Abstract
Introduction
Atopic dermatitis (AD), the most common chronic inflammatory skin disease, has a lifetime prevalence of up to 20%. AD substantially affects the quality of life. Environmental factors, including environmental chemicals, are involved in the increase in allergic diseases such as AD. Previous studies have shown that oral and peritoneal exposure to phthalates, including di-(2-ethylhexyl) phthalate and diisononyl phthalate, enhance mite allergen-induced AD-like skin lesions in mice.1–3
Polycyclic aromatic hydrocarbons (PAHs) are ubiquitous in indoor and outdoor environments; hence, humans can be easily exposed. Outdoor PAH sources are as follows: vehicle emissions, 4 forest fires, volcanoes, and industrial processes, 5 such as aluminum smelting and coke production. Indoor sources include cooking,6,7 heating, 8 smoking, 9 firewood burning, 10 candle burning, 11 and incense burning, 7 which form because of incomplete combustion. Therefore, humans are exposed to PAHs through several routes, of which food has been recognized as the main route of intake of PAHs.
Benzo[a]pyrene (BaP), a PAH, is a ubiquitous environmental pollutant. Benzo[a]pyrene is produced from diesel exhaust particles, cigarette smoke, industrial waste, and food products. Benzo[a]pyrene is known to be mutagenic and carcinogenic as well as immunotoxic. An intranasal administration of BaP was shown to aggravate cedar pollen-induced allergic rhinitis in a guinea pig model.
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In
Materials and methods
Animals
Seven-week-old SPF NC/Nga male mice (weight, 22–25g) were purchased from Charles River Japan (Osaka, Japan) and maintained in conventional conditions for 1 week. All mice had access to food and water
Study protocol
Mice were divided into six experimental groups (11 animals/group). The Dp group was treated with mite allergen extract (
Histological evaluation
The right ears of the mice were removed 24 h after the final intradermal injection (day 18), fixed in 10% neutral buffered formalin solution (pH 7.4), and embedded in paraffin (5 animals/group). Embedded blocks were cut into 3-µm sections using a rotary microtome and stained with hematoxylin and eosin or toluidine blue (pH 4.0).
Serum collection
Blood was collected by cardiac puncture 24 h after the final intradermal injection and centrifuged at 1200 ×
Protein lysate preparation from ear tissue
The right ears of mice were removed 24 h after the final intradermal injection and stored at −80°C until use (5 animals/group). The frozen tissue samples were subsequently homogenized using PHYSCOTORON NS-310E (MICROTEC Co., Ltd., Chiba, Japan). The homogenates were centrifuged at 31,000 rpm for 1 h at 4°C. The supernatant fraction was separated and stored at −80°C until further use.
Submandibular LN cell preparation and activation analysis
In a separate experiment, single-cell suspensions were prepared from submandibular LNs (6 animals/group) by straining cells via a sterile stainless wire mesh into phosphate-buffered saline (PBS) (−) (pH 7.4; Takara Bio Inc., Shiga, Japan) 24 h after the final intradermal injection. LN cells were collected after centrifugation at 400 ×
Lymph node cells (1 × 106/mL) were cultured with Dp (10 μg/mL) in 200 μL of R10 in 96-well flat-bottom plates. The cells were cultured in triplicate at 37°C in 5% CO2/95% air atmosphere for 70 h. After that, the culture supernatant was collected and stored at −80°C until further use.
Enzyme-linked immunosorbent assay
An ELISA kit was used to quantify proteins. The following were quantified in the supernatant fraction of ear tissue homogenates: interleukin (IL)-4 (General Electric Company, Buckinghamshire, MA, USA), IL-5 (Thermo Fisher Scientific, MA, USA), IL-13 (R&D systems, Minneapolis, MN), interferon-gamma (IFN-γ) (Thermo Fisher Scientific), CCL3/macrophage inflammatory protein-1α (CCL3/MIP-1α) (R&D systems), thymic stromal lymphopoietin (TSLP) (R&D systems), and IL-18 (Medical & Biological Laboratories Co., Ltd., Nagoya, Japan). Moreover, the following were estimated in the serum: total immunoglobulin E (IgE) (BD Biosciences, San Diego, CA, USA) and histamine (Bertin Bioreagent, Montigny le Bretonneux, France). All estimations were performed as per manufacturer’s instructions. Furthermore, the Dp-specific IgG1 level in serum was measured as previously described. 22 Cell proliferation (Roche Molecular Biochemicals, Mannheim, Germany), IFN-γ (Thermo Fisher Scientific), and IL-4 (General Electric Company) were evaluated in the culture supernatants after Dp restimulation as per the manufacturer’s instructions. In brief, cell proliferation was analyzed by incorporating 5-bromo-2′-deoxyuridine 20 h before the measurement.
