PMID- 33687107 OWN - NLM STAT- MEDLINE DCOM- 20220322 LR - 20220322 IS - 1600-0625 (Electronic) IS - 0906-6705 (Linking) VI - 30 IP - 6 DP - 2021 Jun TI - NKG2D and its ligands as cytotoxic factors in cutaneous lupus erythematosus. PG - 847-852 LID - 10.1111/exd.14311 [doi] AB - Cutaneous lupus erythematosus (CLE) is an autoimmune skin disorder that is characterized by an anti-epidermal lymphocytic infiltrate invading the dermo-epidermal junction, causing an interface dermatitis (ID). Pathogenesis of CLE has been linked to activation of innate immunity. NKG2D is an innate immune receptor on NK cells and distinct T-cell populations. The NKG2D ligands MHC class I polypeptide-related sequence A and B (MICA, MICB) have been associated to CLE susceptibility. Our gene microarray analyses of chronic discoid lupus erythematosus (CDLE) skin lesions, separated in epidermal, junctional and dermal skin areas via laser microdissection, revealed a high expression of NKG2D in the lymphocytic infiltrate and led us to further investigate the role of NKG2D in CLE. Pathway analyses showed a strong "interferon (IFN) signature" and vast activation of innate immune response pathways (TLR, RIG-I, cytosolic DNA sensing, JAK/STAT) in CDLE, that expressed the high NKG2D signal. Immunohistochemistry (IHC) confirmed the presence of NKG2D and its ligand MICB in CDLE and subacute cutaneous lupus erythematosus (SCLE) lesions. Finally, HaCaT cells were stimulated with nucleic acids and extracted RNA was sequenced with Illumina HiSeq and showed that stressed keratinocytes express typical NKG2D ligands MICA/B and ULBP2. This study provides first evidence that NKG2D is present in CDLE and SCLE skin lesions and could be relevant for cytotoxicity in IFN-driven skin lesions with upregulated innate immune response pathways present in CLE. It could furthermore play a role in CLE inflammation promoted by keratinocytes under cell stress. CI - (c) 2021 The Authors. Experimental Dermatology published by John Wiley & Sons Ltd. FAU - Vorwerk, Gero AU - Vorwerk G AD - Department of Dermatology and Allergy, University of Bonn, Bonn, Germany. FAU - Zahn, Sabine AU - Zahn S AD - Department of Dermatology and Allergy, University of Bonn, Bonn, Germany. FAU - Bieber, Thomas AU - Bieber T AD - Department of Dermatology and Allergy, University of Bonn, Bonn, Germany. FAU - Wenzel, Joerg AU - Wenzel J AUID- ORCID: 0000-0002-4744-5993 AD - Department of Dermatology and Allergy, University of Bonn, Bonn, Germany. LA - eng PT - Journal Article DEP - 20210309 PL - Denmark TA - Exp Dermatol JT - Experimental dermatology JID - 9301549 RN - 0 (Cytotoxins) RN - 0 (KLRK1 protein, human) RN - 0 (Ligands) RN - 0 (NK Cell Lectin-Like Receptor Subfamily K) SB - IM MH - Cytotoxins/*metabolism MH - Humans MH - Immunity, Innate/genetics MH - Keratinocytes/*metabolism MH - Ligands MH - Lupus Erythematosus, Cutaneous/*metabolism MH - NK Cell Lectin-Like Receptor Subfamily K/genetics/*metabolism MH - Up-Regulation OTO - NOTNLM OT - MICB OT - cell stress OT - innate immunity OT - interferon OT - skin EDAT- 2021/03/10 06:00 MHDA- 2022/03/23 06:00 CRDT- 2021/03/09 08:40 PHST- 2021/01/09 00:00 [revised] PHST- 2020/06/06 00:00 [received] PHST- 2021/02/15 00:00 [accepted] PHST- 2021/03/10 06:00 [pubmed] PHST- 2022/03/23 06:00 [medline] PHST- 2021/03/09 08:40 [entrez] AID - 10.1111/exd.14311 [doi] PST - ppublish SO - Exp Dermatol. 2021 Jun;30(6):847-852. doi: 10.1111/exd.14311. Epub 2021 Mar 9.