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IL‐4, IL‐5, TGF‐β1 and IFN‐γ mRNAs detected by a new in situ amplification system in cicatricial pemphigoid
Author(s) -
Caproni Marzia,
Calzolari Anna,
Giomi Barbara,
Santucci Marco,
Ficarra Giuseppe,
Fabbri Paolo
Publication year - 2002
Publication title -
experimental dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.108
H-Index - 96
eISSN - 1600-0625
pISSN - 0906-6705
DOI - 10.1034/j.1600-0625.2002.110505.x
Subject(s) - in situ hybridization , mucocutaneous zone , medicine , cytokine , basement membrane , pemphigoid , pathology , autoimmune disease , cicatricial pemphigoid , immune system , immunology , bullous pemphigoid , messenger rna , disease , biology , antibody , gene , biochemistry
The process that induces chronic progressive scarring in cicatricial pemphigoid (CP), a rare group of autoimmune mucocutaneous blistering diseases, is still under investigation. The tendency to heal with scar formation observed in CP could be due to the specific localization of the antigen in the basement membrane zone or could depend on the frequent recurrence of the disease in a localized area. The release of soluble fibrogenic factors by inflammatory infiltrating cells has also been considered as pathogenetically relevant. The aim of this study is to evaluate the expression of mRNA for IL‐4, IL‐5, TGF‐β 1 , IFN‐γ in patients with CP, and investigate the role of the cytokine profile as a possible cause of the clinical features and course of the disease. Fourteen patients (3 male, 11 female; age range 40–72 years) with oral ( n = 10), preputial ( n = 3) and cutaneous ( n = 1) CP were studied. The formalin‐fixed and paraffin‐embedded biopsies were examined by in situ hybridization performing a new amplification system based on biotinyl‐tyramide. As a control, 4 patients (2 male, 2 female; age range 58–73 years) affected by bullous pemphigoid (BP), the most common autoimmune subepidermal blistering disease, were also examined. In CP, IL‐4 mRNA expression was present in 4 out of the 14 cases analysed. IL‐5 was detected in 12 CP biopsies. TGF‐β 1 and IFN‐γ mRNAs were identified in 9 and 11 CP cases, respectively. In BP, an IL‐4 hybridization signal could not be observed in any of the cases. By contrast IL‐5, TGF‐β 1 and IFN‐γ mRNA analyses were positive in all four BP cases. Our results suggest the presence of a T‐cell population with a mixed cytokine pattern in the cellular infiltrate of both blistering diseases, with a corresponding increase of Th2‐like activity in fully developed lesions, irrespective of the different sites involved. In addition, on the basis of the constant presence of TGF‐β 1 mRNA in the different lesional phases of CP, and its overlapping expression in BP, we hypothesize that the involvement of additional factors is responsible for the scarring course typical of CP.