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A type of human skin dendritic cell marked by CD5 is associated with the development of inflammatory skin disease
Daniel Korenfeld, … , Caroline Mann, Eynav Klechevsky
Daniel Korenfeld, … , Caroline Mann, Eynav Klechevsky
Published September 21, 2017
Citation Information: JCI Insight. 2017;2(18):e96101. https://doi.org/10.1172/jci.insight.96101.
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Research Article Immunology Inflammation

A type of human skin dendritic cell marked by CD5 is associated with the development of inflammatory skin disease

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Abstract

Dendritic cells (DCs) are important in regulating immunity and tolerance and consist of functionally distinct subsets that differentially regulate T lymphocyte function. The underlying basis for this subset specificity is lacking, particularly in humans, where the classification of tissue DCs is currently incomplete. Examination of healthy human epidermal Langerhans cells and dermal skin cells revealed a tissue CD5-expressing DC subtype. The CD5+ DCs were potent inducers of cytotoxic T cells and Th22 cells. The products of these T cells, IL-22 and IFN-γ, play a key role in the pathogenesis of psoriasis. Remarkably, CD5+ DCs were significantly enriched in lesional psoriatic skin compared with distal tissues, suggesting their involvement in the disease. We show that CD5+ DCs can be differentiated from hematopoietic progenitor cells independently of the CD5– DCs. A progenitor population found in human cord blood and in the dermal skin layer, marked as CD34–CD123+CD117dimCD45RA+, was an immediate precursor of these CD11c+CD1c+CD5+ DCs. Overall, our discovery of the CD5-expressing DC subtype suggests that strategies to regulate their composition or function in the skin will represent an innovative approach for the treatment of immune-mediated disorders in and beyond the skin.

Authors

Daniel Korenfeld, Laurent Gorvel, Adiel Munk, Joshua Man, Andras Schaffer, Thomas Tung, Caroline Mann, Eynav Klechevsky

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Figure 1

Identification of Langerhans cells and dermal DC subsets in human skin.

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Identification of Langerhans cells and dermal DC subsets in human skin.
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(A) Top: Expression of CD1a and CD14 on purified skin DCs defines epidermal CD1a+ LCs, dermal CD1adim DCs, and dermal CD14+ DCs subpopulations. Bottom: Expression of CD5 defines subpopulations of CD1ahiLangerin+ LCs and dermal CD1adimCD141– DCs. (B) Relative representation of each human DC subset in normal skin (n = 33). The percentage of individual DC subsets mean ± SD ± SEM of the total migrating DCs (HLA-DR+CD3/19/56–) cells is plotted. Epidermal CD5+ LCs: 6.0% ± 6.15% ± 1.05%; CD5– LCs: 26.9% ± 20.4% ± 3.4%; dermal CD1adim DCs, CD5+: 15.8% ± 12.6% ± 2.16%; CD5–: 37.6% ± 18.9% ± 3.2%; CD141+: 1.09% ± 2% ± 0.3%; dermal CD14+ DCs: 10.2% ± 7.6% ± 1.3%. (C) Morphology of sorted skin CD5+ LCs, CD5– LCs, dermal CD1adimCD5+ DCs, CD1adimCD5– DCs, CD1adimCD141+ DCs, and CD14+ DCs visualized by GIEMSA staining. Scale bar: 10 μM. (D) HLA-DR+CD11c+CD14–CD1c+CD5+ and CD5– DCs from skin epidermis, dermis, blood, and in vitro–differentiated cultures were analyzed for the expression of CD1a, CD11b, Langerin, CD83, CD86, CCR7, and HLA-DR. The plot shows GeoMean intensity, with values of the background staining subtracted. The mean values obtained for 2–4 donors are plotted. (E) Dermal CD1adimCD5+ and CD5– DCs were sorted and stimulated as indicated. Histograms show expression of CD5 on the cells after 6 days of stimulation (red histograms). One representative of 3 donors is shown.

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