PMID- 28931765 OWN - NLM STAT- MEDLINE DCOM- 20190826 LR - 20191008 IS - 2379-3708 (Electronic) IS - 2379-3708 (Linking) VI - 2 IP - 18 DP - 2017 Sep 21 TI - A type of human skin dendritic cell marked by CD5 is associated with the development of inflammatory skin disease. LID - 96101 [pii] LID - 10.1172/jci.insight.96101 [doi] LID - e96101 AB - Dendritic cells (DCs) are important in regulating immunity and tolerance and consist of functionally distinct subsets that differentially regulate T lymphocyte function. The underlying basis for this subset specificity is lacking, particularly in humans, where the classification of tissue DCs is currently incomplete. Examination of healthy human epidermal Langerhans cells and dermal skin cells revealed a tissue CD5-expressing DC subtype. The CD5+ DCs were potent inducers of cytotoxic T cells and Th22 cells. The products of these T cells, IL-22 and IFN-gamma, play a key role in the pathogenesis of psoriasis. Remarkably, CD5+ DCs were significantly enriched in lesional psoriatic skin compared with distal tissues, suggesting their involvement in the disease. We show that CD5+ DCs can be differentiated from hematopoietic progenitor cells independently of the CD5- DCs. A progenitor population found in human cord blood and in the dermal skin layer, marked as CD34-CD123+CD117dimCD45RA+, was an immediate precursor of these CD11c+CD1c+CD5+ DCs. Overall, our discovery of the CD5-expressing DC subtype suggests that strategies to regulate their composition or function in the skin will represent an innovative approach for the treatment of immune-mediated disorders in and beyond the skin. FAU - Korenfeld, Daniel AU - Korenfeld D AD - Department of Pathology and Immunology, Division of Immunobiology. FAU - Gorvel, Laurent AU - Gorvel L AD - Department of Pathology and Immunology, Division of Immunobiology. FAU - Munk, Adiel AU - Munk A AD - Department of Pathology and Immunology, Division of Immunobiology. FAU - Man, Joshua AU - Man J AD - Department of Pathology and Immunology, Division of Immunobiology. FAU - Schaffer, Andras AU - Schaffer A AD - Department of Pathology and Immunology, Dermatopathology Center. FAU - Tung, Thomas AU - Tung T AD - Department of Surgery, Division of Plastic and Reconstructive Surgery, and. FAU - Mann, Caroline AU - Mann C AD - Department of Medicine, Division of Dermatology, Washington University School of Medicine in St. Louis, St. Louis, Missouri, USA. FAU - Klechevsky, Eynav AU - Klechevsky E AD - Department of Pathology and Immunology, Division of Immunobiology. LA - eng GR - P30 CA091842/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20170921 PL - United States TA - JCI Insight JT - JCI insight JID - 101676073 RN - 0 (Antigens, CD) RN - 0 (CD5 Antigens) MH - Antigens, CD/immunology MH - CD5 Antigens/*immunology MH - Cell Differentiation MH - Dendritic Cells/*cytology/immunology MH - Humans MH - Immunophenotyping MH - Psoriasis/*immunology MH - Skin/*cytology/immunology PMC - PMC5621884 OTO - NOTNLM OT - Dendritic cells OT - Immunology OT - Inflammation COIS- Conflict of interest: The authors have declared that no conflict of interest exists. EDAT- 2017/09/22 06:00 MHDA- 2019/08/27 06:00 PMCR- 2017/09/21 CRDT- 2017/09/22 06:00 PHST- 2017/07/05 00:00 [received] PHST- 2017/08/10 00:00 [accepted] PHST- 2017/09/22 06:00 [pubmed] PHST- 2019/08/27 06:00 [medline] PHST- 2017/09/22 06:00 [entrez] PHST- 2017/09/21 00:00 [pmc-release] AID - 96101 [pii] AID - 10.1172/jci.insight.96101 [doi] PST - epublish SO - JCI Insight. 2017 Sep 21;2(18):e96101. doi: 10.1172/jci.insight.96101. eCollection 2017 Sep 21.