Cytotoxic granules in distinct subsets of cutaneous lupus erythematosus

Summary In cutaneous lupus erythematosus (CLE), the pathogenetic role of cytotoxic granules has been demonstrated in the subacute and discoid subtypes, which show interface dermatitis, but little is known about tumid (T)CLE, which does not show this interface dermatitis, and evolves with minimal epi...

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Veröffentlicht in:Clinical and experimental dermatology 2014-10, Vol.39 (7), p.835-839
Hauptverfasser: Fogagnolo, L., Soares, T. C. B., Senna, C. G., Souza, E. M., Blotta, M. H. S. L., Cintra, M. L.
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container_end_page 839
container_issue 7
container_start_page 835
container_title Clinical and experimental dermatology
container_volume 39
creator Fogagnolo, L.
Soares, T. C. B.
Senna, C. G.
Souza, E. M.
Blotta, M. H. S. L.
Cintra, M. L.
description Summary In cutaneous lupus erythematosus (CLE), the pathogenetic role of cytotoxic granules has been demonstrated in the subacute and discoid subtypes, which show interface dermatitis, but little is known about tumid (T)CLE, which does not show this interface dermatitis, and evolves with minimal epidermal changes. We studied cytotoxic T lymphocytes and cytotoxic granules in discoid (n = 21), subacute (n = 17), and tumid (n = 21) CLE samples. Skin sections were immunohistochemically stained for CD8, CD56, perforin, granzyme A, granzyme B, and granulysin. Inflammatory cells containing the four subtypes of cytotoxic granules were found in all the three CLE forms; however, only the TCLE group showed a positive correlation between the density of CD8+ cells and each subtype of cytotoxic granule‐positive cells. In addition, only the TCLE group showed synergy between the densities of cells containing cytotoxic granule subtypes. Cytotoxic granules are important in the pathomechanism of TCLE. They may perform functions other than apoptosis, including maintenance of inflammation and dermal mucinous deposits in TCLE.
doi_str_mv 10.1111/ced.12428
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Inflammatory cells containing the four subtypes of cytotoxic granules were found in all the three CLE forms; however, only the TCLE group showed a positive correlation between the density of CD8+ cells and each subtype of cytotoxic granule‐positive cells. In addition, only the TCLE group showed synergy between the densities of cells containing cytotoxic granule subtypes. Cytotoxic granules are important in the pathomechanism of TCLE. 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Inflammatory cells containing the four subtypes of cytotoxic granules were found in all the three CLE forms; however, only the TCLE group showed a positive correlation between the density of CD8+ cells and each subtype of cytotoxic granule‐positive cells. In addition, only the TCLE group showed synergy between the densities of cells containing cytotoxic granule subtypes. Cytotoxic granules are important in the pathomechanism of TCLE. 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L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cytotoxic granules in distinct subsets of cutaneous lupus erythematosus</atitle><jtitle>Clinical and experimental dermatology</jtitle><addtitle>Clin Exp Dermatol</addtitle><date>2014-10</date><risdate>2014</risdate><volume>39</volume><issue>7</issue><spage>835</spage><epage>839</epage><pages>835-839</pages><issn>0307-6938</issn><eissn>1365-2230</eissn><coden>CEDEDE</coden><abstract>Summary In cutaneous lupus erythematosus (CLE), the pathogenetic role of cytotoxic granules has been demonstrated in the subacute and discoid subtypes, which show interface dermatitis, but little is known about tumid (T)CLE, which does not show this interface dermatitis, and evolves with minimal epidermal changes. We studied cytotoxic T lymphocytes and cytotoxic granules in discoid (n = 21), subacute (n = 17), and tumid (n = 21) CLE samples. 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source MEDLINE; Oxford University Press Journals All Titles (1996-Current); Alma/SFX Local Collection
subjects Antigens, Differentiation, T-Lymphocyte - metabolism
CD56 Antigen - analysis
CD8-Positive T-Lymphocytes - immunology
Cell Count
Granzymes - metabolism
Humans
Immunohistochemistry
Lupus Erythematosus, Cutaneous - immunology
Lupus Erythematosus, Cutaneous - metabolism
Lupus Erythematosus, Cutaneous - pathology
Perforin - metabolism
Retrospective Studies
T-Lymphocytes, Cytotoxic - immunology
title Cytotoxic granules in distinct subsets of cutaneous lupus erythematosus
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