The role of perforin-mediated apoptosis in lichen planus lesions

Lichen planus is recognized as a T-cell-mediated disease. Histologically, it is characterized by the formation of colloid bodies representing apoptotic keratinocytes. The apoptotic process mediated by CD8(+) cytotoxic T lymphocytes (CTLs) and NK cells mainly involves two distinct pathways: the perfo...

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Veröffentlicht in:Archives of Dermatological Research 2004-10, Vol.296 (5), p.226-230
Hauptverfasser: KASTELAN, Marija, MASSARI, Larisa Prpic, GRUBER, Franjo, ZAMOLO, Gordana, ZAUHAR, Gordana, COKLO, Miran, RUKAVINA, Danijel
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container_title Archives of Dermatological Research
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creator KASTELAN, Marija
MASSARI, Larisa Prpic
GRUBER, Franjo
ZAMOLO, Gordana
ZAUHAR, Gordana
COKLO, Miran
RUKAVINA, Danijel
description Lichen planus is recognized as a T-cell-mediated disease. Histologically, it is characterized by the formation of colloid bodies representing apoptotic keratinocytes. The apoptotic process mediated by CD8(+) cytotoxic T lymphocytes (CTLs) and NK cells mainly involves two distinct pathways: the perforin/granzyme pathway and the Fas/FasL pathway. So far, little is known regarding the role of perforin-mediated apoptosis in lichen planus. In the present study, the expression and distribution of perforin, T and NK cell subsets in the epidermis and dermis of lesional and nonlesional lichen planus skin were studied. Skin biopsy specimens from lesional and nonlesional skin of ten patients with lichen planus and eight healthy persons were analysed by immunohistochemistry. Significant accumulation of T cells, particularly of CD4(+) and CD8(+) subsets, was found in both epidermis and dermis of lichen planus lesions compared with nonlesional and healthy skin. There were no significant differences in the incidence of NK cells (CD16(+) and CD56(+)) between lesional, nonlesional and healthy skin. Perforin expression was significantly upregulated in the epidermis of lichen planus lesions. In conclusion, accumulation of perforin(+) cells in the epidermis of lichen planus lesions suggest a potential role of perforin in the apoptosis of basal keratinocytes.
doi_str_mv 10.1007/s00403-004-0512-1
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Histologically, it is characterized by the formation of colloid bodies representing apoptotic keratinocytes. The apoptotic process mediated by CD8(+) cytotoxic T lymphocytes (CTLs) and NK cells mainly involves two distinct pathways: the perforin/granzyme pathway and the Fas/FasL pathway. So far, little is known regarding the role of perforin-mediated apoptosis in lichen planus. In the present study, the expression and distribution of perforin, T and NK cell subsets in the epidermis and dermis of lesional and nonlesional lichen planus skin were studied. Skin biopsy specimens from lesional and nonlesional skin of ten patients with lichen planus and eight healthy persons were analysed by immunohistochemistry. Significant accumulation of T cells, particularly of CD4(+) and CD8(+) subsets, was found in both epidermis and dermis of lichen planus lesions compared with nonlesional and healthy skin. There were no significant differences in the incidence of NK cells (CD16(+) and CD56(+)) between lesional, nonlesional and healthy skin. Perforin expression was significantly upregulated in the epidermis of lichen planus lesions. 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There were no significant differences in the incidence of NK cells (CD16(+) and CD56(+)) between lesional, nonlesional and healthy skin. Perforin expression was significantly upregulated in the epidermis of lichen planus lesions. 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There were no significant differences in the incidence of NK cells (CD16(+) and CD56(+)) between lesional, nonlesional and healthy skin. Perforin expression was significantly upregulated in the epidermis of lichen planus lesions. In conclusion, accumulation of perforin(+) cells in the epidermis of lichen planus lesions suggest a potential role of perforin in the apoptosis of basal keratinocytes.</abstract><cop>Berlin</cop><pub>Springer</pub><pmid>15452725</pmid><doi>10.1007/s00403-004-0512-1</doi><tpages>5</tpages></addata></record>
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subjects Adult
Aged
Aged, 80 and over
Apoptosis
Biological and medical sciences
Dermatology
Dermis - metabolism
Dermis - pathology
Epidermis - metabolism
Epidermis - pathology
Humans
Immunohistochemistry
Killer Cells, Natural - pathology
Lichen Planus - metabolism
Lichen Planus - pathology
Lichen Planus - physiopathology
Medical sciences
Membrane Glycoproteins - metabolism
Middle Aged
Perforin
Pore Forming Cytotoxic Proteins
Psoriasis. Parapsoriasis. Lichen
Skin - metabolism
Skin - pathology
T-Lymphocyte Subsets - pathology
title The role of perforin-mediated apoptosis in lichen planus lesions
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