Skin Immune System Flashcards
immune functions of keratinocytes
- form the epithelial barrier
- produce antimicrobial peptides (AMPs)
- initiate INNATE immune responses
pilosebaceous units
sweat + sebaceous glands
- produce AMPs
- produce superficial aqueous-lipid layer
langerhans cells
intra-epidermal dendritic cells
TOLEROGENIC
- promote function of regulatory T cells
dermal interstitial dendritic cells
present in the perivascular locations in the dermis
IMMUNOGENIC
- promote pro-inflammatory response
what are the main components of the skin’s immune function
- epithelial and keratinocyte microenvironment
- APCs (LCs, DCs, macrophages)
- skin-homing Tem cells
- dermal microvascular units
- skin draining LNs
do keratinocytes provide innate or adaptive immune activity
INNATE
- act as APCs (express MHC I and II)
- release growth factors and chemokines
- express TLRs that recognize PAMPs
- express inflammasomes that recognize DAMPs (activates IL-1 –> pro inflammatory)
what is the skin microbiome
commensal bacteria and fungi that live on the skin without triggering an immune response
maintained by Treg cells
T regulatory cells
cells that recognize commensal bacteria and release anti-inflammatory cytokines to prevent an autoimmune response
- mediated by langerhans cells
- recognition occurs early in life
what is the epithelial barrier and does it contribute to innate or adaptive immunity
keratinocytes + pilosebaceous units
INNATE immunity:
- produce AMPs
- produce aqueous lipid layer
function of the aqueous lipid layer
traps AMPs on the surface to create a protective barrier
sebaceous adenitits
immune mediated destruction of sebaceous glands by activated T cells and dendritic cells
how does sebaceous adenitis occur
- aqueous lipid layer gets compromised
- prevents AMPs from being trapped on surface
- decreased skin barrier
adaptive immunity in the skin
- CD1 (langerhans) cells present skin oils to Th22 T cells
- Th22 T cells produce IL-22
- IL-22 promotes keratinocyte and AMP proliferation
- maintains skin homeostasis
how is adaptive immune function compromised in sebaceous adenitits
when an endogenous lipid is presented to the Th22 T cells, they initiate an autoimmune response instead of releasing IL-22 for skin homeostasis
clinical signs of sebaceous adenitis
- keratinization defects: hyperkeratosis, follicular plugging, alopecia
- increased susceptibility to infections: folliculitis, pyoderma