LL37 is produced by skin injury and bacterial infection and plays an important role
in the early stages of psoriasis. In particular, the intracellular receptors toll-like
receptors (TLR)3, TLR7, TLR8, and TLR9 are thought to be involved in the pathogenesis
of psoriasis in conjunction with LL37, but the interaction between TLR7/8 and LL37
in keratinocytes (KCs) remains unclear. This study aimed to clarify the relationship
between LL37 and TLR7/8 in KCs and their involvement in the pathogenetic pathways
seen in psoriasis using cultured KCs and skin samples of patients with psoriasis.
TLR7/8 was induced by LL37 in KCs. TLR8 but not TLR7 functionally induced many psoriasis-related
molecules, whereas IL-17C was not altered by the blockade of TLR7/8. Although costimulation
of LL37 with self-RNA/DNA did not show any interaction, LL37 itself would promote
psoriasis-related genes. IL-36 receptor antagonistic antibody suppressed IL-17C induced
by LL37. In psoriatic epidermis, LL37, TLRs, IL-17C, and IL-36γ expressions were increased
and coexpressed with each other. Thus, we concluded that LL37 activates TLR8 in KCs
and induces IL-17C through the induction of IL-36γ. Regulation of TLR8 or LL37 in
KCs could be a potential therapeutic strategy for psoriatic inflammation.
Abbreviations:
DC (dendritic cell), dsRNA (double-stranded RNA), KC (keratinocyte), NHEK (normal human epidermal keratinocyte), TLR (toll-like receptor)To read this article in full you will need to make a payment
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References
- IMO-8400, a toll-like receptor 7, 8, and 9 antagonist, demonstrates clinical activity in a phase 2a, randomized, placebo-controlled trial in patients with moderate-to-severe plaque psoriasis.Clin Immunol. 2017; 174: 63-72
- Ultraviolet radiation damages self noncoding RNA and is detected by TLR3.Nat Med. 2012; 18: 1286-1290
- Psoriasis.Lancet. 2015; 386: 983-994
- Integrative responses to IL-17 and TNF-α in human keratinocytes account for key inflammatory pathogenic circuits in psoriasis.J Invest Dermatol. 2011; 131: 677-687
- IL-17 induces an expanded range of downstream genes in reconstituted human epidermis model.PLoS One. 2014; 9e90284
- LL-37, the neutrophil granule- and epithelial cell-derived cathelicidin, utilizes formyl peptide receptor-like 1 (FPRL1) as a receptor to chemoattract human peripheral blood neutrophils, monocytes, and T cells.J Exp Med. 2000; 192: 1069-1074
- Epidermal barrier reaction to an in vitro psoriatic microenvironment.Exp Cell Res. 2017; 360: 180-188
- Cutaneous injury induces the release of cathelicidin anti-microbial peptides active against group A Streptococcus.J Invest Dermatol. 2001; 117: 91-97
- Autoantigens ADAMTSL5 and LL37 are significantly upregulated in active Psoriasis and localized with keratinocytes, dendritic cells and other leukocytes.Exp Dermatol. 2017; 26: 1075-1082
- Generation and functional characterization of anti-human and anti-mouse IL-36R antagonist monoclonal antibodies.mAbs. 2017; 9: 1143-1154
- Self-RNA-antimicrobial peptide complexes activate human dendritic cells through TLR7 and TLR8.J Exp Med. 2009; 206: 1983-1994
- Assembly and localization of toll-like receptor signalling complexes.Nat Rev Immunol. 2014; 14: 546-558
- Psoriasis triggered by toll-like receptor 7 agonist imiquimod in the presence of dermal plasmacytoid dendritic cell precursors.Arch Dermatol. 2004; 140: 1490-1495
- Antimicrobial peptides and self-DNA in autoimmune skin inflammation.Curr Opin Immunol. 2008; 20: 401-407
- Identification of the cathelicidin peptide LL-37 as agonist for the type I insulin-like growth factor receptor.Oncogene. 2012; 31: 352-365
- IL-36 signaling in keratinocytes controls early IL-23 production in psoriasis-like dermatitis.Life Sci Alliance. 2020; 3e202000688
- IL-17 family: cytokines, receptors and signaling.Cytokine. 2013; 64: 477-485
- IL-17C: A unique epithelial cytokine with potential for targeting across the Spectrum of atopic dermatitis and psoriasis.J Invest Dermatol. 2018; 138: 1467-1469