Flow cytometry
Flow cytometry was used to analyze the submandibular LN cells. The following monoclonal antibodies were used for experiments: anti-major histocompatibility complex (MHC) class II I-A/I-E (2G9, Rat IgG2a κ fluorescein isothiocyanate (FITC)-conjugated; BD Biosciences), anti-CD86 (GL1, Rat IgG2a κ PE-conjugated; BD Biosciences), anti-T cell receptor (TCR) β (H57-597, Hamster IgG2 λ1 FITC-conjugated; BD Biosciences), CD69 (H1.2F3, American Hamster IgG1 λ3 PE-conjugated; BD Biosciences). The cell samples were prepared as per the manufacturers’ instructions and incubated with the antibodies for 30 min on ice. Fluorescence was then measured on FACSCalibur (Becton, Dickinson and Company, Franklin Lakes, NJ, USA), as reported previously.1,23
Statistical analysis
Data are expressed as means ± standard errors of the mean. Differences between the groups were analyzed using one-way analysis of variance or the Kruskal–Wallis test using Ekuseru-Toukei 2010 statistical software (Social Survey Research Information Co., Tokyo, Japan). Moreover, differences between the experimental and control groups were determined using Dunnett’s multiple comparison test or Steel’s multiple comparison test.
Results
Benzo[a]pyrene aggravates AD-like skin lesions
To evaluate the effects of BaP exposure on AD-like skin lesions induced by repeated mite allergen (Dp) treatment, clinical scores and ear thickening were analyzed. The results showed that the intradermal administration of Dp significantly increased ear thickening and exacerbated clinical scores (dryness, eruption, wound, and edema) compared with saline (Figures 1(a) and (b); The effects of BaP in atopic dermatitis–like skin lesions induced by mite allergen. Ear thickness and clinical scores 24 h after administration and macroscopic features 24 h after the last intradermal Dp administration. (a) Ear thickness, (b) clinical scores, (c) hematoxylin–eosin staining, and (d) toluidine blue staining. Data are mean ± SE of five animals per group *; 
Benzo[a]pyrene elevates the protein expression of inflammatory molecules in the skin
The expression of inflammatory molecules in the supernatant fraction of ear tissue homogenates is shown in Figure 2. Dp administration increased the expression of IL-4, IL-13, MIP-1α, and eotaxin compared with saline. A trend was observed toward an increase in MIP-1α, TSLP, IL-4, and IL-18 levels in the Dp + 2 µg/kg/day BaP and Dp + 20 µg/kg/day BaP groups compared with the Dp group. Moreover, IL-4 was found to be increased in the Dp + 20 µg/kg/day BaP group compared with that in the Dp + Vehicle group. Although the IFN-γ level was lower in Dp-administrated mice than in vehicle-administrated mice, no change was observed following exposure to BaP (data not shown). The effects of benzo[a]pyrene on protein expression of inflammatory molecules in the supernatant fraction of ear tissue homogenates. Protein levels in the ear homogenates were analyzed using ELISA 24 h after the last intradermal Dp administration. (a) MIP-1α, (b) eotaxin, (c) TSLP, (d) IL-4, (e) IL-13, and (f) IL-18. Data are the mean ± SE of five animals per group *; 
Benzo[a]pyrene increases Ig and histamine in serum
Ig production in serum was examined to determine the adjuvant activity of BaP. Total IgE was higher in the Dp + 2 µg/kg/day BaP and Dp + 20 µg/kg/day BaP groups than in the Saline + Vehicle group (Figure 3(a)). In addition, Dp administration significantly increased Dp-IgG1 production compared with saline (Figure 3(b); The effects of benzo[a]pyrene on immunoglobulin production and histamine release in serum. (a) Total IgE, (b) Dp-specific IgG1, and (c) histamine in serum were measured using ELISA 24 h after the last intradermal Dp administration. Data are the mean ± SE of five animals per group *; 
Benzo[a]pyrene enhances regional LN cell activation
