Abstract
The immune system is complex and as a result, its dysregulations are even more difficult to understand. Atopy is a syndrome with apparent immune dysregulation. And so are atopic skin diseases, especially atopic dermatitis or eczema [1, 2]. Knowledge of normal immune function is necessary in order to understand aberrations such as atopy. This also is true for the skin where a good understanding of atopic skin diseases is only possible with adequate knowledge of the normal immune function of skin. In this chapter, the skin immune system (SIS) will be described. The SIS embodies the set of immune-response associated cellular and molecular elements of the human integument. Together they act as the physiological immune defense system of skin. There are numerous dysregulations of SIS. Those abnormalities in atopic skin diseases that can be directly related to the components of SIS will be referred to.
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References
Bos JD, Wierenga EA, Sillevis Smitt JH, Van der Heijden FL, Kapsenberg ML (1992) Immune dysregulation in atopic eczema. Arch Dermatol 128: 1509–1512
Bos JD, Kapsenberg ML, Sillevis Smitt JH (1994) Pathogenesis of atopic eczema. Lancet 343: 1338–1341
Fichtelius KE, Groth 0, Liden S (1970) The skin, a first level lymphoid organ? Int Arch Allergy 37: 607–620
Hershey GKK, Friedrich MF, Esswein LA, Thoman ML, Chatila TA (1997) The association of atopy with a gain-of-function mutation in the a subunit of the interleukin-4 receptor. N Engl J Med 337: 1720–1725
Mao XQ, Shirakawa T, Yoshikawa T, Yoshikawa K, Kawai M, Sasaki S, Enomoto T, Hashimoto T, Furuyama J, Hopkin JM et al (1996) Association between genetic variants of mast-cell chymase and eczema. Lancet 348: 581–583
Bos JD, Kapsenberg ML (1986) The skin immune system (SIS): its cellular constituents and their interactions. Immunol Today 7: 235–240
Streilein JW (1978) Lymphocyte traffic, T cell malignancies and the skin. J Invest Der-matol 71: 167–171
Sontheimer RD (1989) Perivascular dendritic macrophages as immunobiological con-stituents of the human dermal perivascular unit. J Invest Dermatol 93: 96S–101S
Nickoloff BJ (ed) (1993) Dermal immune system. CRC Press, Boca Raton
Chu AC, Morris JF (1997) The Keratinocyte. In: JD Bos (ed): Skin immune system (SIS): Cutaneous immunology and clinical immunodermatology. CRC Press, Boca Raton, 43–57
Barker JNMN, Mitra RS, Griffiths CEM, Dixit VH, Nickoloff BJ (1991) Keratinocytes as initiators of inflammation. Lancet 337: 211–214
Pastore S, Fanales-Belasio E, Albanesi C, Chinni LM, Giannetti A, Girolomoni G (1997) Granulocyte macrophage colony-stimulating factor is overproduced by keratinocytes in atopic dermatitis. Implications for sustained dendritic cell activation in the skin. J Clin Invest 99: 3009–3017
Pastore S, Corinti C, La Placa M, Didona B, Girolomoni G (1998) Interferon-7 promotes exaggerated cytokine production in keratinocytes cultured from patients with atopic dermatitis. J Allergy Clin Immunol 101: 538–544
Teunissen MBM, Kapsenberg ML, Bos JD (1997) Langerhans cells and related skin dendritic cells. In: JD Bos (ed): Skin immune system (SIS): Cutaneous immunology and clinical immunodermatology. CRC Press, Boca Raton, 59–83
Bruijnzeel-Koomen C, Van Wichen DF, Toonstra J, Berrens L, Bruijnzeel PLB (1986) The presence of IgE molecules on epidermal Langerhans cells in patients with atopic dermatitis. Arch Dermatol Res 278: 199–205
Van der Heijden FL, Van Neerven RJJ, Van Katwijk M, Bos JD, Kapsenberg ML (1993) Serum-IgE-facilitated allergen presentation in atopic disease. J Immunol 150: 3643–3650
