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Singh, TP; Schön, MP; Wallbrecht, K; Michaelis, K; Rinner, B; Mayer, G; Schmidbauer, U; Strohmaier, H; Wang, XJ; Wolf, P.
8-methoxypsoralen plus ultraviolet A therapy acts via inhibition of the IL-23/Th17 axis and induction of Foxp3+ regulatory T cells involving CTLA4 signaling in a psoriasis-like skin disorder.
J Immunol. 2010; 184(12): 7257-7267.
Doi: 10.4049/jimmunol.0903719
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- Führende Autor*innen der Med Uni Graz
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Singh Tej Pratap
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Wolf Peter
- Co-Autor*innen der Med Uni Graz
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Rinner Beate
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Strohmaier Heimo
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- Abstract:
- To elucidate the molecular action of 8-methoxypsoralen plus UVA (PUVA), a standard dermatological therapy, we used K5.hTGF-beta1 transgenic mice exhibiting a skin phenotype and cytokine abnormalities with strong similarities to human psoriasis. We observed that impaired function of CD4+CD25+ regulatory T cells (Tregs) and increased cytokine levels of the IL-23/Th17 pathway were responsible for the psoriatic phenotype in this mouse model. Treatment of K5.hTGF-beta1 transgenic mice with PUVA suppressed the IL-23/Th17 pathway, Th1 milieu, as well as transcription factors STAT3 and orphan nuclear receptor RORgammat. PUVA induced the Th2 pathway and IL-10-producing CD4+CD25+Foxp3+Tregs with disease-suppressive activity that was abolished by anti-CTLA4 mAb treatment. These findings were paralleled by macroscopic and microscopic clearance of the diseased murine skin. Anti-IL-17 mAb treatment also diminished the psoriatic phenotype of the mice. This indicated that both induced Tregs involving CTLA4 signaling and inhibition of the IL-23/Th17 axis are central for the therapeutic action of PUVA.
- Find related publications in this database (using NLM MeSH Indexing)
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Animals -
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Antigens, CD - drug effects
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CTLA-4 Antigen -
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Cell Separation -
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Disease Models, Animal -
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Enzyme-Linked Immunosorbent Assay -
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Flow Cytometry -
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Fluorescent Antibody Technique -
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Forkhead Transcription Factors - drug effects
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Humans -
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Immunoassay -
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Immunohistochemistry -
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Interleukin-17 - radiation effects
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Interleukin-23 - drug effects
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Methoxsalen - administration and dosage
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Mice -
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Mice, Transgenic -
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Photosensitizing Agents - administration and dosage
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Phototherapy -
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Psoriasis - immunology
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Reverse Transcriptase Polymerase Chain Reaction -
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Signal Transduction - drug effects
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T-Lymphocyte Subsets - drug effects
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T-Lymphocytes, Regulatory - drug effects
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Transforming Growth Factor beta - genetics
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Ultraviolet Rays -