To elucidate the mechanism of exacerbation of AD-like skin lesions caused by BaP exposure, we examined the activation of submandibular LN cells in the Dp + 2 μg/kg/day BaP group, which demonstrated the most remarkable aggravation of dermatitis symptoms. Exposure to Dp + 2 μg/kg/day BaP significantly elevated the cell number (Figure 4(a)) and cell proliferation (Figure 4(b)) compared with vehicle. However, no statistical differences were found between the Dp and Dp + 2 μg/kg/day BaP groups. The activation of antigen-presenting cells (APCs) and T cells was also analyzed using fluorescence-activated cell sorting. MHC II+CD86+ (Figure 4(c)) and TCRβ+CD69+ (Figure 4(d)) cells were higher in the Dp + 2 μg/kg/day BaP group than in the Saline + Vehicle and Dp + Vehicle groups. Dp + 2 μg/kg/day BaP increased the production of IFN-γ (Figure 4(e)) and IL-4 (Figure 4(f)) in cell culture supernatant after Dp restimulation compared with Dp alone, but no significant changes were found. The effects of BaP exposure on the activation of regional LN cells. Submandibular LN cells were prepared 24 h after the last intradermal Dp administration and evaluated by flow cytometry and ELISA. Each examination was performed on three cell samples pooled from two mice in each group. (a) Total cell number, (b) cell proliferation (ABS), (c) MHC class II+CD86+cells, (d) TCRβ+CD69+cells, (d) IFN-γ, and (f) IL-4. Data are the mean ± SE of three samples per group *; 
Discussion
We examined whether continuous exposure to BaP worsens Dp-induced AD-like skin lesions in mice. In the Dp + 2 µg/kg/day BaP and Dp + 20 µg/kg/day BaP groups, a marked enhancement of Dp-induced dermatitis was observed compared with the Dp + Vehicle group. Moreover, cytokine and chemokine expression in the inflamed site and antibody secretion in serum were elevated. Further, histamine levels increased in a BaP dose-dependent manner. Finally, Dp + 2 µg/kg/day BaP promoted the activation of APCs and T cells in regional LN cells.
Benzo[a]pyrene, a ubiquitous indoor and outdoor environmental pollutant, affects immune and allergic responses and causes carcinogenic and mutagenic effects. Repeated intraperitoneal exposures to BaP were found to enhance Dp-induced AD-like skin lesions in our murine model in the present study. In particular, these results were observed in lower doses (2 and 20 µg/kg/day BaP). These doses were comparable to 1/10th and 1/100th of NOAEL, respectively. In a previous study, dermal exposure to BaP (0.5 ppm/mice/day, 5 days) in allergen-patched mice led to epidermal thickening and the migration of Langerhans cells to regional LNs. 20 In addition, Tajima et al. reported that a single oral administration of high-dose BaP (0.3, 1, 3 mg/kg) before the final allergen challenge worsens hapten-induced ear swelling and scratching in a mouse model. 19 To our knowledge, the present study reported for the first time the effects of repeated systemic exposure to low-dose BaP in AD mice. Humans, except smokers, are mainly exposed to PAHs, including BaP, through foods. BaP has been detected in smoked foods, 24 bread, 25 aquatic products, 26 and charcoal-grilled meat.27,28 A review showed that the dietary intake of BaP for adults and toddlers is 472 ng/day and 11–268 ng/day, respectively. 29 Yu et al. reported that the calculated dietary intake of BaP was 0.609–4.69 ng/kg/day among individuals in Beijing, whereas inhalation intake was 0.087 ng/kg/day. 30 Human dietary intake of total PAHs ranged from 0.004 to 0.063 μg/kg/day (children), 0.002 to 0.028 μg/kg/day (adolescents), 0.01 to 0.017 μg/kg/day (males), 0.002 to 0.027 μg/kg/day (females), and 0.002 to 0.025 μg/kg/day (senior citizens). 31 Therefore, an additional study is needed to investigate the effects of human exposure to lower doses of BaP.
