Interleukin-1 loop model for pathogenesis of Langerhans cell histiocytosis

We propose Langerhans cell histiocytosis (LCH) is an inflammatory process that is prolonged by mutations. We hypothesize that Merkel cell polyomavirus (MCPyV) infection triggers an interleukin-1 (IL-1) activation loop that underlies the pathogenesis of LCH. Langerhans cells (LCs) are antigen present...

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Main Authors: Murakami, Ichiro, Matsushita, Michiko, Iwasaki, Takeshi, Kuwamoto, Satoshi, Kato, Masako, Nagata, Keiko, Horie, Yasushi, Hayashi, Kazuhiko, Imamura, Toshihiko, Morimoto, Akira, Imashuku, Shinsaku, Gogusev, Jean, Jaubert, Francis, Takata, Katsuyoshi, Oka, Takashi, Yoshino, Tadashi
Format: Online
Language:English
Published: BioMed Central 2015
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4343072/
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spelling pubmed-43430722015-02-28 Interleukin-1 loop model for pathogenesis of Langerhans cell histiocytosis Murakami, Ichiro Matsushita, Michiko Iwasaki, Takeshi Kuwamoto, Satoshi Kato, Masako Nagata, Keiko Horie, Yasushi Hayashi, Kazuhiko Imamura, Toshihiko Morimoto, Akira Imashuku, Shinsaku Gogusev, Jean Jaubert, Francis Takata, Katsuyoshi Oka, Takashi Yoshino, Tadashi Review We propose Langerhans cell histiocytosis (LCH) is an inflammatory process that is prolonged by mutations. We hypothesize that Merkel cell polyomavirus (MCPyV) infection triggers an interleukin-1 (IL-1) activation loop that underlies the pathogenesis of LCH. Langerhans cells (LCs) are antigen presenting cells in the skin. When LCs encounter exogenous antigens, they migrate from the epidermis into draining lymphoid tissues to initiate T-cell activity. It has been proposed that LC migration-related factors, including E-cadherin, matrix metalloproteinase, and Notch ligand induce LCH activity. We found that the tyrosine phosphatase SHP-1, which binds IL-1 receptor-associated kinase 1, is expressed at a significantly higher level in LCH affecting multiple organ systems (MS-LCH) than in LCH affecting a single organ system (SS-LCH). IL-1 stimulates T helper 17 cells and their signature cytokine IL-17 had been a matter of controversy. We detected higher levels of IL-17A receptor expression in MS-LCH than in SS-LCH and proposed an IL-17 endocrine model that could settle the controversy. IL-1 is the first cytokine secreted in response to sensitizers and promotes LC migration from sentinel tissues. Myeloid differentiation primary response 88 (MyD88), downstream of the IL-1 receptor, has functions in both RAS signaling and inflammation, leading to human cell transformation. In 2010, an activating mutation in the B-rapidly accelerated fibrosarcoma gene (BRAF) V600E was found in LCH. This BRAF mutation induces phosphorylation of the extracellular signal-regulated kinase (ERK) that may play an important role with MyD88 in LCH pathogenesis. However, phosphorylated ERK (pERK) is rapidly dephosphorylated by dual specificity phosphatase 6 (DUSP6), and limited proliferation is predicted in BRAF mutant cells. MyD88 binds pERK via its D-domain, thereby preventing pERK–DUSP6 interaction and maintaining ERK in an active, phosphorylated state. We detected MCPyV-DNA in the peripheral blood cells of two out of three patients with LCH in high-risk organs but not in those of patients with LCH in non–high-risk organs (0/12; P = .029). MCPyV infection can trigger precursor LCH cells with BRAF mutation to produce IL-1; the IL-1 loop is amplified in all LCH subclasses. Our model indicates both BRAF mutation and IL-1 loop regulation as potential therapeutic targets. BioMed Central 2015-02-22 /pmc/articles/PMC4343072/ /pubmed/25889448 http://dx.doi.org/10.1186/s12964-015-0092-z Text en © Murakami et al.; licensee BioMed Central. 2015 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
repository_type Open Access Journal
institution_category Foreign Institution
institution US National Center for Biotechnology Information
building NCBI PubMed
