Volume 73, Issue 9 pp. 1801-1811
ORIGINAL ARTICLE

Allergen-specific immunotherapy induces regulatory T cells in an atopic dermatitis mouse model

J. U. Shin

J. U. Shin

Department of Dermatology & Cutaneous Biology Research Institute, Yonsei University College of Medicine, Seoul, Korea

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S. H. Kim

S. H. Kim

Department of Dermatology & Cutaneous Biology Research Institute, Yonsei University College of Medicine, Seoul, Korea

Brain Korea 21 PLUS Project for Medical Science, Yonsei University College of Medicine, Seoul, Korea

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J. Y. Noh

J. Y. Noh

Department of Dermatology & Cutaneous Biology Research Institute, Yonsei University College of Medicine, Seoul, Korea

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J. H. Kim

J. H. Kim

Department of Dermatology & Cutaneous Biology Research Institute, Yonsei University College of Medicine, Seoul, Korea

Brain Korea 21 PLUS Project for Medical Science, Yonsei University College of Medicine, Seoul, Korea

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H. R. Kim

H. R. Kim

Department of Dermatology & Cutaneous Biology Research Institute, Yonsei University College of Medicine, Seoul, Korea

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K. Y. Jeong

K. Y. Jeong

Department of Internal Medicine, Institute of Allergy, Yonsei University College of Medicine, Seoul, Korea

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K. H. Park

K. H. Park

Department of Internal Medicine, Institute of Allergy, Yonsei University College of Medicine, Seoul, Korea

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J. Lee

J. Lee

Department of Dermatology & Cutaneous Biology Research Institute, Yonsei University College of Medicine, Seoul, Korea

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H. Chu

H. Chu

Department of Dermatology & Cutaneous Biology Research Institute, Yonsei University College of Medicine, Seoul, Korea

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J.-H. Lee

J.-H. Lee

Department of Internal Medicine, Institute of Allergy, Yonsei University College of Medicine, Seoul, Korea

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T.-S. Yong

T.-S. Yong

Department of Environmental Medical Biology, Arthropds of Medical Importance Resource Bank, Institute of Tropical Medicine, Yonsei University College of Medicine, Seoul, Korea

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J.-W. Park

J.-W. Park

Department of Internal Medicine, Institute of Allergy, Yonsei University College of Medicine, Seoul, Korea

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K. H. Lee

Corresponding Author

K. H. Lee

Department of Dermatology & Cutaneous Biology Research Institute, Yonsei University College of Medicine, Seoul, Korea

Brain Korea 21 PLUS Project for Medical Science, Yonsei University College of Medicine, Seoul, Korea

Correspondence

Kwang Hoon Lee, Department of Dermatology and Cutaneous Biology Research Institute, Yonsei University College of Medicine, Seoul, Korea.

Email: [email protected]

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First published: 21 April 2018
Citations: 29

Funding information

This study was supported by a grant from the Ministry of Health & Welfare, Republic of Korea (grant number: HI14C1324).

Shin and Kim are contributed equally to this work and should be considered as first authors.

Abstract

Background

Several studies have demonstrated that allergen-specific immunotherapy (SIT) can be an effective treatment for atopic dermatitis (AD). However, there is no relevant mouse model to investigate the mechanism and validate the novel modality of SIT in AD.

Methods

NC/Nga mice with induced AD-like skin lesions received a subcutaneous injection of SIT (an extract of the house dust mite Dermatophagoides farinae [DfE]) or placebo for 5 weeks). Clinical and histological improvements of AD-like skin lesions were examined. The responses of local and systemic regulatory T (Treg) cells, natural killer (NK) cells, B cells, serum immunoglobulin, and T-cell cytokine response to DfE were evaluated to determine the underlying mechanism of the observed results.

Results

Specific immunotherapy significantly improved AD-like skin lesions. Histologically, SIT decreased epidermal thickness and reduced inflammatory cell infiltration, especially that of eosinophils. Concomitantly, SIT suppressed Th2 responses and induced local infiltration of Treg cells into the skin. Also, SIT induced the immunoglobulin G4 and attenuated allergen-specific immunoglobulin E. Furthermore, SIT induced local and systemic IL-10-producing Treg cells and regulatory NK cells.

Conclusion

We established a SIT model on AD mice and showed that our model correlates well with previous reports about SIT-treated patients. Also, we revealed NK cells as another possible resource of IL-10 in SIT. Based on our results, we suggest our SIT model as a useful tool to investigate mechanism of action of SIT and to validate the efficacy of new SIT modalities for the treatment of AD.

CONFLICTS OF INTEREST

The authors declare that they have no conflicts of interest.

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