Cooper KD, Oberhelman L, Hamilton TA, Baadsgaard O, Terhune M, LeVee G, Anderson T, Koren H (1992) UV exposure reduces immunization rates and promotes tolerance to episutaneous antigens in humans: relationship to dose, CD1a- DR+ epidermal macrophage induction, and Langerhans cell depletion. Proc Nat Acad Sci 89: 8497–8501
Rowden G (1997) Macrophages and dendritic cells in the skin. In: JD Bos (ed): Skin immune system (SIS): Cutaneous immunology and clinical immunodermatology. CRC Press, Boca Raton, 109–146
Chan SC, Li S-H, Hanifin JM (1993) Increased interleukin-4 production by atopic mononuclear leukocytes correlates with increased cyclic adenosine monophosphatephosphodiesterase activity and is reversible by phosphodiesterase inhibition. J Invest Dermatol 100: 681–684
Van Loveren H, Redegeld F, Matsuda H, Buckley Th, Teppema JS, Garssen J (1997) Mast cells. In: JD Bos (ed): Skin immune system (SIS): Cutaneous immunology and clinical immunodermatology. CRC Press, Boca Raton, 159–184
Bos JD, Zonneveld I, Das PK, Krieg SR, Van der Loos ChM, Kapsenberg ML (1987) The skin immune system (SIS): distribution and immunophenotype of lymphocyte sub-populations in normal human skin. J Invest Dermatol 88: 569–573
Foster CA, Elbe A (1997) Lymphocyte subpopulations of the skin. In: JD Bos (ed.): Skin immune system (SIS): Cutaneous immunology and clinical immunodermatology. CRC Press, Boca Raton, 85–108
Bos JD, Teunissen MBM, Cairo I, Krieg SR, Kapsenberg ML, Das PK, Borst J (1990) T cell receptor gamma/delta bearing cells in normal human skin. J Invest Dermatol 94: 37–42
Pène J, Rousset F, Brièré F, Chretien I, Bonnefoy JY, Spits H, Yokota T, Arai N, Banchereau J, De Vries JE (1988) IgE production by normal human lymphocytes is induced by interleukin 4 and suppressed by interferons y and a and prostaglandin E2. Proc Natl Acad Sci USA 85: 6880–6884
Kapsenberg ML, Wierenga EA, Bos JD, Jansen HM (1991) Functional subsets of allergen-reactive human CD4+ T-cells. Immunol Today 12: 392–395
Wierenga EA, Snoek M, De Groot C, Chretien I, Bos JD, Jansen HM, Kapsenberg ML (1990) Evidence for compartmentalization of functional subsets of CD4+ T lymphocytes in atopic patients. J Immunol 144: 4651–4656
Van der Heijden FL, Wierenga EA, Bos JD, Kapsenberg ML (1991) High frequency of IL-4-producing CD4+ allergen-specific T lymphocytes in atopic dermatitis lesional skin. J Invest Dermatol 97: 389–394
Thepen T, Langeveld-Wildschut EG, Bihari IC, van Wichen DF, van Reijsen FC, Mudde GC, Bruijnzeel-Koomen CA (1996) Biphasic response against aeroallergen in atopic dermatitis showing a switch from an initial Th2 response to a Thl response in situ: an immunocytochemical study. J Allergy Clin Immunol 97: 828–837
Sillevis Smitt JH, Bos JD, Hulsebosch HJ, Krieg SR (1986) In situ immunophenotyping of antigen presenting cells and T cell subsets in atopic dermatitis. Clin Exp Dermatol 11: 159–168
Kägi MK, Wiithrich B, Montano E, Barandun J, Blaser K, Walker Ch (1994) Differential cytokine profiles in peripheral blood lymphocyte supernatants and skin biopsies from patients with different forms of atopic dermatitis, psoriasis and normal individuals. Int Arch Allergy Immunol 103: 332–340
Bos JD, Van Leent EJM, Sillevis Smitt JH (1998) The millennium criteria for the diagnosis of atopic dermatitis. Exp Dermatol 7: 132–138
Bos JD (ed) (1997) Skin immune system (SIS): Cutaneous immunology and clinical immunodermatology. CRC Press, Boca Raton
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Bos, J.D. (2000). Skin immune system (SIS). In: Bruijnzeel-Koomen, C.A.F.M., Knol, E. (eds) Immunology and Drug Therapy of Allergic Skin Diseases. Progress in Inflammation Research. Birkhäuser, Basel. https://doi.org/10.1007/978-3-0348-8464-8_1
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DOI: https://doi.org/10.1007/978-3-0348-8464-8_1
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