Neurturin Growth Factor Enhances the Acute Cytokine Response of Inflamed Skin.

Epidermal keratinocytes, immune cells and sensory nerves all contribute to immune balance and skin homeostasis. Keratinocyte release of growth factors, neuromodulators and immune activators is particularly important because each can evoke local (skin) and systemic (i.e., immune and neural) responses that can initiate and exacerbate skin pathophysiology. From studies of skin and neural growth factors, we hypothesized that neurturin (Nrtn), a member of the glial cell line-derived neurotrophic factor (GDNF) family that is expressed in skin, has particular importance in this process. Here we examine how elevation of Nrtn in skin keratinocytes impacts early cytokine expression in response to complete Freund's adjuvant (CFA)-mediated inflammation. Mice that overexpress Nrtn in keratinocytes (NrtnOE mice) and WT mice injected with Nrtn exhibit an enhanced level of TNFα and IL-1β cytokines in the skin, a response previously shown to support healing. In vitro assays suggest one source of the Nrtn-induced TNFα increase is from keratinocytes, which are shown to express Nrtn and mRNAs encoding the Nrtn receptors GFRα2, Ret, Itgβ1 and NCAM. These findings support the contribution of keratinocyte-derived Nrtn as an autocrine/paracrine factor that acts as a first line defense molecule that regulates the initial cytokine response to inflammatory challenge.

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