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Letter to the Editor| Volume 71, ISSUE 2, P148-150, August 2013

Genetic polymorphisms in the IL22 gene are associated with psoriasis vulgaris in a Japanese population

      Psoriasis vulgaris (PsV) is an inflammatory skin disease histologically characterized by epidermal hyperplasia, inflammatory cell infiltration and vascular changes in which T-lymphocytes and associated cytokines play a central role [
      • Kaplan D.H.
      • Barker J.
      Psoriasis.
      ]. A dysregulated cutaneous immune response occurs in genetically susceptible individuals and the features of inflammation are characterized by tumor necrosis factor (TNF)-α dependence and exaggerated helper T cell 1 (Th1) and 17 (Th17) activation. Interleukin (IL)-22 is an IL-10 family cytokine member produced by Th17 cells and plays a role in the promotion of inflammation and tissue repair at barrier surfaces [
      • Sonnenberg G.F.
      • Fouser L.A.
      • Artis D.
      Border patrol: regulation of immunity, inflammation and tissue homeostasis at barrier surfaces by IL-22.
      ]. IL-22 is required for Th17 cell-mediated pathology in a mouse model of psoriasis-like skin inflammation [
      • Ma H.L.
      • Liang S.
      • Li J.
      • Napierata L.
      • Brown T.
      • Benoit S.
      • et al.
      IL-22 is required for Th17 cell-mediated pathology in a mouse model of psoriasis-like skin inflammation.
      ], and circulating IL-22 levels are significantly higher in psoriatic patients than in normal subjects [
      • Wolk K.
      • Witte E.
      • Wallace E.
      • Döcke W.D.
      • Kunz S.
      • Asadullah K.
      • et al.
      IL-22 regulates the expression of genes responsible for antimicrobial defense, cellular differentiation, and mobility in keratinocytes: a potential role in psoriasis.
      ,
      • Boniface K.
      • Guignouard E.
      • Pedretti N.
      • Garcia M.
      • Delwail A.
      • Bernard F.X.
      • et al.
      A role for T cell-derived interleukin 22 in psoriatic skin inflammation.
      ]. Atopic dermatitis (AD) is a chronic, relapsing inflammatory skin disease that is basically considered to be a Th-2 type disease. However, a recent study suggests a possible role of Th17 cells in AD [
      • Koga C.
      • Kabashima K.
      • Shiraishi N.
      • Kobayashi M.
      • Tokura Y.
      Possible pathogenic role of Th17 cells for atopic dermatitis.
      ]. The study has shown that the number of Th17 cells is increased in the peripheral blood and acute lesional skin of AD and that IL-17 and IL-22 synergistically enhance the production of IL-8 from keratinocytes [
      • Koga C.
      • Kabashima K.
      • Shiraishi N.
      • Kobayashi M.
      • Tokura Y.
      Possible pathogenic role of Th17 cells for atopic dermatitis.
      ]. Since there are few genetic studies of the polymorphisms of IL22 in populations of Asian and European ancestry, we conducted association studies to assess whether IL22 gene variants contribute to the susceptibility to PsV or AD in a Japanese population.

      Keywords

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