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S100A9 drives the chronification of psoriasiform inflammation by inducing IL-23/type 3 immunity

  • Bruno Marcel Silva de Melo
    Affiliations
    Department of Pharmacology, Ribeirão Preto Medical School, University of Sao Paulo, Ribeirão Preto, 14049-900, Brazil

    Center for Research in Inflammatory Diseases, Ribeirao Preto Medical School, University of São Paulo, Ribeirão Preto, 14049-900, Brazil
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  • Flávio Protásio Veras
    Affiliations
    Department of Pharmacology, Ribeirão Preto Medical School, University of Sao Paulo, Ribeirão Preto, 14049-900, Brazil

    Center for Research in Inflammatory Diseases, Ribeirao Preto Medical School, University of São Paulo, Ribeirão Preto, 14049-900, Brazil
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  • Pascale Zwicky
    Affiliations
    Institute of Experimental Immunology, University of Zurich, Zurich, 8045, Switzerland
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  • Diógenes Lima
    Affiliations
    Department of Clinical and Toxicological Analyses, School of Pharmaceutical Sciences, University of Sao Paulo, São Paulo, 05508-000, Brazil
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  • Florian Ingelfinger
    Affiliations
    Institute of Experimental Immunology, University of Zurich, Zurich, 8045, Switzerland
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  • Timna Varela
    Affiliations
    Department of Pharmacology, Ribeirão Preto Medical School, University of Sao Paulo, Ribeirão Preto, 14049-900, Brazil

    Center for Research in Inflammatory Diseases, Ribeirao Preto Medical School, University of São Paulo, Ribeirão Preto, 14049-900, Brazil
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  • Douglas da Silva Prado
    Affiliations
    Department of Pharmacology, Ribeirão Preto Medical School, University of Sao Paulo, Ribeirão Preto, 14049-900, Brazil

    Center for Research in Inflammatory Diseases, Ribeirao Preto Medical School, University of São Paulo, Ribeirão Preto, 14049-900, Brazil
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  • Stefanie Schärli
    Affiliations
    Institute of Experimental Immunology, University of Zurich, Zurich, 8045, Switzerland
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  • Gabriel Publio
    Affiliations
    Department of Pharmacology, Ribeirão Preto Medical School, University of Sao Paulo, Ribeirão Preto, 14049-900, Brazil

    Center for Research in Inflammatory Diseases, Ribeirao Preto Medical School, University of São Paulo, Ribeirão Preto, 14049-900, Brazil
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  • Carlos Hiroji Hiroki
    Affiliations
    Department of Pharmacology, Ribeirão Preto Medical School, University of Sao Paulo, Ribeirão Preto, 14049-900, Brazil

    Center for Research in Inflammatory Diseases, Ribeirao Preto Medical School, University of São Paulo, Ribeirão Preto, 14049-900, Brazil
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  • Paulo Henrique Melo
    Affiliations
    Department of Pharmacology, Ribeirão Preto Medical School, University of Sao Paulo, Ribeirão Preto, 14049-900, Brazil

    Center for Research in Inflammatory Diseases, Ribeirao Preto Medical School, University of São Paulo, Ribeirão Preto, 14049-900, Brazil
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  • André Saraiva
    Affiliations
    Department of Pharmacology, Ribeirão Preto Medical School, University of Sao Paulo, Ribeirão Preto, 14049-900, Brazil

    Center for Research in Inflammatory Diseases, Ribeirao Preto Medical School, University of São Paulo, Ribeirão Preto, 14049-900, Brazil
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  • Thainá Norbiato
    Affiliations
    Department of Pharmacology, Ribeirão Preto Medical School, University of Sao Paulo, Ribeirão Preto, 14049-900, Brazil

    Center for Research in Inflammatory Diseases, Ribeirao Preto Medical School, University of São Paulo, Ribeirão Preto, 14049-900, Brazil
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  • Leonardo Lima
    Affiliations
    Center for Research in Inflammatory Diseases, Ribeirao Preto Medical School, University of São Paulo, Ribeirão Preto, 14049-900, Brazil

    Department of Cell Biology, Ribeirão Preto Medical School, University of Sao Paulo, Ribeirao Preto, 14049-900, Brazil
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  • Bernhard Ryffel
    Affiliations
    CNRS, UMR7355, Orleans, 45071, France
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  • Thomas Vogl
    Affiliations
    Institute of Immunology, University of Münster, D-48149 Münster, Germany
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  • Johannes Roth
    Affiliations
    Institute of Immunology, University of Münster, D-48149 Münster, Germany
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  • Ari Waisman
    Affiliations
    Institute for Molecular Medicine, University Medical Center of the Johannes Gutenberg, University of Mainz, Mainz, Germany
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  • Helder I. Nakaya
    Affiliations
    Department of Clinical and Toxicological Analyses, School of Pharmaceutical Sciences, University of Sao Paulo, São Paulo, 05508-000, Brazil

