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The Immune System: Structure, Function, and Roles in Skin Disease

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Skin Diseases in the Immunosuppressed

Abstract

The skin is a complex defense system composed of both passive barriers and active immune responses mediated by specialized hematopoietic cells. Consequently, dysregulation of the immune system, namely, through increased or decreased activity of these cells, plays an important role in numerous diseases of the skin. In this chapter, we review the basic mechanisms of the immune system, the organization of defense in the skin, and the functions of the major immunologic effector cells (neutrophils, macrophages, dendritic cells, mast cells, eosinophils, basophils, natural killer cells, T lymphocytes, and B lymphocytes). We specifically emphasize the relationship between cell activity and skin pathology and organize skin conditions by the cell type most responsible for the characteristic pathophysiology. By highlighting these broad themes, we aim to provide a unique framework for understanding dermatologic disease.

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References

  1. Medzhitov R, Janeway C. Innate immunity. N Engl J Med. 2000;343:338–44.

    Article  CAS  PubMed  Google Scholar 

  2. Cooper MD, Alder MN. The evolution of adaptive immune systems. Cell. 2006;124:815–22.

    Article  CAS  PubMed  Google Scholar 

  3. Medzhitov R. Approaching the asymptote: 20 years later. Immunity. 2009;30:766–75.

    Article  CAS  PubMed  Google Scholar 

  4. Janeway CA. Approaching the asymptote? Evolution and revolution in immunology. Cold Spring Harb Symp Quant Biol. 1989;54(Pt 1):1–13.

    Article  CAS  PubMed  Google Scholar 

  5. Kono H, Rock KL. How dying cells alert the immune system to danger. Nat Rev Immunol. 2008;8:279–89.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Bassing CH, Swat W, Alt FW. The mechanism and regulation of chromosomal V(D)J recombination. Cell. 2002;109 Suppl:S45–55.

    Article  PubMed  Google Scholar 

  7. Hodgkin PD, Heath WR, Baxter AG. The clonal selection theory: 50 years since the revolution. Nat Immunol. 2007;8:1019–26.

    Article  CAS  PubMed  Google Scholar 

  8. Orkin SH, Zon LI. Hematopoiesis: an evolving paradigm for stem cell biology. Cell. 2008;132:631–44.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  9. Geissmann F, Manz MG, Jung S, Sieweke MH, Merad M, Ley K. Development of monocytes, macrophages, and dendritic cells. Science (New York, NY). 2010;327:656–61.

    Article  CAS  Google Scholar 

  10. Schulz C, Gomez Perdiguero E, Chorro L, et al. A lineage of myeloid cells independent of Myb and hematopoietic stem cells. Science (New York, NY). 2012;336:86–90.

    Article  CAS  Google Scholar 

  11. Medzhitov R. Origin and physiological roles of inflammation. Nature. 2008;454:428–35.

    Article  CAS  PubMed  Google Scholar 

  12. Medzhitov R. Inflammation 2010: new adventures of an old flame. Cell. 2010;140(6):771.

    Article  CAS  PubMed  Google Scholar 

  13. Pasparakis M, Haase I, Nestle FO. Mechanisms regulating skin immunity and inflammation. Nat Rev Immunol. 2014;14:289–301.

    Article  CAS  PubMed  Google Scholar 

  14. Gallo RL, Hooper LV. Epithelial antimicrobial defence of the skin and intestine. Nat Rev Immunol. 2012;12:503–16.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  15. Heath WR, Carbone FR. The skin-resident and migratory immune system in steady state and memory: innate lymphocytes, dendritic cells and T cells. Nat Immunol. 2013;14:978–85.

    Article  CAS  PubMed  Google Scholar 

  16. Amulic B, Cazalet C, Hayes GL, Metzler KD, Zychlinsky A. Neutrophil function: from mechanisms to disease. Annu Rev Immunol. 2012;30:459–89.

    Article  CAS  PubMed  Google Scholar 

  17. Kolaczkowska E, Kubes P. Neutrophil recruitment and function in health and inflammation. Nat Rev Immunol. 2013;13:159–75.

    Article  CAS  PubMed  Google Scholar 

  18. Gordon S. The macrophage: past, present and future. Eur J Immunol. 2007;37(Suppl 1):S9–17.

    Article  CAS  PubMed  Google Scholar 

  19. Mosser DM, Edwards JP. Exploring the full spectrum of macrophage activation. Nat Rev Immunol. 2008;8:958–69.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  20. Gordon S, Martinez FO. Alternative activation of macrophages: mechanism and functions. Immunity. 2010;32:593–604.

    Article  CAS  PubMed  Google Scholar 

  21. Merad M, Sathe P, Helft J, Miller J, Mortha A. The dendritic cell lineage: ontogeny and function of dendritic cells and their subsets in the steady state and the inflamed setting. Annu Rev Immunol. 2013;31:563–604.

