and regulated by the infected host, via several mechanisms including the activation of nuclear factor of activated T cells 5 (NFAT5) 44 (Figure 2). The osmotic stress response regulated by this transcription factor acts in a cytoprotective manner in parenchyma cells 45 , conferring tissue damage control in the kidney during systemic polymicrobial infections 46 and likely in the heart during infection with coxsackievirus 47 in mice ( Figure 2).…”
mentioning
confidence: 99%