Cytokines and chemokines play crucial roles in mediating and modulating the immune system in AD pathogenesis. In the present study, there was a trend toward higher levels of MIP-1α, IL-4, TSLP, and IL-18 in the inflamed site after exposure to BaP in Dp-induced AD-like mice. Moreover, BaP with Dp treatment activated LN cells and enhanced IFN-γ and IL-4 levels in cell culture after Dp restimulation. Atopic diseases are generally associated with cytokine overproduction (e.g., IL-4, IL-5, and IL-13), blood eosinophilia, and increased serum IgE levels. IL-4 induces isotype switching toward IgE production in human B cells. IL-18 belongs to the IL-1 superfamily and is expressed in various cell types, including macrophages and keratinocytes. IL-18 participates in developing relapsing dermatitis, accumulating TH2 cytokines, overproducing IgE, and increasing histamine levels. 32 MIP-1a, a C-C chemokine family member, is mainly produced by CD8+ lymphocytes; its expression in peripheral blood mononuclear cells is increased in patients with AD. 33 In a previous study, a transdermal administration of BaP significantly increased IL-5 and IL-13 levels in allergen-restimulated LN cells from AD mice. 20 Another report showed that BaP exposure increased IL-5 and IL-13 levels in regional LN cell culture and TSLP in inflamed tissue in TH2-type hapten-induced AD mice. 19 Moreover, the infiltration of T cells, B cells, and dendritic cells in regional LNs following BaP administration was observed. Taken together, repeated exposure to BaP may contribute toward the induction of TH2-biased responses and activate regional LN cells, thereby aggravating AD symptoms.
In the present study, AD pathogenesis was enhanced by lower BaP doses (2 or 20 µg/kg/day); however, this effect was attenuated at higher doses (200 or 2000 µg/kg/day). As one of the mechanisms, the induction of AhR by BaP may contribute to the development and suppression of AD-like skin lesions. AhR, a nuclear receptor, modulates the xenobiotic metabolism of environmental pollutants, such as BaP. It plays a key role in modulating the immune response; however, researchers reported that AhR exhibits both proinflammatory and anti-inflammatory effects. Poulain-Godefroy et al. reported that AhR activation by PAHs is proinflammatory in nature, which induces mucus hypersecretion and APC dysregulation that worsen asthma symptoms. 34 In addition, BaP exposure induces Langerhans cell migration and increases cytokine production (IL-5, IL-13, and IL-17) in allergen-restimulated LN cells; these effects were attenuated in AhR-defective mice. 20 Moreover, oral exposure to BaP directly activates keratinocytes and T cells via AhR activation, resulting in worsened allergic dermatitis. 19 By contrast, AhR activation in dendritic cells blocked the production of proinflammatory T cells or shifted toward anti-inflammatory M2 macrophages. 34 Coal tar exposure increased filaggrin (a major skin barrier protein) expression through AhR activation in keratinocytes. 35 Moreover, the induction of filaggrin after coal tar treatment was observed in skin biopsies from patients with AD, which ameliorated skin barrier defects in AD. Taken together, BaP exposure may induce bidirectional responses through AhR activation, resulting in modified AD-like skin lesions.
Mast cell degranulation by allergen-specific or nonspecific stimulation induces several chemical mediator releases, including histamine. In patients with AD, increases in histamine levels were reported.36,37 In the present study, BaP dose-dependently increased serum histamine in Dp-treated AD mice. Moreover, mast cell degranulation was enhanced after exposure to BaP with Dp. Finally, Kepley et al. found that BaP and BaP-quinones enhance IgE-mediated histamine release as well as IL-4 production in human basophils. 38 BaP exposure can enhance mast cell degranulation and the subsequent histamine release, aggravating AD-like symptoms. In conclusion, BaP exposure can worsen mite allergen–induced AD-like skin lesions by enhancing TH2-biased responses in inflamed sites and activating regional LNs. Moreover, Ig production and histamine release in serum are enhanced. BaP may be responsible for the recent increase in AD incidence.
Footnotes
Acknowledgments
Declaration of conflicting interests
The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Funding
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by a grant from the National Institute for Environmental Studies.
