Skin lesions in atopic dermatitis (AD) are characterized by hypertrophy of
the dermis and epidermis, infiltration by T cells and eosinophils, and expr
ession of the cytokines IL-4, IL-5, and IFN-gamma. The role of these cytoki
nes in the pathogenesis of AD is nor known. We took advantage of a recently
described murine model of AD elicited by epicutaneous sensitization with o
valbumin (OVA) (1) and of the availability of mice with targeted deletions
of the IL-4, IL-5, and IFN-gamma cytokine genes to assess the role of these
cytokines in this model.
OVA-sensitized skin from IL-5(-/-) mice had no detectable eosinophils and e
xhibited decreased epidermal and dermal thickening. Sensitized skin from IL
-4(-/-) mice displayed normal thickening of the skin layers but had a drast
ic reduction in eosinophils and a significant increase in infiltrating T ce
lls. These findings were associated with a reduction in eotaxin mRNA and an
increase in mRNA for the T-cell chemokines macrophage inflammatory protein
-2 (MIP-2), MIP-1 beta, and RANTES. Sensitized skin from IFN-gamma(-/-) mic
e was characterized by reduced dermal thickening.
These results suggest that both the T(H)2 cytokines IL-4 and IL-5 and the T
(H)1 cytokine IFN-gamma play important roles in the inflammation and hypert
rophy of the skin in AD.