An aging-susceptible circadian rhythm controls cutaneous antiviral immunity

Stephen J Kirchner1,2, Vivian Lei1, Paul T Kim1

  • 1Department of Dermatology.

JCI Insight
|September 19, 2023
PubMed

Insights

Aging skin

Area of Science:

  • Immunology
  • Dermatology
  • Chronobiology

Background:

  • Aged skin exhibits increased susceptibility to viral infections.
  • The underlying mechanisms of this immunosenescence-related immune risk are not fully understood.

Purpose of the Study:

  • To investigate the role of circadian regulators and antiviral proteins (AVPs) in aged skin's immune response.
  • To explore circadian restoration as a potential antiviral strategy for aging populations.

Main Methods:

  • Assessed levels of AVPs and circadian regulators (Bmal1, Clock) in aged murine and human skin.
  • Investigated the control of rhythmic AVP expression by Bmal1 and Clock.
  • Examined the impact of IL-27 signaling disruption and gene deletion/knockdown on circadian AVP regulation.
  • Evaluated the efficacy of circadian-enhancing agents (nobiletin, SR8278) against herpes simplex virus 1 infection in skin models.

Main Results:

  • Aged skin showed reduced levels of AVPs and circadian regulators Bmal1 and Clock.
  • Bmal1 and Clock regulate rhythmic AVP expression, a process impaired by IL-27 signaling disruption and Bmal1/Clock gene alterations.
  • Circadian-enhancing treatments effectively reduced viral infection in skin explants and keratinocytes in a BMAL1/CLOCK-dependent manner.
  • These treatments reversed the increased susceptibility of aged skin and keratinocytes to viral infections.

Conclusions:

  • Cutaneous antiviral immunity is regulated by an evolutionarily conserved, age-sensitive circadian mechanism.
  • Restoring circadian function presents a promising antiviral strategy for combating infections in aging individuals.

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