The Immunometabolomic Interface Receptor Hydroxycarboxylic Acid Receptor 2 Mediates the Therapeutic Effects of Dimethyl Fumarate in Autoantibody-Induced Skin Inflammation

The drug dimethyl fumarate (DMF) is in clinical use for the treatment of psoriasis and multiple sclerosis. In addition, it has recently been demonstrated to ameliorate skin pathology in mouse models of pemphigoid diseases, a group of autoimmune blistering diseases of the skin and mucous membranes. H...

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Published in:Frontiers in immunology Vol. 9; p. 1890
Main Authors: Wannick, Melanie, Assmann, Julian C, Vielhauer, Jakob F, Offermanns, Stefan, Zillikens, Detlef, Sadik, Christian D, Schwaninger, Markus
Format: Journal Article
Language:English
Published: Switzerland Frontiers Media S.A 14-08-2018
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Abstract The drug dimethyl fumarate (DMF) is in clinical use for the treatment of psoriasis and multiple sclerosis. In addition, it has recently been demonstrated to ameliorate skin pathology in mouse models of pemphigoid diseases, a group of autoimmune blistering diseases of the skin and mucous membranes. However, the mode of action of DMF in inflammatory skin diseases has remained elusive. Therefore, we have investigated here the mechanisms by which DMF improves skin pathology, using the antibody transfer model of bullous pemphigoid-like epidermolysis bullosa acquisita (EBA). Experimental EBA was induced by transfer of antibodies against collagen VII that triggered the infiltration of immune cells into the skin and led to inflammatory skin lesions. DMF treatment reduced the infiltration of neutrophils and monocytes into the skin explaining the improved disease outcome in DMF-treated animals. Upon ingestion, DMF is converted to monomethyl fumarate that activates the hydroxycarboxylic acid receptor 2 (HCA ). Interestingly, neutrophils and monocytes expressed . To investigate whether the therapeutic effect of DMF in EBA is mediated by HCA , we administered oral DMF to -deficient mice ( ) and wild-type littermates ( ) and induced EBA. DMF treatment ameliorated skin lesions in but not in animals. These findings demonstrate that HCA is a molecular target of DMF treatment in EBA and suggest that HCA activation limits skin pathology by inhibiting the infiltration of neutrophils and monocytes into the skin.
AbstractList The drug dimethyl fumarate (DMF) is in clinical use for the treatment of psoriasis and multiple sclerosis. In addition, it has recently been demonstrated to ameliorate skin pathology in mouse models of pemphigoid diseases, a group of autoimmune blistering diseases of the skin and mucous membranes. However, the mode of action of DMF in inflammatory skin diseases has remained elusive. Therefore, we have investigated here the mechanisms by which DMF improves skin pathology, using the antibody transfer model of bullous pemphigoid-like epidermolysis bullosa acquisita (EBA). Experimental EBA was induced by transfer of antibodies against collagen VII that triggered the infiltration of immune cells into the skin and led to inflammatory skin lesions. DMF treatment reduced the infiltration of neutrophils and monocytes into the skin explaining the improved disease outcome in DMF-treated animals. Upon ingestion, DMF is converted to monomethyl fumarate that activates the hydroxycarboxylic acid receptor 2 (HCA 2 ). Interestingly, neutrophils and monocytes expressed Hca2 . To investigate whether the therapeutic effect of DMF in EBA is mediated by HCA 2 , we administered oral DMF to Hca2 -deficient mice ( Hca2 −/− ) and wild-type littermates ( Hca2 +/+ ) and induced EBA. DMF treatment ameliorated skin lesions in Hca2 +/+ but not in Hca2 −/− animals. These findings demonstrate that HCA 2 is a molecular target of DMF treatment in EBA and suggest that HCA 2 activation limits skin pathology by inhibiting the infiltration of neutrophils and monocytes into the skin.
The drug dimethyl fumarate (DMF) is in clinical use for the treatment of psoriasis and multiple sclerosis. In addition, it has recently been demonstrated to ameliorate skin pathology in mouse models of pemphigoid diseases, a group of autoimmune blistering diseases of the skin and mucous membranes. However, the mode of action of DMF in inflammatory skin diseases has remained elusive. Therefore, we have investigated here the mechanisms by which DMF improves skin pathology, using the antibody transfer model of bullous pemphigoid-like epidermolysis bullosa acquisita (EBA). Experimental EBA was induced by transfer of antibodies against collagen VII that triggered the infiltration of immune cells into the skin and led to inflammatory skin lesions. DMF treatment reduced the infiltration of neutrophils and monocytes into the skin explaining the improved disease outcome in DMF-treated animals. Upon ingestion, DMF is converted to monomethyl fumarate that activates the hydroxycarboxylic acid receptor 2 (HCA2). Interestingly, neutrophils and monocytes expressed Hca2. To investigate whether the therapeutic effect of DMF in EBA is mediated by HCA2, we administered oral DMF to Hca2-deficient mice (Hca2-/-) and wild-type littermates (Hca2+/+) and induced EBA. DMF treatment ameliorated skin lesions in Hca2+/+ but not in Hca2-/- animals. These findings demonstrate that HCA2 is a molecular target of DMF treatment in EBA and suggest that HCA2 activation limits skin pathology by inhibiting the infiltration of neutrophils and monocytes into the skin.
