Results

Thesis & Dissertations

Potential role of T-helper 9 lymphocytes and interleukin (IL)-9 in atopic dermatitis

Abstract

Atopic dermatitis is an itchy, chronic or chronically relapsing, inflammatory skin condition. Many cytokines participate in the inflammatory response of the disease. The aim of this work was to study the role of Th9 cells,PU.1 and IL-9 in the pathogenesis of atopic dermatitis. This study was conducted on three groups, atopic dermatitis patients group composed of thirty patients diagnosed as having atopic dermatitis according to the criteria of Hanifin and Rajka (Hanifin & Rajka,1980), psoriasis control group consisting of thirty control psoriasis patients and a healthy control group comprising thirty healthy age and sex-matched control subjects. All atopic dermatitis patients were examined for determination of their SCORAD score. IL-9, PU.1 expression levels were determined by RQ-PCR and serum Ig E level by ELISA in all groups. The current study showed that IL-9, PU1expression levels and serum IgE levels showed statistically significant higher levels in AD patients compared with the psoriatic and healthy control subjects. In the present study there was also a statistically significant correlation between SCORAD index and each of IL9, PU.1 expression levels and serum IgE level suggesting that they can be used as markers of disease severity. There were no statistically significant differences between patients with positive personal history of other atopic disorders and patients with negative personal history of other atopic disorders regarding IL9, PU.1 expression levels which suggests that the increased levels could be due to atopic dermatitis and not secondary to other allergic diseases.

Student(s)

Marwa Najib Elatrash

Supervisor(s)

Prof. Dr. Ashraf Mahmoud Hamza

List of conferences' participation related to the thesis

1.Ma L, Gao XH, Zhao LP, Di ZH, Mchepange UO, Zhang L, et al. Brain-derived neurotrophic factor gene polymorphisms and serum levels in Chinese atopic dermatitis patients. J Eur Acad Dermatol Venereol 2009; 23:1277–81. 2. Ma L, Zhang L, Di ZH, Zhao LP, Lu YN, Xu J, et al. Association analysis of filaggrin gene mutations and atopic dermatitis in Northern China. Br J Dermatol 2010; 162:225–7. 3. Fukuyama T, Kosaka T, Miyashita L, Nishino R, Wada K, Hayashi K, et al. Role of regulatory T cells in the induction of atopic dermatitis by immunosuppressive chemicals. Toxicol Lett 2012; 213:392–401. 4. Koga C, Kabashima K, Shiraishi, Kobayashi M, Tokura Y. Possible pathogenic role of Th17 cells for atopic dermatitis. J Invest Dermatol 2008;128:2625–30. 5. Ma L, Xue HB, Guan XH, Qi RQ, An RZ, Shu CM, et al. Possible role of Th17 cells and IL-17 in the pathogenesis of atopic dermatitis in northern China. J Dermatol Sci 2012; 68:66–8. 6. Fan Y, Weifeng W, Yuluan Y, Qing K, Yu P, Yanlan H. Treatment with a neutralizing anti-murine interleukin-17 antibody after the onset of coxsackievirus b3-induced viral myocarditis reduces myocardium inflammation. Virol J 2011; 8:17. 7. Yuan J, Yu M, Lin QW, Cao AL, Yu X, Dong JH, et al. Th17 cells contribute to viral replication in coxsackievirus B3-induced acute viral myocarditis. J Immunol 2010; 185:4004–10. 8. Veldhoen M, Uyttenhove C, Van Snick J, Helmby H, Westendorf A, Buer J, et al. Transforming growth factor-beta ‘reprograms’ the differentiation of T helper 2 cells and promotes an IL-9-producing subset. Nat Immunol 2008;9:1341–6. 9. Dardalhon V, Awasthi A, Kwon H, Galileos G, Gao W, Sobel RA, et al. IL-4 inhibits TGF-beta induced Foxp3+ T cells and, together with TGF-beta, generate IL-9+ IL-10+ Foxp3(–) effector T cells. Nat Immunol 2008; 9:1347–55. 10. Ciprandi G. Serum interleukin 9 in allergic rhinitis. Ann Allergy Asthma Immunol 2010; 104:180–1. 11. Xing J, Wu Y, Ni B. Th9: a new player in asthma pathogenesis? J Asthma 2011; 48:115–25. 12. Hanafin JM, Rajka G. Diagnostic features of atopic dermatitis. Acta Dermatol Venereol.1980;92:44-7. 13. Ma L, Xue HB, Guan XH, Shu CM, Zhang JH, Yu J. Possible pathogenic role of T helper type 9 cells and interleukin (IL)-9 in atopic dermatitis. Clinical and Experimental Immunology.2013;175:25-31. 14. Stadler JF, Taïeb A. Severity scoring of atopic dermatitis: the SCORAD index. Consensus Report of the European Task Force on Atopic Dermatitis. Dermatology 1993; 186:23–31. 15. L. Ma, H.-B. Xue, X.-H. Guan,C.-M. Shu J.-H. Zhang, J. Yu.Possible pathogenic role of T helper type 9 cells and interleukin (IL)-9 in atopic dermatitis.British Society for Immunology, Clinical and Experimental Immunology.2013;175: 25–31. doi:10.1111/cei.12198