Staphylococcus aureus proteases trigger eosinophil-mediated skin inflammation

Sabrina N. Kline, Nicholas A. Orlando, Alex J. Lee, Meng Jen Wu, Jing Zhang, Christine Youn, Laine E. Feller, Cristina Pontaza, Dustin Dikeman, Nathachit Limjunyawong, Kaitlin L. Williams, Yu Wang, Daniela Cihakova, Elizabeth A. Jacobsen, Scott K. Durum, Luis A. Garza, Xinzhong Dong, Nathan K. Archer

Research output: Contribution to journalArticlepeer-review

Abstract

Staphylococcus aureus skin colonization and eosinophil infiltration are associated with many inflammatory skin disorders, including atopic dermatitis, bullous pemphigoid, Netherton's syndrome, and prurigo nodularis. However, whether there is a relationship between S. aureus and eosinophils and how this interaction influences skin inflammation is largely undefined. We show in a preclinical mouse model that S. aureus epicutaneous exposure induced eosinophil-recruiting chemokines and eosinophil infiltration into the skin. Remarkably, we found that eosinophils had a comparable contribution to the skin inflammation as T cells, in a manner dependent on eosinophil-derived IL-17A and IL-17F production. Importantly, IL-36R signaling induced CCL7-mediated eosinophil recruitment to the inflamed skin. Last, S. aureus proteases induced IL-36α expression in keratinocytes, which promoted infiltration of IL-17-producing eosinophils. Collectively, we uncovered a mechanism for S. aureus proteases to trigger eosinophil-mediated skin inflammation, which has implications in the pathogenesis of inflammatory skin diseases.

Original languageEnglish (US)
Pages (from-to)e2309243121
JournalProceedings of the National Academy of Sciences of the United States of America
Volume121
Issue number6
DOIs
StatePublished - Feb 6 2024

Keywords

  • eosinophils
  • inflammatory skin diseases
  • interleukin-17
  • interleukin-36
  • Staphylococcus aureus

ASJC Scopus subject areas

  • General

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