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2017 ; 278
(1
): 116-130
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The atopic march: current insights into skin barrier dysfunction and epithelial
cell-derived cytokines
#MMPMID28658558
Han H
; Roan F
; Ziegler SF
Immunol Rev
2017[Jul]; 278
(1
): 116-130
PMID28658558
show ga
Atopic dermatitis often precedes the development of other atopic diseases. The
atopic march describes this temporal relationship in the natural history of
atopic diseases. Although the pathophysiological mechanisms that underlie this
relationship are poorly understood, epidemiological and genetic data have
suggested that the skin might be an important route of sensitization to
allergens. Animal models have begun to elucidate how skin barrier defects can
lead to systemic allergen sensitization. Emerging data now suggest that
epithelial cell-derived cytokines such as thymic stromal lymphopoietin (TSLP),
IL-33, and IL-25 may drive the progression from atopic dermatitis to asthma and
food allergy. This review focuses on current concepts of the role of skin barrier
defects and epithelial cell-derived cytokines in the initiation and maintenance
of allergic inflammation and the atopic march.