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Publication : Innate type 2 immunity controls hair follicle commensalism by Demodex mites.

First Author  Ricardo-Gonzalez RR Year  2022
Journal  Immunity Volume  55
Issue  10 Pages  1891-1908.e12
PubMed ID  36044899 Mgi Jnum  J:329938
Mgi Id  MGI:7355954 Doi  10.1016/j.immuni.2022.08.001
Citation  Ricardo-Gonzalez RR, et al. (2022) Innate type 2 immunity controls hair follicle commensalism by Demodex mites. Immunity 55(10):1891-1908.e12
abstractText  Demodex mites are commensal parasites of hair follicles (HFs). Normally asymptomatic, inflammatory outgrowth of mites can accompany malnutrition, immune dysfunction, and aging, but mechanisms restricting Demodex outgrowth are not defined. Here, we show that control of mite HF colonization in mice required group 2 innate lymphoid cells (ILC2s), interleukin-13 (IL-13), and its receptor, IL-4Ra-IL-13Ra1. HF-associated ILC2s elaborated IL-13 that attenuated HFs and epithelial proliferation at anagen onset; in their absence, Demodex colonization led to increased epithelial proliferation and replacement of gene programs for repair by aberrant inflammation, leading to the loss of barrier function and HF exhaustion. Humans with rhinophymatous acne rosacea, an inflammatory condition associated with Demodex, had increased HF inflammation with decreased type 2 cytokines, consistent with the inverse relationship seen in mice. Our studies uncover a key role for skin ILC2s and IL-13, which comprise an immune checkpoint that sustains cutaneous integrity and restricts pathologic infestation by colonizing HF mites.
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