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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Exp+Med
2016 ; 213
(11
): 2399-2412
Nephropedia Template TP
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Psoriatic T cells recognize neolipid antigens generated by mast cell
phospholipase delivered by exosomes and presented by CD1a
#MMPMID27670592
Cheung KL
; Jarrett R
; Subramaniam S
; Salimi M
; Gutowska-Owsiak D
; Chen YL
; Hardman C
; Xue L
; Cerundolo V
; Ogg G
J Exp Med
2016[Oct]; 213
(11
): 2399-2412
PMID27670592
show ga
Psoriasis is a chronic inflammatory skin disease associated with a T helper 17
response. Yet, it has proved challenging to identify relevant peptide-based T
cell antigens. Antigen-presenting Langerhans cells show a differential migration
phenotype in psoriatic lesions and express constitutively high levels of CD1a,
which presents lipid antigens to T cells. In addition, phospholipase A(2)
(PLA(2)) is highly expressed in psoriatic lesions and is known to generate
neolipid skin antigens for recognition by CD1a-reactive T cells. In this study,
we observed expression of a cytoplasmic PLA(2) (PLA2G4D) in psoriatic mast cells
but, unexpectedly, also found PLA2G4D activity to be extracellular. This was
explained by IFN-?-induced mast cell release of exosomes, which transferred
cytoplasmic PLA(2) activity to neighboring CD1a-expressing cells. This led to the
generation of neolipid antigens and subsequent recognition by lipid-specific
CD1a-reactive T cells inducing production of IL-22 and IL-17A. Circulating and
skin-derived T cells from patients with psoriasis showed elevated PLA2G4D
responsiveness compared with healthy controls. Overall, these data present an
alternative model of psoriasis pathogenesis in which lipid-specific CD1a-reactive
T cells contribute to psoriatic inflammation. The findings suggest that PLA(2)
inhibition or CD1a blockade may have therapeutic potential for psoriasis.