collection Online Access
language English
format Online
author Murakami, Ichiro
Matsushita, Michiko
Iwasaki, Takeshi
Kuwamoto, Satoshi
Kato, Masako
Nagata, Keiko
Horie, Yasushi
Hayashi, Kazuhiko
Imamura, Toshihiko
Morimoto, Akira
Imashuku, Shinsaku
Gogusev, Jean
Jaubert, Francis
Takata, Katsuyoshi
Oka, Takashi
Yoshino, Tadashi
spellingShingle Murakami, Ichiro
Matsushita, Michiko
Iwasaki, Takeshi
Kuwamoto, Satoshi
Kato, Masako
Nagata, Keiko
Horie, Yasushi
Hayashi, Kazuhiko
Imamura, Toshihiko
Morimoto, Akira
Imashuku, Shinsaku
Gogusev, Jean
Jaubert, Francis
Takata, Katsuyoshi
Oka, Takashi
Yoshino, Tadashi
Interleukin-1 loop model for pathogenesis of Langerhans cell histiocytosis
author_facet Murakami, Ichiro
Matsushita, Michiko
Iwasaki, Takeshi
Kuwamoto, Satoshi
Kato, Masako
Nagata, Keiko
Horie, Yasushi
Hayashi, Kazuhiko
Imamura, Toshihiko
Morimoto, Akira
Imashuku, Shinsaku
Gogusev, Jean
Jaubert, Francis
Takata, Katsuyoshi
Oka, Takashi
Yoshino, Tadashi
author_sort Murakami, Ichiro
title Interleukin-1 loop model for pathogenesis of Langerhans cell histiocytosis
title_short Interleukin-1 loop model for pathogenesis of Langerhans cell histiocytosis
title_full Interleukin-1 loop model for pathogenesis of Langerhans cell histiocytosis
title_fullStr Interleukin-1 loop model for pathogenesis of Langerhans cell histiocytosis
title_full_unstemmed Interleukin-1 loop model for pathogenesis of Langerhans cell histiocytosis
title_sort interleukin-1 loop model for pathogenesis of langerhans cell histiocytosis
description We propose Langerhans cell histiocytosis (LCH) is an inflammatory process that is prolonged by mutations. We hypothesize that Merkel cell polyomavirus (MCPyV) infection triggers an interleukin-1 (IL-1) activation loop that underlies the pathogenesis of LCH. Langerhans cells (LCs) are antigen presenting cells in the skin. When LCs encounter exogenous antigens, they migrate from the epidermis into draining lymphoid tissues to initiate T-cell activity. It has been proposed that LC migration-related factors, including E-cadherin, matrix metalloproteinase, and Notch ligand induce LCH activity. We found that the tyrosine phosphatase SHP-1, which binds IL-1 receptor-associated kinase 1, is expressed at a significantly higher level in LCH affecting multiple organ systems (MS-LCH) than in LCH affecting a single organ system (SS-LCH). IL-1 stimulates T helper 17 cells and their signature cytokine IL-17 had been a matter of controversy. We detected higher levels of IL-17A receptor expression in MS-LCH than in SS-LCH and proposed an IL-17 endocrine model that could settle the controversy. IL-1 is the first cytokine secreted in response to sensitizers and promotes LC migration from sentinel tissues. Myeloid differentiation primary response 88 (MyD88), downstream of the IL-1 receptor, has functions in both RAS signaling and inflammation, leading to human cell transformation. In 2010, an activating mutation in the B-rapidly accelerated fibrosarcoma gene (BRAF) V600E was found in LCH. This BRAF mutation induces phosphorylation of the extracellular signal-regulated kinase (ERK) that may play an important role with MyD88 in LCH pathogenesis. However, phosphorylated ERK (pERK) is rapidly dephosphorylated by dual specificity phosphatase 6 (DUSP6), and limited proliferation is predicted in BRAF mutant cells. MyD88 binds pERK via its D-domain, thereby preventing pERK–DUSP6 interaction and maintaining ERK in an active, phosphorylated state. We detected MCPyV-DNA in the peripheral blood cells of two out of three patients with LCH in high-risk organs but not in those of patients with LCH in non–high-risk organs (0/12; P = .029). MCPyV infection can trigger precursor LCH cells with BRAF mutation to produce IL-1; the IL-1 loop is amplified in all LCH subclasses. Our model indicates both BRAF mutation and IL-1 loop regulation as potential therapeutic targets.
publisher BioMed Central
publishDate 2015
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4343072/
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