The pathogenesis of cutaneous lupus erythematosus: The aberrant distribution and function of different cell types in skin lesions

Scand J Immunol. 2021 Jan;93(1):e12933. doi: 10.1111/sji.12933. Epub 2020 Sep 5.

Abstract

Cutaneous lupus erythematosus (CLE) is an autoimmune disease with a broad range of cutaneous manifestations. In skin lesions of CLE, keratinocytes primarily undergo apoptosis. Interferon-κ(IFN-κ) is belonged to type I interferons (type I IFNs) and is selectively produced by keratinocytes. Recently, keratinocytes selectively produced IFN-κ is identified to be a key to trigger type I interferon responses in CLE. Other immune cells such as plasmacytoid dendritic cells (pDCs) are identified to be relevant origin of type I interferons (type I IFNs) which are central to the development of CLE lesions and responsible for mediating Th1 cell activity. Other types of cells such as neutrophils, B cells and Th17 cells also are involved in the development of this disease. The close interaction of those cells composes a comprehensive and complicated network in CLE. In this review, we discussed the aberrant distribution and function of different cells types involved in this disease and will offer a new direction for research and therapy in the near future.

Keywords: B cells; cutaneous lupus erythematosus; keratinocytes; plasmacytoid dendritic cells; therapy.

Publication types

  • Review

MeSH terms

  • Apoptosis
  • Autoantibodies
  • Biomarkers
  • Cytokines / metabolism
  • Disease Management
  • Disease Susceptibility* / immunology
  • Disease Susceptibility* / metabolism
  • Humans
  • Inflammation Mediators / metabolism
  • Interferon Type I / metabolism
  • Keratinocytes / immunology
  • Keratinocytes / metabolism
  • Keratinocytes / pathology
  • Lupus Erythematosus, Cutaneous / etiology*
  • Lupus Erythematosus, Cutaneous / pathology*
  • Lupus Erythematosus, Cutaneous / prevention & control
  • Lupus Erythematosus, Cutaneous / therapy
  • Lymphocyte Subsets / immunology
  • Lymphocyte Subsets / metabolism
  • Skin / immunology
  • Skin / metabolism
  • Skin / pathology
  • Ultraviolet Rays

Substances

  • Autoantibodies
  • Biomarkers
  • Cytokines
  • Inflammation Mediators
  • Interferon Type I