J Allergy Clin Immunol. 2023 Jun 02. pii: S0091-6749(23)00705-4. [Epub ahead of print]
Jaehwan Kim,
Jongmi Lee,
Xuan Li,
Hyun Soo Lee,
Katherine Kim,
Vasuma Chaparala,
William Murphy,
Wei Zhou,
Junyue Cao,
Michelle A Lowes,
James G Krueger.
BACKGROUND: Based on the mounting evidence that Type 17 T-cells (T17 cells) and increased IL-17 play a key role in driving hidradenitis suppurativa (HS) lesion development, biologics used previously in psoriasis that block signaling of IL-17A and/or IL-17F isoforms have been repurposed to treat HS.
OBJECTIVE: Our research aimed to characterize the transcriptome of HS T17 cells compared to the transcriptome of psoriasis T17 cells, along with their ligand-receptor interactions with neighborhood immune cell subsets.
METHODS: Single-cell data of 12,300 cutaneous immune cells from 8 de-roofing surgical HS skin samples including dermal tunnels were compared with single-cell data of psoriasis skin (19,525 cells from 11 samples) and control skin (11,920 cells from 10 samples). All of the single-cell data were generated by the same protocol.
RESULTS: HS T17 cells expressed lower levels of IL23R and higher levels of IL1R1 and IL17F compared to psoriasis T17 cells (p < 0.05). HS regulatory T-cells (Tregs) expressed higher levels of IL1R1 and IL17F compared to psoriasis Tregs (p < 0.05). Semimature dendritic cells (DCs) were the major immune cell subsets expressing IL1B in HS, and IL-1B ligand-receptor interactions between semimature DCs and T17 cells were increased in HS compared to psoriasis (p < 0.05). HS dermal tunnel keratinocytes (KCs) expressed inflammatory cytokines (IL17C, IL1A, IL1B, and IL6) which differed from the HS epidermis KCs (IL36G) (p < 0.05). IL6, which synergizes with IL1B to maintain cytokine expression in T17 cells, was mainly expressed by fibroblasts in HS, which also expressed IL11+ inflammatory fibroblast genes (IL11, IL24, IL6, and POSTN) involved in paracrine IL-1/IL-6 loop.
CONCLUSION: The IL-1B-T17 cell cytokine axis is likely a dominant pathway in HS with HS T17 cells activated by IL-1B signaling, unlike psoriasis T17 cells which are activated by IL-23 signaling.
CLINICAL IMPLICATION: Biologics targeting IL-17 isoforms and IL-1B may be effective for HS but biologics targeting IL-23 may be less effective for HS.
Keywords: Hidradenitis suppurativa; IL-1; IL-17A; IL-17F; IL-1R1; IL-23; T-cell; dendritic cell; fibroblast; keratinocyte; psoriasis; single-cell RNA sequencing; type 17 T-cells