Dermatol. praxi. 2014;8(1):6-10

Defects of innate immunity - new pathogenetic aspects of atopic dermatitis

doc.MUDr.Dušan Buchvald, CSc.
Detská dermatovenerologická klinika LFUK a DFNsP, Bratislava

A growing body of evidence suggests that there are a variety of defects in the innate immune system that collectively affect the development

and severity of atopic dermatitis. Genetically based impairment of the epidermal barrier, modifications of pattern recognition

receptors and deficiency of antimicrobial peptides facilitate the entry of allergens and infectious microbes into the skin, where they

encounter immunocompetent cells. The defects of innate immunity not only encourage the evolution of immediate type hypersensitivity

to atopic allergens, but also explain susceptibility of atopic dermatitis patients to pathogens such as Staphylococcus aureus and

herpes simplex virus.

Keywords: atopic dermatitis, innate immunity, epidermal barrier, toll-like receptor, antimicrobial peptide

Published: June 15, 2014  Show citation

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Buchvald D. Defects of innate immunity - new pathogenetic aspects of atopic dermatitis. Dermatol. praxi. 2014;8(1):6-10.
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References

  1. Bos JD, Meinardi MM. The 500 Dalton rule for the skin penetration of chemical compounds and drugs. Exp Dermatol 2000; 9(3): 165-169. Go to original source... Go to PubMed...
  2. Niessen CM. Tight junctions/adherens junctions: basic structure and function. J Invest Dermatol 2007; 127(11): 2525-2532. Go to original source... Go to PubMed...
  3. Bieber T. Atopic dermatitis. N Engl J Med 2008; 358(14): 1483-1494. Go to original source... Go to PubMed...
  4. Hanifin JM. Evolving concepts of pathogenesis in atopic dermatitis and other eczemas. J Invest Dermatol 2009; 129(2): 320-322. Go to original source... Go to PubMed...
  5. Elias PM, Hatano Y, Williams ML. Basis for the barrier abnormality in atopic dermatitis: Outside-inside-outside pathogenic mechanisms. J Allergy Clin Immunol 2008; 121(6): 1337-1343. Go to original source... Go to PubMed...
  6. McGrath JA, Uitto J. The filaggrin story: novel insights into skin-barrier function and disease. Trends Mol Med 2008; 14(1): 20-27. Go to original source... Go to PubMed...
  7. Palmer CN, Irvine AD, Terron-Kwiatkowski A, Zhao Y, Liao H, Lee SP, Goudie DR, Sandilands A, Campbell LE, Smith FJ, O'Regan GM, Watson RM, Cecil JE, Bale SJ, Compton JG, DiGiovanna JJ, Fleckman P, Lewis-Jones S, Arseculeratne G, Sergeant A, Munro CS, El HB, McElreavey K, Halkjaer LB, Bisgaard H, Mukhopadhyay S, McLean WH. Common loss-of-function variants of the epidermal barrier protein filaggrin are a major predisposing factor for atopic dermatitis. Nat Genet 2006; 38(4): 441-446. Go to original source... Go to PubMed...
  8. O'Regan GM, Sandilands A, McLean WH, Irvine AD. Filaggrin in atopic dermatitis. J Allergy Clin Immunol 2008; 122(4): 689-693. Go to original source... Go to PubMed...
  9. De Benedetto A, Rafaels NM, McGirt LY, Ivanov AI, Georas SN, Cheadle C, Berger AE, Zhang K, Vidyasagar S, Yoshida T, Boguniewicz M, Hata T, Schneider LC, Hanifin JM, Gallo RL, Novak N, Weidinger S, Beaty TH, Leung DY, Barnes KC, Beck LA. Tight junction defects in patients with atopic dermatitis. J Allergy Clin Immunol 2011; 127(3): 773-786. Go to original source... Go to PubMed...
