Nonlesional lupus skin contributes to inflammatory education of myeloid cells and primes for cutaneous inflammation

AC Billi, F Ma, O Plazyo, M Gharaee-Kermani… - Science translational …, 2022 - science.org
AC Billi, F Ma, O Plazyo, M Gharaee-Kermani, R Wasikowski, GA Hile, X Xing, CM Yee…
Science translational medicine, 2022science.org
Cutaneous lupus erythematosus (CLE) is a disfiguring and poorly understood condition
frequently associated with systemic lupus. Previous studies suggest that nonlesional
keratinocytes play a role in disease predisposition, but this has not been investigated in a
comprehensive manner or in the context of other cell populations. To investigate CLE
immunopathogenesis, normal-appearing skin, lesional skin, and circulating immune cells
from lupus patients were analyzed via integrated single-cell RNA sequencing and spatial …
Cutaneous lupus erythematosus (CLE) is a disfiguring and poorly understood condition frequently associated with systemic lupus. Previous studies suggest that nonlesional keratinocytes play a role in disease predisposition, but this has not been investigated in a comprehensive manner or in the context of other cell populations. To investigate CLE immunopathogenesis, normal-appearing skin, lesional skin, and circulating immune cells from lupus patients were analyzed via integrated single-cell RNA sequencing and spatial RNA sequencing. We demonstrate that normal-appearing skin of patients with lupus represents a type I interferon–rich, prelesional environment that skews gene transcription in all major skin cell types and markedly distorts predicted cell-cell communication networks. We also show that lupus-enriched CD16+ dendritic cells undergo robust interferon education in the skin, thereby gaining proinflammatory phenotypes. Together, our data provide a comprehensive characterization of lesional and nonlesional skin in lupus and suggest a role for skin education of CD16+ dendritic cells in CLE pathogenesis.
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