Docosahexaenoic acid alleviates atopic dermatitis by generating tregs and IL-10/TGF-β-modified macrophages via a TGF-β-dependent mechanism

Sang Chul Han, Dong Hwan Koo, Na Jin Kang, Weon Jong Yoon, Gyeoung Jin Kang, Hee Kyoung Kang, Eun Sook Yoo

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40 Scopus citations


Regulatory T cells (Tregs) have key roles in the immune response by suppressing the differentiation and proliferation of various immune cells. The beneficial effects of docosahexaenoic acid (DHA) have been described for many diseases; however, the mechanism by which it modulates the immune system is poorly understood. Therefore, the aim of this study was to examine whether DHA suppresses allergic reactions and upregulates the generation of CD4+Foxp3+ T cells. We also examined the effects of transfusing interleukin-10/transforming growth factor-β (TGF-β)-modified macrophages (M2 macrophages) treated with DHA into a mouse model of atopic dermatitis. Here, we show that administration of DHA upregulates the generation of TGF-β-dependent CD4+ forkhead box protein 3 (Foxp3+) Tregs. DHA induced T-cell hypo-responsiveness and downregulated cytokines associated with T helper (Th)-1, Th2, and Th17 cells. The differentiation of Foxp3+ Tregs into CD4+ T cells was directly mediated by DHA-M2 macrophages, which deactivated effector macrophages and inhibited CD4+ T-cell proliferation. DHA showed therapeutic effects in mice with experimental atopic dermatitis. These results show that DHA enhances the function of M2 macrophages and that the generation of Tregs effectively protects mice against an inflammatory immune disorder. Thus, DHA may be a useful therapeutic strategy for treating chronic inflammatory diseases.

Original languageEnglish (US)
Pages (from-to)1556-1564
Number of pages9
JournalJournal of Investigative Dermatology
Issue number6
StatePublished - Jan 1 2015

Bibliographical note

Funding Information:
This work was supported by the Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education, Science, and Technology (2013R1A1A2012465).

Publisher Copyright:
© 2015 The Society for Investigative Dermatology.


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