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Perforin expression is upregulated in the epidermis of psoriatic lesions
Author(s) -
Kaštelan M.,
Prpić Massari L.,
Gruber F.,
Zamolo G.,
Žauhar G.,
Čoklo M.,
Rukavina D.
Publication year - 2004
Publication title -
british journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.304
H-Index - 179
eISSN - 1365-2133
pISSN - 0007-0963
DOI - 10.1111/j.1365-2133.2004.06168.x
Subject(s) - perforin , granzyme , psoriasis , cd8 , epidermis (zoology) , granzyme b , cytotoxic t cell , medicine , fas ligand , skin biopsy , pathology , immunohistochemistry , immunology , biopsy , biology , cancer research , apoptosis , immune system , programmed cell death , biochemistry , in vitro , anatomy
Summary Background  There are currently very few data regarding the role of cell‐mediated cytotoxicity in psoriasis. Both cytotoxic T lymphocytes and natural killer (NK) cells mediate cytotoxicity reactions, mainly by two distinct pathways, the perforin/granzyme and the Fas/Fas ligand pathway. Objectives  To study the expression and distribution of perforin, T‐ and NK‐cell subsets in psoriatic lesional and nonlesional skin. Methods  Skin biopsy specimens from both lesional and nonlesional skin of 11 patients with chronic plaque psoriasis and eight healthy controls were analysed by immunohistochemistry. Results  We found a significant increase in CD4+ and CD8+ cells in psoriatic lesions compared with nonlesional and healthy skin. The expression of CD16+ NK cells was significantly lower in lesions compared with healthy skin. Perforin expression was significantly enhanced in the epidermis of psoriatic lesions. Conclusions  Perforin expression is upregulated in the epidermis of psoriatic lesions, suggesting a potential role for perforin in the creation of the psoriatic plaque.

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