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The Skin Commensal Yeast Malassezia Triggers a Type 17 Response that Coordinates Anti-fungal Immunity and Exacerbates Skin Inflammation.

Abstract
Commensal fungi of the mammalian skin, such as those of the genus Malassezia, are associated with atopic dermatitis and other common inflammatory skin disorders. Understanding of the causative relationship between fungal commensalism and disease manifestation remains incomplete. By developing a murine epicutaneous infection model, we found Malassezia spp. selectively induce IL-17 and related cytokines. This response is key in preventing fungal overgrowth on the skin, as disruption of the IL-23-IL-17 axis compromises Malassezia-specific cutaneous immunity. Under conditions of impaired skin integrity, mimicking a hallmark of atopic dermatitis, the presence of Malassezia dramatically aggravates cutaneous inflammation, which again was IL-23 and IL-17 dependent. Consistently, we found a CCR6+ Th17 subset of memory T cells to be Malassezia specific in both healthy individuals and atopic dermatitis patients, whereby the latter showed enhanced frequency of these cells. Thus, the Malassezia-induced type 17 response is pivotal in orchestrating antifungal immunity and in actively promoting skin inflammation.
AuthorsFlorian Sparber, Corinne De Gregorio, Simone Steckholzer, Filipa M Ferreira, Tamas Dolowschiak, Fiorella Ruchti, Florian R Kirchner, Sarah Mertens, Immo Prinz, Nicole Joller, Thorsten Buch, Martin Glatz, Federica Sallusto, Salomé LeibundGut-Landmann
JournalCell host & microbe (Cell Host Microbe) Vol. 25 Issue 3 Pg. 389-403.e6 (Mar 13 2019) ISSN: 1934-6069 [Electronic] United States
PMID30870621 (Publication Type: Journal Article)
CopyrightCopyright © 2019 Elsevier Inc. All rights reserved.
Chemical References
  • Cytokines
Topics
  • Adult
  • Animals
  • Cytokines (metabolism)
  • Dermatitis, Atopic (pathology)
  • Dermatomycoses (microbiology, pathology)
  • Disease Models, Animal
  • Female
  • Humans
  • Malassezia (immunology)
  • Male
  • Mice, Inbred C57BL
  • Middle Aged
  • Th17 Cells (immunology)
  • Young Adult

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