“…Due to chemokine production, keratinocytes recruit other immune cells in the lesional sites, including dendritic cells, mast cells, eosinophils, and T cells [30,31]. Keratinocytes produce a cascade of pro-inflammatory factors, including thymic stromal lymphopoietin (TSLP), TNF-α, IL-1, IL-6, IL-8, IL-18, IL-23, IL-33, IL-36, as well as anti-inflammatory IL-38, which takes part in keratinocyte differentiation and counteracts the pro-inflammatory effect of IL-36 [30,[32][33][34][35]. Exposure to Staphylococcus aureus, which typically dominates the microbiota of AD lesions, was demonstrated as one of the factors upregulating IL-36 with subsequent allergic reaction and increased synthesis of IL-4, IL-13, and IgE [36].…”