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Publication : Role of 11β-hydroxysteroid dehydrogenase type 1 in the development of atopic dermatitis.

First Author  Lee NR Year  2020
Journal  Sci Rep Volume  10
Issue  1 Pages  20237
PubMed ID  33214595 Mgi Jnum  J:299999
Mgi Id  MGI:6491089 Doi  10.1038/s41598-020-77281-x
Citation  Lee NR, et al. (2020) Role of 11beta-hydroxysteroid dehydrogenase type 1 in the development of atopic dermatitis. Sci Rep 10(1):20237
abstractText  Glucocorticoids (GCs) are potent anti-inflammatory drugs, the secretion of which is mediated and controlled by the hypothalamic-pituitary-adrenal axis. However, they are also secreted de novo by peripheral tissues for local use. Several tissues express 11beta-hydroxysteroid dehydrogenase 1 (11beta-HSD1), including the skin. The inactive GC cortisone is converted by 11beta-HSD1 to active GC cortisol, which is responsible for delayed wound healing during a systemic excess of GC. However, the role of 11beta-HSD1 in inflammation is unclear. We assessed whether 11beta-HSD1 affects the development of atopic dermatitis (AD) in vitro and in vivo. The expression of 11beta-HSD1 in the epidermis of AD lesions was higher than that in the epidermis of healthy controls. Knockdown of 11beta-HSD1 in human epidermal keratinocytes increased the production of thymic stromal lymphopoietin. In an oxazolone-induced mouse model of AD, localized inhibition of 11beta-HSD1 aggravated the development of AD and increased serum cytokine levels associated with AD. Mice with whole-body knockout (KO) of 11beta-HSD1 developed significantly worse AD upon induction by oxazolone. We propose that 11beta-HSD1 is a major factor affecting AD pathophysiology via suppression of atopic inflammation due to the modulation of active GC in the skin.
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