Inhibition of NK cell activity by IL-17 allows vaccinia virus to induce severe skin lesions in a mouse model of eczema vaccinatum

Threats of bioterrorism have renewed efforts to better understand poxvirus pathogenesis and to develop a safer vaccine against smallpox. Individuals with atopic dermatitis are excluded from smallpox vaccination because of their propensity to develop eczema vaccinatum, a disseminated vaccinia virus (...

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Veröffentlicht in:The Journal of experimental medicine 2009-06, Vol.206 (6), p.1219-1225
Hauptverfasser: Kawakami, Yuko, Tomimori, Yoshiaki, Yumoto, Kenji, Hasegawa, Shunji, Ando, Tomoaki, Tagaya, Yutaka, Crotty, Shane, Kawakami, Toshiaki
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container_issue 6
container_start_page 1219
container_title The Journal of experimental medicine
container_volume 206
creator Kawakami, Yuko
Tomimori, Yoshiaki
Yumoto, Kenji
Hasegawa, Shunji
Ando, Tomoaki
Tagaya, Yutaka
Crotty, Shane
Kawakami, Toshiaki
description Threats of bioterrorism have renewed efforts to better understand poxvirus pathogenesis and to develop a safer vaccine against smallpox. Individuals with atopic dermatitis are excluded from smallpox vaccination because of their propensity to develop eczema vaccinatum, a disseminated vaccinia virus (VACV) infection. To study the underlying mechanism of the vulnerability of atopic dermatitis patients to VACV infection, we developed a mouse model of eczema vaccinatum. Virus infection of eczematous skin induced severe primary erosive skin lesions, but not in the skin of healthy mice. Eczematous mice exhibited lower natural killer (NK) cell activity but similar cytotoxic T lymphocyte activity and humoral immune responses. The role of NK cells in controlling VACV-induced skin lesions was demonstrated by experiments depleting or transferring NK cells. The proinflammatory cytokine interleukin (IL)-17 reduced NK cell activity in mice with preexisting dermatitis. Given low NK cell activities and increased IL-17 expression in atopic dermatitis patients, these results can explain the increased susceptibility of atopic dermatitis patients to eczema vaccinatum.
doi_str_mv 10.1084/jem.20082835
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subjects Animals
Brief Definitive Report
Cells, Cultured
Dermatitis, Atopic - immunology
Dermatitis, Atopic - pathology
Disease Models, Animal
Disease Susceptibility - immunology
Disease Susceptibility - virology
Humans
Interleukin-17 - genetics
Interleukin-17 - immunology
Kaposi Varicelliform Eruption - immunology
Kaposi Varicelliform Eruption - pathology
Kaposi Varicelliform Eruption - virology
Killer Cells, Natural - cytology
Killer Cells, Natural - immunology
Mice
Poxvirus
Skin - immunology
Skin - pathology
Skin - virology
Smallpox - immunology
Vaccinia virus
Vaccinia virus - immunology
title Inhibition of NK cell activity by IL-17 allows vaccinia virus to induce severe skin lesions in a mouse model of eczema vaccinatum
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