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<dc:title xml:lang="fr">Reconstitution in vitro des réponses immunitaires initiales dans la dermatite atopique</dc:title>
<dcterms:alternative xml:lang="en">In vitro reconstitution of early immune responses in atopic dermatitis</dcterms:alternative>
<dc:subject xml:lang="fr">Dermatite atopique</dc:subject>
<dc:subject xml:lang="fr">Thymic stromal lymphopoietin</dc:subject>
<dc:subject xml:lang="fr">Cellule dendritique</dc:subject>
<dc:subject xml:lang="fr">T helper 2</dc:subject>
<dc:subject xml:lang="fr">Vitamine D3</dc:subject>
<dc:subject xml:lang="fr">Modèle de peau reconstruite</dc:subject>
<dc:subject xml:lang="en">Atopic dermatitis</dc:subject>
<dc:subject xml:lang="en">Thymic stromal lymphopoietin</dc:subject>
<dc:subject xml:lang="en">Dendritic cell</dc:subject>
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<dc:subject xml:lang="en">Vitamin D3</dc:subject>
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<tef:elementdEntree autoriteExterne="027425894" autoriteSource="Sudoc">Réponse immunitaire</tef:elementdEntree>
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<dcterms:abstract xml:lang="fr">La dermatite atopique (DA) est une maladie cutanée inflammatoire chronique, caractérisée par un infiltrat de lymphocytes T helper 2 (Th2) et une sensation de prurit. Cette réponse est sous influence du Thymic Stromal Lymphopoietin (TSLP), produit par les kératinocytes, qui affecte la capacité des cellules dendritiques (DCs) de la peau à orienter des lymphocytes T. Nous proposons ici de nouvelles stratégies pour modéliser la DA in vitro chez l’homme. Nous avons validé la vitamine D3 pour initier des réponses Th2 TSLP-dépendantes (IL-13+) sur des explants de peau saine. Dans les DCs de peau ou dérivées de monocytes (MonoDCs), nous avons démontré que la vitamine D3 provoque de profonds changements phénotypiques, caractérisés par l’expression du marqueur CD14. Ces cellules conduisent spécifiquement à une orientation Th2 (IL-4+) TSLP-indépendante. En parallèle, nous avons constitué un modèle 3D de peau contenant des DCs, des neurones et des kératinocytes, dans lequel nous évaluerons si la vitamine D3 et d’autres agents peuvent induire une réponse Th2, et si celle-ci peut être influencée par les neurones. Cette étude aidera à la conception de thérapies spécifiques de la DA.</dcterms:abstract>
<dcterms:abstract xml:lang="en">Atopic dermatitis (AD) is a chronic cutaneous inflammation driven by T helper 2 cells (Th2) and characterized by a persistent itch. This response relies on Thymic Stromal Lymphopoietin (TSLP) production by keratinocytes and T cell orientation by TSLP-stimulated skin dendritic cells (DCs). Here, we propose new strategies to model AD pathogenesis in human systems. We validated vitamin D3 as an initiation stimulus for human TSLP-dependent Th2 (IL-13+) responses in healthy skin explants. In skin DCs and monocyte-derived DCs (MonoDCs), we showed that vitamin D3 provokes marked phenotypic alterations, characterized by CD14 expression. These cells specifically lead to TSLP-independent Th2 (IL-4+) orientation. In parallel, we have constructed a 3D skin model harboring DCs, sensory neurons and keratinocytes, in which we will evaluate whether vitamin D3 and other stimuli may induce Th2 responses, and how this might be regulated by neurons. This approach will help the rational design of AD-specific therapies.</dcterms:abstract>
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