    Hospital Israelita Albert Einstein, São Paulo, 05620-900, Brazil
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  • Cacilda da Silva Souza
    Affiliations
    Department of Internal Medicine, Dermatology Division, Ribeirao Preto Medical School, University of Sao Paulo, Ribeirao Preto, 14049-900, Brazil
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  • Fernando Q. Cunha
    Affiliations
    Department of Pharmacology, Ribeirão Preto Medical School, University of Sao Paulo, Ribeirão Preto, 14049-900, Brazil

    Center for Research in Inflammatory Diseases, Ribeirao Preto Medical School, University of São Paulo, Ribeirão Preto, 14049-900, Brazil
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  • Thiago M. Cunha
    Affiliations
    Department of Pharmacology, Ribeirão Preto Medical School, University of Sao Paulo, Ribeirão Preto, 14049-900, Brazil

    Center for Research in Inflammatory Diseases, Ribeirao Preto Medical School, University of São Paulo, Ribeirão Preto, 14049-900, Brazil
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  • Burkhard Becher
    Affiliations
    Institute of Experimental Immunology, University of Zurich, Zurich, 8045, Switzerland
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  • José C. Alves-Filho
    Correspondence
    Corresponding author: José Carlos Alves-Filho, PhD, Department of Pharmacology, Ribeirao Preto Medical School, University of Sao Paulo, Avenida Bandeirantes, 3900, Ribeirao Preto, Sao Paulo, Brazil, 14049-900, Brazil,
    Affiliations
    Department of Pharmacology, Ribeirão Preto Medical School, University of Sao Paulo, Ribeirão Preto, 14049-900, Brazil

    Center for Research in Inflammatory Diseases, Ribeirao Preto Medical School, University of São Paulo, Ribeirão Preto, 14049-900, Brazil
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Published:March 13, 2023DOI:https://doi.org/10.1016/j.jid.2023.02.026

      ABSTRACT

      Psoriasis is a chronic inflammatory skin disorder driven by IL-23/type-3 immune response. However, molecular mechanisms sustaining the chronicity of inflammation and psoriatic lesions remain elusive. Combining systematic analyses of several transcriptomic datasets, we delineated gene signatures across human psoriatic skin, identifying S100A9 as one of the most up-regulated genes, confirmed in lesioned skin from psoriasis patients and preclinical psoriasiform skin inflammation models. Genetic ablation or pharmacological inhibition of S100A9 alleviated Aldara-induced skin inflammation. By single-cell mapping of human psoriatic skin and bone-marrow chimeric mice experiments, we identified keratinocytes as the major source of S100A9. Mechanistically, S100A9 induced IL-23 production by dendritic cells, driving the IL-23/type-3 immunity in psoriasiform skin inflammation. Besides, the cutaneous IL-23/IL-17 axis induced epidermal S100A9 expression in human and experimental psoriasis. Thus, we demonstrated an autoregulatory circuit between keratinocyte-derived S100A9 and IL-23/type-3 immunity during psoriasiform inflammation, identifying a crucial function of S100A9 in the chronification of psoriasis.

      Graphical abstract

      Keywords

      ABBREVIATIONS:

      BMDCS (BONE MARROW-DERIVED DENDRITIC CELLS (BMDCS)), BSA (BODY SURFACE AREA), DCS (DENDRITIC CELLS), DMEM (DULBECCO'S MODIFIED EAGLE'S), DNASE (DEOXYRIBONUCLEASE), ECS (ENDOTHELIAL CELLS), FCS (FETAL CALF SÉRUM (FCS)), GM-CSF (GRANULOCYTE-MACROPHAGE COLONY-STIMULATING FACTOR), HACAT (HUMAN KERATINOCYTES CELL LINE), HE (HEMATOXYLIN AND EOSIN), IMQ (IMIQUIMOD), KRT14 (KERATIN 14), KRT17 (KERATIN 17), PAQ (PAQUINIMOD), PASI (PSORIASIS AREA AND SEVERITY INDEX), PFA (PARAFORMALDEHYDE), SCRNA-SEQ (SIGLE CELL RNA SEQUENCING - SCRNASEQ), SDLNS (SKIN-DRAINING LYMPH NODES), TBST (TRIS-BUFFERED SALINE TWEEN), UMAP (UNIFORM MANIFOLD APPROXIMATION AND PROJECTION), UTK (USTEKINUMAB), VSMCS (VASCULAR SMOOTH MUSCLE CELLS (VSMCS))
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