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| Content Provider | PubMed Central |
|---|---|
| Author | Nakamura, Yuumi Jon, Oscherwitz Cease, Kemp B. Chan, Susana M. Raul, Muñoz-planillo Hasegawa, Mizuho Villaruz, Amer E. Cheung, Gordon Y. C. Mcgavin, Martin J. Travers, Jeffrey B. Otto, Michael Inohara, Naohiro Núñez, Gabriel |
| Abstract | Atopic dermatitis (AD) is a chronic inflammatory skin disease that affects 15 to 30% of children and ~5% of adults in industrialized countries 1 . Although the pathogenesis of AD is not fully understood, the disease is mediated by an abnormal immunoglobulin E (IgE) immune response in the setting of skin barrier dysfunction 2 . Mast cells (MCs) contribute to IgE-mediated allergic disorders including AD 3 . Upon activation, MCs release their membrane-bound cytosolic granules leading to the release of multiple molecules that are important in the pathogenesis of AD and host defense 4 . More than 90% of AD patients are colonized with Staphylococcus aureus in the lesional skin whereas most healthy individuals do not harbor the pathogen 5 . Several Staphylococcal exotoxins (SEs) can act as superantigens and/or antigens in models of AD 6 . However, the role of these SEs in disease pathogenesis remains unclear. Here, we report that culture supernatants of S. aureus contain potent MC degranulation activity. Biochemical analysis identified δ-toxin as the MC degranulation-inducing factor produced by S. aureus. MC degranulation induced by δ-toxin depended on phosphoinositide 3-kinase (PI3K) and calcium (Ca2+) influx, but unlike that mediated by IgE crosslinking, it did not require the spleen tyrosine kinase (Syk). In addition, IgE enhanced δ-toxin-induced MC degranulation in the absence of antigen. Furthermore, S. aureus isolates recovered from AD patients produced high levels of δ-toxin. Importantly, skin colonization with S. aureus, but not a mutant deficient in δ-toxin, promoted IgE and IL-4 production, as well as inflammatory skin disease. Furthermore, enhancement of IgE production and dermatitis by δ-toxin was abrogated in KitW-sh/W-sh MC-deficient mice and restored by MC reconstitution. These studies identify δ-toxin as a potent inducer of MC degranulation and suggest a mechanistic link between S. aureus colonization and allergic skin disease. |
| Related Links | http://dx.doi.org/10.1038/nature12655 |
| Ending Page | 401 |
| Page Count | 5 |
| Starting Page | 397 |
| File Format | |
| ISSN | 00280836 |
| e-ISSN | 14764687 |
| Journal | Nature |
| Issue Number | 7476 |
| Volume Number | 503 |
| Language | English |
| Publisher Date | 2013-10-01 |
| Access Restriction | Open |
| Subject Keyword | General Research in Higher Education |
| Content Type | Text |
| Resource Type | Article |
| Subject | Multidisciplinary |
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