- Patrick, Garrett J;
- Liu, Haiyun;
- Alphonse, Martin P;
- Dikeman, Dustin A;
- Youn, Christine;
- Otterson, Jack C;
- Wang, Yu;
- Ravipati, Advaitaa;
- Mazhar, Momina;
- Denny, George;
- Ortines, Roger V;
- Zhang, Emily;
- Miller, Robert J;
- Dillen, Carly A;
- Liu, Qi;
- Nolan, Sabrina J;
- Nguyen, Kristine;
- Marcello, LeeAnn;
- C., Danh;
- Wier, Eric M;
- Zhang, Yan;
- Caviness, Gary;
- Klimowicz, Alexander C;
- Mierz, Diane V;
- Fine, Jay S;
- Sun, Guangping;
- Goldbach-Mansky, Raphaela;
- Marusina, Alina I;
- Merleev, Alexander A;
- Maverakis, Emanual;
- Garza, Luis A;
- Milner, Joshua D;
- Gao, Peisong;
- Ramanujam, Meera;
- Raymond, Ernest L;
- Archer, Nathan K;
- Miller, Lloyd S
IgE induced by type 2 immune responses in atopic dermatitis is implicated in the progression of atopic dermatitis to other allergic diseases, including food allergies, allergic rhinitis, and asthma. However, the keratinocyte-derived signals that promote IgE and ensuing allergic diseases remain unclear. Herein, in a mouse model of atopic dermatitis-like skin inflammation induced by epicutaneous Staphylococcus aureus exposure, keratinocyte release of IL‑36α along with IL-4 triggered B cell IgE class-switching, plasma cell differentiation, and increased serum IgE levels-all of which were abrogated in IL-36R-deficient mice or anti-IL‑36R-blocking antibody-treated mice. Moreover, skin allergen sensitization during S. aureus epicutaneous exposure-induced IL-36 responses was required for the development of allergen-specific lung inflammation. In translating these findings, elevated IL‑36 cytokines in human atopic dermatitis skin and in IL‑36 receptor antagonist-deficiency patients coincided with increased serum IgE levels. Collectively, keratinocyte-initiated IL‑36 responses represent a key mechanism and potential therapeutic target against allergic diseases.