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The Journal of Immunology, 2002, 168: 3079-3087.
Copyright © 2002 by The American Association of Immunologists

Skin Inflammation During Contact Hypersensitivity Is Mediated by Early Recruitment of CD8+ T Cytotoxic 1 Cells Inducing Keratinocyte Apoptosis1

Hitoshi Akiba2,*,{ddagger}, Jeanne Kehren3,*, Marie-Thérèse Ducluzeau*, Maya Krasteva*, Françoise Horand*, Dominique Kaiserlian{dagger}, Fumio Kaneko{ddagger} and Jean-François Nicolas*

Institut National de la Santé et de la Recherche Médicale, * Unité 503 and {dagger} Unité 404, Lyon, France; and {ddagger} Department of Dermatology, Fukushima Medical University School of Medicine, Fukushima, Japan

Contact hypersensitivity (CHS) is a T cell-mediated, Ag-specific skin inflammation induced by skin exposure to haptens in sensitized individuals. Th1/T cytotoxic 1 cells are effector cells of CHS, whereas Th2/T regulatory CD4+ T cells have down-regulating properties. We have previously shown that CHS to 2,4-dinitrofluorobenzene is mediated by specific CD8+ effector cells, whose cytolytic activity is mandatory for induction of skin inflammation. In this study, using immunohistochemistry and RT-PCR analysis, we show that CD8+ T cells are rapidly recruited into the skin at the site of hapten challenge before the onset of clinical and histological signs of skin inflammation. This early CD8+ T cell recruitment is concomitant with: 1) transient IFN-{gamma} mRNA expression suggesting local activation of effector cells; and 2) induction of keratinocyte (KC) apoptosis which gradually increased to a maximum at the peak of the CHS response. Alternatively, skin infiltration of CD4+ T cells occurred later and coincided with the peak of the CHS reaction and the beginning of the resolution of skin inflammation. Mice deficient in CD8+ T cells did not develop CHS, whereas mice deficient in CD4+ T cells developed an enhanced inflammatory response with increased numbers of CD8+ T cells recruited in the skin associated with massive KC apoptosis. These data show that CHS is due to the early and selective recruitment in the skin of CD8+ T cytotoxic 1 effector cells responsible for KC apoptosis.




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