The drug dimethyl fumarate (DMF) is in clinical use for the treatment of psoriasis and multiple sclerosis. In addition, it has recently been demonstrated to ameliorate skin pathology in mouse models of pemphigoid diseases, a group of autoimmune blistering diseases of the skin and mucous membranes. However, the mode of action of DMF in inflammatory skin diseases has remained elusive. Therefore, we have investigated here the mechanisms by which DMF improves skin pathology, using the antibody transfer model of bullous pemphigoid-like epidermolysis bullosa acquisita (EBA). Experimental EBA was induced by transfer of antibodies against collagen VII that triggered the infiltration of immune cells into the skin and led to inflammatory skin lesions. DMF treatment reduced the infiltration of neutrophils and monocytes into the skin explaining the improved disease outcome in DMF-treated animals. Upon ingestion, DMF is converted to monomethyl fumarate that activates the hydroxycarboxylic acid receptor 2 (HCA2). Interestingly, neutrophils and monocytes expressed Hca2. To investigate whether the therapeutic effect of DMF in EBA is mediated by HCA2, we administered oral DMF to Hca2-deficient mice (Hca2−/−) and wild-type littermates (Hca2+/+) and induced EBA. DMF treatment ameliorated skin lesions in Hca2+/+ but not in Hca2−/− animals. These findings demonstrate that HCA2 is a molecular target of DMF treatment in EBA and suggest that HCA2 activation limits skin pathology by inhibiting the infiltration of neutrophils and monocytes into the skin.
The drug dimethyl fumarate (DMF) is in clinical use for the treatment of psoriasis and multiple sclerosis. In addition, it has recently been demonstrated to ameliorate skin pathology in mouse models of pemphigoid diseases, a group of autoimmune blistering diseases of the skin and mucous membranes. However, the mode of action of DMF in inflammatory skin diseases has remained elusive. Therefore, we have investigated here the mechanisms by which DMF improves skin pathology, using the antibody transfer model of bullous pemphigoid-like epidermolysis bullosa acquisita (EBA). Experimental EBA was induced by transfer of antibodies against collagen VII that triggered the infiltration of immune cells into the skin and led to inflammatory skin lesions. DMF treatment reduced the infiltration of neutrophils and monocytes into the skin explaining the improved disease outcome in DMF-treated animals. Upon ingestion, DMF is converted to monomethyl fumarate that activates the hydroxycarboxylic acid receptor 2 (HCA ). Interestingly, neutrophils and monocytes expressed . To investigate whether the therapeutic effect of DMF in EBA is mediated by HCA , we administered oral DMF to -deficient mice ( ) and wild-type littermates ( ) and induced EBA. DMF treatment ameliorated skin lesions in but not in animals. These findings demonstrate that HCA is a molecular target of DMF treatment in EBA and suggest that HCA activation limits skin pathology by inhibiting the infiltration of neutrophils and monocytes into the skin.
Author Wannick, Melanie
Assmann, Julian C
Offermanns, Stefan
Vielhauer, Jakob F
Sadik, Christian D
Zillikens, Detlef
Schwaninger, Markus
AuthorAffiliation 3 Department of Dermatology, Allergy, and Venereology, University of Lübeck , Lübeck , Germany
2 Department of Pharmacology, Max Planck Institute for Heart and Lung Research , Bad Nauheim , Germany
1 Institute for Experimental and Clinical Pharmacology and Toxicology, University of Lübeck , Lübeck , Germany
AuthorAffiliation_xml – name: 3 Department of Dermatology, Allergy, and Venereology, University of Lübeck , Lübeck , Germany
– name: 1 Institute for Experimental and Clinical Pharmacology and Toxicology, University of Lübeck , Lübeck , Germany
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Copyright Copyright © 2018 Wannick, Assmann, Vielhauer, Offermanns, Zillikens, Sadik and Schwaninger. 2018 Wannick, Assmann, Vielhauer, Offermanns, Zillikens, Sadik and Schwaninger
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Keywords G protein-coupled receptor
pemphigoid disease
immunomodulatory therapy
autoimmune blistering skin disease
neutrophils
Language English
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Edited by: Angelo Valerio Marzano, Università degli Studi di Milano, Italy
Reviewed by: Alex Ortega Loayza, Oregon Health & Science University, United States; Jillian M. Richmond, University of Massachusetts Medical School, United States
These authors have contributed equally to this work.
Specialty section: This article was submitted to Autoimmune and Autoinflammatory Disorders, a section of the journal Frontiers in Immunology
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Snippet The drug dimethyl fumarate (DMF) is in clinical use for the treatment of psoriasis and multiple sclerosis. In addition, it has recently been demonstrated to...
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SubjectTerms autoimmune blistering skin disease
G protein-coupled receptor
Immunology
immunomodulatory therapy
neutrophils
pemphigoid disease
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Title The Immunometabolomic Interface Receptor Hydroxycarboxylic Acid Receptor 2 Mediates the Therapeutic Effects of Dimethyl Fumarate in Autoantibody-Induced Skin Inflammation
URI https://www.ncbi.nlm.nih.gov/pubmed/30154797
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Volume 9
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