  10. Cork MJ, Robinson DA, Vasilopoulos Y, Ferguson A, Moustafa M, MacGowan A, Duff GW, Ward SJ, Tazi-Ahnini R. New perspectives on epidermal barrier dysfunction in atopic dermatitis: gene-environment interactions. J Allergy Clin Immunol 2006; 118(1): 3-21. Go to original source... Go to PubMed...
  11. Jensen JM, Folster-Holst R, Baranowsky A, Schunck M, Winoto-Morbach S, Neumann C, Schutze S, Proksch E. Impaired sphingomyelinase activity and epidermal differentiation in atopic dermatitis. J Invest Dermatol 2004; 122(6): 1423-1431. Go to original source... Go to PubMed...
  12. Hara J, Higuchi K, Okamoto R, Kawashima M, Imokawa G. High-expression of sphingomyelin deacylase is an important determinant of ceramide deficiency leading to barrier disruption in atopic dermatitis. J Invest Dermatol 2000; 115(3): 406-413. Go to original source... Go to PubMed...
  13. Fartasch M, Bassukas ID, Diepgen TL. Disturbed extruding mechanism of lamellar bodies in dry non-eczematous skin of atopics. Br J Dermatol 1992; 127(3): 221-227. Go to original source... Go to PubMed...
  14. De Benedetto A, Agnihothri R, McGirt LY, Bankova LG, Beck LA. Atopic dermatitis: a disease caused by innate immune defects? J Invest Dermatol 2009; 129(1): 14-30. Go to original source... Go to PubMed...
  15. McGirt LY, Beck LA. Innate immune defects in atopic dermatitis. J Allergy Clin Immunol 2006; 118(1): 202-208. Go to original source... Go to PubMed...
  16. Ahmad-Nejad P, Mrabet-Dahbi S, Breuer K, Klotz M, Werfel T, Herz U, Heeg K, Neumaier M, Renz H. The toll-like receptor 2 R753Q polymorphism defines a subgroup of patients with atopic dermatitis having severe phenotype. J Allergy Clin Immunol 2004; 113(3): 565-567. Go to original source... Go to PubMed...
  17. Voss E, Wehkamp J, Wehkamp K, Stange EF, Schroder JM, Harder J. NOD2/CARD15 mediates induction of the antimicrobial peptide human beta-defensin-2. J Biol Chem 2006; 281(4): 2005-2011. Go to original source... Go to PubMed...
  18. Howell MD, Wollenberg A, Gallo RL, Flaig M, Streib JE, Wong C, Pavicic T, Boguniewicz M, Leung DY. Cathelicidin deficiency predisposes to eczema herpeticum. J Allergy Clin Immunol 2006; 117(4): 836-841. Go to original source... Go to PubMed...
  19. Nomura I, Goleva E, Howell MD, Hamid QA, Ong PY, Hall CF, Darst MA, Gao B, Boguniewicz M, Travers JB, Leung DY. Cytokine milieu of atopic dermatitis, as compared to psoriasis, skin prevents induction of innate immune response genes. J Immunol 2003; 171(6): 3262-3269. Go to original source... Go to PubMed...
  20. Kuo IH, Yoshida T, de BA, Beck LA. The cutaneous innate immune response in patients with atopic dermatitis. J Allergy Clin Immunol 2013; 131(2): 266-278. Go to original source... Go to PubMed...
  21. Howell MD, Boguniewicz M, Pastore S, Novak N, Bieber T, Girolomoni G, Leung DY. Mechanism of HBD-3 deficiency in atopic dermatitis. Clin Immunol 2006; 121(3): 332-338. Go to original source... Go to PubMed...
  22. Liang SC, Tan XY, Luxenberg DP, Karim R, Dunussi-Joannopoulos K, Collins M, Fouser LA. Interleukin (IL)-22 and IL-17 are coexpressed by Th17 cells and cooperatively enhance expression of antimicrobial peptides. J Exp Med 2006; 203(10): 2271-2279. Go to original source... Go to PubMed...




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