A new model for dermatitis herpetiformis that uses HLA-DQ8 transgenic NOD mice

J Clin Invest. 2004 Oct;114(8):1090-7. doi: 10.1172/JCI21055.

Abstract

Dermatitis herpetiformis (DH) is an autoimmune blistering skin disorder that is associated with gluten sensitivity. It presents as a papulovesicular rash and is often associated with enteropathy. The rash resolves when the patient is placed on a gluten-free diet and/or dapsone. DH, as well as celiac disease, is tightly associated with DQ2 and DQ8. A novel mouse model for DH is described that utilizes the NOD background and the HLA-DQ8 transgene. The addition of DQ8 contributes sensitivity to gliadin, and the addition of the NOD background contributes to autoimmunity and pathogenesis. Fifteen NOD DQ8+ mice of 90 that were sensitized to gluten developed blistering pathology similar to that seen in DH. Neutrophil infiltration of the dermis, deposition of IgA at the dermal-epidermal junction, and a complete reversal of the blistering phenomenon with the administration of a gluten-free diet with or without dapsone were observed. None of the 3 blistering mice examined had small-bowel pathology. This animal model of DH will be useful to determine the specificity of the IgA deposits, as well as the pathogenic mechanisms that occur in the skin as a result of gluten ingestion.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Animals
  • Anti-Inflammatory Agents, Non-Steroidal / therapeutic use
  • Dapsone / therapeutic use
  • Dermatitis Herpetiformis / drug therapy
  • Dermatitis Herpetiformis / genetics
  • Dermatitis Herpetiformis / immunology*
  • Dermatitis Herpetiformis / pathology
  • Diet
  • Disease Models, Animal*
  • Ear / anatomy & histology
  • Ear / pathology
  • Gliadin / immunology
  • Glutens / administration & dosage
  • Glutens / immunology
  • HLA-DQ Antigens / genetics
  • HLA-DQ Antigens / metabolism*
  • Humans
  • Immunoglobulin A / metabolism
  • Intestine, Small / cytology
  • Intestine, Small / metabolism
  • Mice
  • Mice, Inbred NOD
  • Mice, Transgenic
  • Skin / cytology
  • Skin / metabolism
  • Skin / pathology
  • Transglutaminases / metabolism
  • Wheat Hypersensitivity / immunology
  • Wheat Hypersensitivity / physiopathology

Substances

  • Anti-Inflammatory Agents, Non-Steroidal
  • HLA-DQ Antigens
  • HLA-DQ8 antigen
  • Immunoglobulin A
  • Glutens
  • Dapsone
  • Gliadin
  • Transglutaminases