Increased Interleukin-19 Expression in Cutaneous T-cell Lymphoma and Atopic Dermatitis

Acta Derm Venereol. 2017 Nov 15;97(10):1172-1177. doi: 10.2340/00015555-2723.

Abstract

Interleukin-19 (IL-19), a pro-inflammatory cytokine known to stimulate the production of T helper type 2 (Th2) cytokines, is induced by IL-17A and highly expressed in the lesional skin of psoriasis and atopic dermatitis (AD). This aim of this study was to investigate whether IL-19 is involved in cutaneous T-cell lym-phoma (CTCL) and AD. IL-19 levels were significantly higher in the sera of patients with AD and those with advanced-stage CTCL than in normal controls, correlating significantly with clinical disease markers. IL-19 mRNA levels in lesional skin of both diseases were significantly elevated. Immunohistochemical staining revealed that IL-19 was expressed in the epidermis of AD skin and CTCL skin. In vitro, IL-17A and IL-4 increased IL-19 mRNA expression in human keratinocytes. Thus, IL-19 was increased in the sera and skin of AD and CTCL. These results suggest that IL-19 is important for bridging Th17 to Th2 in these diseases.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Case-Control Studies
  • Cells, Cultured
  • Dermatitis, Atopic / blood
  • Dermatitis, Atopic / diagnosis
  • Dermatitis, Atopic / metabolism*
  • Epidermis / metabolism*
  • Epidermis / pathology
  • Female
  • Humans
  • Interleukin-17 / metabolism
  • Interleukin-4 / metabolism
  • Interleukins / blood
  • Interleukins / genetics
  • Interleukins / metabolism*
  • Keratinocytes / metabolism
  • Lymphoma, T-Cell, Cutaneous / blood
  • Lymphoma, T-Cell, Cutaneous / diagnosis
  • Lymphoma, T-Cell, Cutaneous / metabolism*
  • Lymphoma, T-Cell, Cutaneous / pathology
  • Male
  • Middle Aged
  • Neoplasm Staging
  • RNA, Messenger / genetics
  • Skin Neoplasms / blood
  • Skin Neoplasms / genetics
  • Skin Neoplasms / metabolism*
  • Skin Neoplasms / pathology
  • Up-Regulation
  • Young Adult

Substances

  • IL17A protein, human
  • IL19 protein, human
  • IL4 protein, human
  • Interleukin-17
  • Interleukins
  • RNA, Messenger
  • Interleukin-4