Keratinocyte but not endothelial cell-specific overexpression of Tie2 leads to the development of psoriasis

Am J Pathol. 2009 Apr;174(4):1443-58. doi: 10.2353/ajpath.2009.080858.

Abstract

Psoriasis is initiated and maintained through a multifaceted interplay between keratinocytes, blood vessels, gene expression, and the immune system. One previous psoriasis model demonstrated that overexpression of the angiopoietin receptor Tie2 in endothelial cells and keratinocytes led to the development of a psoriasiform phenotype; however, the etiological significance of overexpression in each cell type alone was unclear. We have now engineered two new mouse models whereby Tie2 expression is confined to either endothelial cells or keratinocytes. Both lines of mice have significant increases in dermal vasculature but only the KC-Tie2-overexpressing mice developed a cutaneous psoriasiform phenotype. These mice spontaneously developed characteristic hallmarks of human psoriasis, including extensive acanthosis, increases in dermal CD4(+) T cells, infiltrating epidermal CD8(+) T cells, dermal dendritic cells and macrophages, and increased expression of cytokines and chemokines associated with psoriasis, including interferon-gamma, tumor necrosis factor-alpha, and interleukins 1alpha, 6, 12, 22, 23, and 17. Host-defense molecules, cathelicidin, beta-defensin, and S100A8/A9, were also up-regulated in the hyperproliferative skin. All of the phenotypic traits were completely reversed without any scarring following repression of the transgene and were significantly improved following treatment with the anti-psoriasis systemic therapeutic, cyclosporin A. Therefore, confining Tie2 overexpression solely to keratinocytes results in a mouse model that meets the clinical, histological, immunophenotypic, biochemical, and pharmacological criteria required for an animal model of human psoriasis.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Blotting, Western
  • Disease Models, Animal*
  • Endothelial Cells / metabolism*
  • Gene Expression
  • Gene Expression Profiling
  • Humans
  • Keratinocytes / metabolism*
  • Mice
  • Mice, Transgenic
  • Neovascularization, Pathologic / genetics
  • Neovascularization, Pathologic / metabolism
  • Neovascularization, Pathologic / pathology
  • Oligonucleotide Array Sequence Analysis
  • Phenotype
  • Psoriasis / genetics*
  • Psoriasis / metabolism
  • Psoriasis / pathology
  • Receptor, TIE-2 / genetics*
  • Receptor, TIE-2 / metabolism
  • Reverse Transcriptase Polymerase Chain Reaction
  • Skin / blood supply
  • Skin / metabolism
  • Skin / pathology
  • Vascular Endothelial Growth Factor A / biosynthesis

Substances

  • Vascular Endothelial Growth Factor A
  • Receptor, TIE-2