Filaggrin-dependent secretion of sphingomyelinase protects against staphylococcal α-toxin-induced keratinocyte death
Filaggrin-dependent secretion of sphingomyelinase protects against staphylococcal α-toxin-induced keratinocyte death
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DOI:
10.1016/j.jaci.2012.10.030
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发表时间:
2013-02-01
影响因子:
14.2
通讯作者:
Leung, Donald Y. M.
中科院分区:
文献类型:
--
作者:
Brauweiler, Anne M.;Bin, Lianghua;Leung, Donald Y. M.
Background: The skin of patients with atopic dermatitis (AD) has defects in keratinocyte differentiation, particularly in expression of the epidermal barrier protein filaggrin. AD skin lesions are often exacerbated by Staphylococcus aureus-mediated secretion of the virulence factor alpha-toxin. It is unknown whether lack of keratinocyte differentiation predisposes to enhanced lethality from staphylococcal toxins. Objective: We investigated whether keratinocyte differentiation and filaggrin expression protect against cell death induced by staphylococcal alpha-toxin.Methods: Filaggrin-deficient primary keratinocytes were generated through small interfering RNA gene knockdown. RNA expression was determined by using real-timePCR. Cell death was determined by using the lactate dehydrogenase assay. Keratinocyte cell survival in filaggrin-deficient (ft/ft) mouse skin biopsies was determined based on Keratin 5 staining. alpha-Toxin heptamer formation and acid sphingomyelinase expression were determined by means of immunoblotting.Results: We found that filaggrin expression, occurring as the result of keratinocyte differentiation, significantly inhibits staphylococcal alpha-toxin-mediated pathogenicity. Furthermore, filaggrin plays a crucial role in protecting cells by mediating the secretion of sphingomyelinase, an enzyme that reduces the number of alpha-toxin binding sites on the keratinocyte surface. Finally, we determined that sphingomyelinase enzymatic activity directly prevents alpha-toxin binding and protects keratinocytes against alpha-toxin-induced cytotoxicity.Conclusions: The current study introduces the novel concept that S aureus alpha-toxin preferentially targets and destroys filaggrin-deficient keratinocytes. It also provides a mechanism to explain the increased propensity for S aureus-mediated exacerbation of AD skin disease. (J Allergy Clin Immunol 2013;131:421-7.)