    Article  CAS  PubMed  Google Scholar 

  22. Hammer GE, Ma A. Molecular control of steady-state dendritic cell maturation and immune homeostasis. Annu Rev Immunol. 2013;31:743–91.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  23. Abraham SN, St John AL. Mast cell-orchestrated immunity to pathogens. Nat Rev Immunol. 2010;10:440–52.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  24. Voehringer D. Protective and pathological roles of mast cells and basophils. Nat Rev Immunol. 2013;13:362–75.

    Article  CAS  PubMed  Google Scholar 

  25. Blanchard C, Rothenberg ME. Biology of the eosinophil. Adv Immunol. 2009;101:81–121.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  26. Akuthota P, Weller PF. Eosinophils and disease pathogenesis. Semin Hematol. 2012;49:113–9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  27. Rosenberg HF, Dyer KD, Foster PS. Eosinophils: changing perspectives in health and disease. Nat Rev Immunol. 2013;13:9–22.

    Article  CAS  PubMed  Google Scholar 

  28. Siracusa MC, Comeau MR, Artis D. New insights into basophil biology: initiators, regulators, and effectors of type 2 inflammation. Ann N Y Acad Sci. 2011;1217:166–77.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  29. Karasuyama H, Mukai K, Obata K, Tsujimura Y, Wada T. Nonredundant roles of basophils in immunity. Annu Rev Immunol. 2011;29:45–69.

    Article  CAS  PubMed  Google Scholar 

  30. Capron M, Trottein F. Parasites and allergy. Basel; London: Karger; 2006.

    Book  Google Scholar 

  31. Vivier E, Raulet DH, Moretta A, et al. Innate or adaptive immunity? The example of natural killer cells. Science (New York, NY). 2011;331:44–9.

    Article  CAS  Google Scholar 

  32. Held W, Kijima M, Angelov G, Bessoles S. The function of natural killer cells: education, reminders and some good memories. Curr Opin Immunol. 2011;23:228–33.

    Article  CAS  PubMed  Google Scholar 

  33. Sojka DK, Plougastel-Douglas B, Yang L, et al. Tissue-resident natural killer (NK) cells are cell lineages distinct from thymic and conventional splenic NK cells. elife. 2014;3:e01659.

    Article  PubMed  PubMed Central  Google Scholar 

  34. Spits H, Cupedo T. Innate lymphoid cells: emerging insights in development, lineage relationships, and function. Annu Rev Immunol. 2012;30:647–75.

    Article  CAS  PubMed  Google Scholar 

  35. Germain RN. T-cell development and the CD4-CD8 lineage decision. Nat Rev Immunol. 2002;2:309–22.

    Article  CAS  PubMed  Google Scholar 

  36. Smith-Garvin JE, Koretzky GA, Jordan MS. T cell activation. Annu Rev Immunol. 2009;27:591–619.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  37. Zhang N, Bevan MJ. CD8(+) T cells: foot soldiers of the immune system. Immunity. 2011;35:161–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  38. Zhu J, Yamane H, Paul WE. Differentiation of effector CD4 T cell populations (*). Annu Rev Immunol. 2010;28:445–89.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  39. Sakaguchi S, Yamaguchi T, Nomura T, Ono M. Regulatory T cells and immune tolerance. Cell. 2008;133:775–87.

    Article  CAS  PubMed  Google Scholar 

  40. LeBien TW, Tedder TF. B lymphocytes: how they develop and function. Blood. 2008;112:1570–80.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  41. Kurosaki T, Shinohara H, Baba Y. B cell signaling and fate decision. Annu Rev Immunol. 2010;28:21–55.

    Article  CAS  PubMed  Google Scholar 

  42. Stavnezer J, Guikema JEJ, Schrader CE. Mechanism and regulation of class switch recombination. Annu Rev Immunol. 2008;26:261–92.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  43. Schroeder HW, Cavacini L. Structure and function of immunoglobulins. J Allergy Clin Immunol. 2010;125:S41–52.

    Article  PubMed  PubMed Central  Google Scholar 

  44. Uzzaman A, Cho SH. Chapter 28: classification of hypersensitivity reactions. Allergy Asthma Proc. 2012;33(Suppl 1):S96–9.

    Article  Google Scholar 

  45. Descotes J, Choquet-Kastylevsky G. Gell and Coombs’s classification: is it still valid? Toxicology. 2001;158:43–9.

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Oscar R. Colegio M.D., Ph.D. .

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Chovatiya, R., Colegio, O.R. (2018). The Immune System: Structure, Function, and Roles in Skin Disease. In: Colegio, O. (eds) Skin Diseases in the Immunosuppressed. Springer, Cham. https://doi.org/10.1007/978-3-319-68790-2_1

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  • DOI: https://doi.org/10.1007/978-3-319-68790-2_1

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-68788-9

  • Online ISBN: 978-3-319-68790-2

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