- Effect of costimulatory blockade with abatacept after ustekinumab withdrawal in patients with moderate to severe plaque psoriasis: the PAUSE randomized clinical trial.JAMA Dermatol. 2021; 157: 1306-1315
- Psoriasis pathogenesis and the development of novel targeted immune therapies.J Allergy Clin Immunol. 2017; 140: 645-653
- Neutrophil extracellular trap-associated RNA and LL37 enable self-amplifying inflammation in psoriasis.Nat Commun. 2020; 11: 105
- A toll-like receptor 7, 8, and 9 antagonist inhibits Th1 and Th17 responses and inflammasome activation in a model of IL-23-induced psoriasis.J Invest Dermatol. 2013; 133: 1777-1784
- Keratinocyte overexpression of IL-17C promotes psoriasiform skin inflammation.J Immunol. 2013; 190: 2252-2262
- The Spectrum of Mild to Severe psoriasis vulgaris Is Defined by a Common Activation of IL-17 Pathway Genes, but with Key Differences in Immune Regulatory Genes.J Invest Dermatol. 2016; 136: 2173-2182
- Various members of the toll-like receptor family contribute to the innate immune response of human epidermal keratinocytes.Immunology. 2005; 114: 531-541
- Neutrophils: Cinderella of innate immune system.Int Immunopharmacol. 2010; 10: 1325-1334
- Plasmacytoid dendritic cells sense self-DNA coupled with antimicrobial peptide.Nature. 2007; 449: 564-569
- Human keratinocytes express functional toll-like receptor 3, 4, 5, and 9.J Invest Dermatol. 2007; 127: 331-341
- Crystallinity of double-stranded RNA-antimicrobial peptide complexes modulates toll-like receptor 3-mediated inflammation.ACS Nano. 2017; 11: 12145-12155
- Alarmin function of cathelicidin antimicrobial peptide LL37 through IL-36γ induction in human epidermal keratinocytes.J Immunol. 2014; 193: 5140-5148
- Roles of TLR7 in activation of NF-κB signaling of keratinocytes by imiquimod.PLoS One. 2013; 8e77159
- Interleukin 17A: toward a new understanding of psoriasis pathogenesis.J Am Acad Dermatol. 2014; 71: 141-150
- IL-36 and IL-17A cooperatively induce a psoriasis-like gene expression response in human keratinocytes.J Invest Dermatol. 2021; 141: 2086-2090
- Cathelicidin antimicrobial peptide LL-37 in psoriasis enables keratinocyte reactivity against TLR9 ligands.J Invest Dermatol. 2012; 132: 135-143
- TH2 cytokines and Staphylococcus aureus cooperatively induce atopic dermatitis-like transcriptomes.Allergy. 2021; 76: 3534-3537
- Skin immune sentinels in health and disease.Nat Rev Immunol. 2009; 9: 679-691
- The history of toll-like receptors - redefining innate immunity.Nat Rev Immunol. 2013; 13: 453-460
- Imiquimod 5% cream induced psoriasis: a case report, summary of the literature and mechanism.Br J Dermatol. 2011; 164: 670-672
- IL-17C regulates the innate immune function of epithelial cells in an autocrine manner.Nat Immunol. 2011; 12: 1159-1166
- Control of the innate epithelial antimicrobial response is cell-type specific and dependent on relevant microenvironmental stimuli.Immunology. 2006; 118: 509-519
- Cathelicidins modulate TLR-activation and inflammation.Front Immunol. 2020; 11: 1137
- Suppression of molecular inflammatory pathways by toll-like receptor 7, 8, and 9 antagonists in a model of IL-23-induced skin inflammation.PLoS One. 2013; 8e84634
- The antimicrobial peptide LL-37 activates innate immunity at the airway epithelial surface by transactivation of the epidermal growth factor receptor.J Immunol. 2003; 171: 6690-6696
- Imiquimod-induced psoriasis-like skin inflammation in mice is mediated via the IL-23/IL-17 axis.J Immunol. 2009; 182: 5836-5845
- Human antimicrobial protein hCAP18/LL-37 promotes a metastatic phenotype in breast cancer.Breast Cancer Res. 2009; 11: R6
- Antimicrobial peptide LL37 and MAVS signaling drive interferon-β production by epidermal keratinocytes during skin injury.Immunity. 2016; 45: 119-130
Article info
Publication history
Published online: December 06, 2022
Accepted:
October 26,
2022
Received in revised form:
October 25,
2022
Received:
February 22,
2022
accepted manuscript published online XXX; corrected proof published online XXXPublication stage
In Press Journal Pre-ProofIdentification
Copyright
© 2022 The Authors. Published by Elsevier, Inc. on behalf of the Society for Investigative Dermatology.