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Transcutaneous allergen uptake and processing and its consequences for T-cell priming in atopic dermatitis

Applicant Professor Dr. Michael P. Schön, since 10/2012
Subject Area Dermatology
Term from 2011 to 2019
Project identifier Deutsche Forschungsgemeinschaft (DFG) - Project number 200271898
 
Final Report Year 2019

Final Report Abstract

We have developed a skin barrier-impaired mouse model in which the two structural proteins filaggrin (Flg) and hornerin (Hrnr) have been deleted. Flg and Hrnr share functional and structural features and mutations in both genes are associated with an increased risk to develop atopic diseases, e.g. atopic dermatitis. Although clinical and epidemiological studies have implicated skin barrier genes in allergological pathways, the mechanistic basis of this connection is only partially understood. The fine-tuning of the susceptibility to contact allergy is not fully understood. Skin barrier defects may facilitate cutaneous sensitization due to increased allergen-penetration. In this respect, our mouse model reflects the situation in humans, and is superior to other models with barrier-impairment. The major results and achievements of our work are as follows: 1. Generation of filaggrin/hornerin-double-knockout (FlgHrnr-/-) mice. 2. FlgHrnr-/- mice develop a transient flaky phenotype at young ages, but otherwise no overt skin phenotype at adulthood. A subclinical barrier defect was detectable on the molecular level. 3. This contributed to contact allergy development and cutaneous inflammatory processes in general. In detail, low concentrations of haptens sufficed to activate the complex immune cascade in FlgHrnr-/- mice. Our work highlights the contribution of skin barrier impairment in allergic sensitization prior to overt symptoms, and carries implications for individuals at risk, e.g. in occupational settings. Together, despite of an apparently functional skin barrier under basal conditions, FlgHrnrdeficient mice are predisposed to mount increased cutaneous inflammatory reaction. This immune dysregulation might account not only for inflammatory skin diseases, but also influences the development of eczema-associated asthma and allergies.

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