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Increased expression of adhesion receptors in both lesional and non-lesional psoriatic skin

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Abstract

Adhesion receptors and their ligands play a vital role in the immune system. We studied the expression of different adhesion receptors, using single- and double-staining immunohistochemical techniques, in both lesional and non-lesional skin specimens from seven psoriasis patients and in skin biopsy specimens from eight normal healthy controls. Our results showed an overall increased expression of several adhesion receptors in both lesional and non-lesional psoriatic skin. We consistently found an increased expression in particular of ICAM-1 and E-selectin on endothelial cells, and ICAM-1 on T cells and Langerhans cells. In contrast, a weak expression of VCAM-1 was found on endothelial cells and mononuclear cells in lesional psoriatic skin specimens alone. Interestingly, LFA-1 was also expressed on Langerhans cells, with a greater frequency in skin from lesional than from non-lesional sites, but was never expressed in skin from normal healthy individuals. Furthermore, significantly increased numbers of Langerhans cells and T cells with a positive reactivity for MAb HECA-452 were found in both lesional and non-lesional psoriatic skin. We hypothesize that the enhanced expression of adhesion receptors on migrating immunocompetent cells and endothelial cells of psoriatic skin in general facilitates the increased influx of activated T lymphocytes and other immunocomponent cells into the skin, and thus underscores the generalized character of the disease.

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References

  1. Akbar AN, Salmon M, Janossy G (1991) The synergy between naive and memory T cells during activation. Immunol Today 12: 184–188

    Google Scholar 

  2. Barton SP, Abdullah MS, Marks R (1992) Quantification of microvascular changes in the skin in patients with psoriasis. Br J Dermatol 126: 569–574

    Google Scholar 

  3. Berg EL, Yoshino T, Rott L et al (1991) The cutaneous lymphocyte antigen is a skin lymphocyte homing receptor for the ascular lectin endothelial cell leucocyte adhesion molecule-1. J Exp Med 174: 1461–1466

    Google Scholar 

  4. Bevilacqua MP, Pober JS, Mendrick DL, Cotran RS, Gimbrone MA Jr (1987) Identification of an inducible endothelial-leukocyte adhesion molecule. Proc Natl Acad Sci USA 84: 9238–9242

    Google Scholar 

  5. Bieber T, Braun-Falco O (1989) Distribution of CD1a-positive cells in psoriatic skin during the evolution of the lesions. Acta Derm Venereol (Stockh) 69: 175–178

    Google Scholar 

  6. Bos JD (1988) The pathomechanisms of psoriasis; the skin immune system and cyclosporin. Br J Dermatol 118: 141–155

    Google Scholar 

  7. Bos JD, Hagenaars C, Das PK, Krieg SR, Voorn WJ, Kapsenberg ML (1989) Predominance of “memory” T cells (CD4+, Cdw29+) over naive T cells (CD4+, CD45R+) in both normal and diseased human skin. Arch Dermatol Res 281: 24–30

    Google Scholar 

  8. Bos JD, de Boer OJ, Tibosch E, Das PK, Pals ST (1993) Skin homing T-lymphocytes: detection of cutaneous lymphocyte associated antigen (CLA) by HECA-452 in normal human skin. Arch Dermatol Res 285: 179–183

    Google Scholar 

  9. Butcher EC (1991) Leucocyte endothelial cell recognition: three or more steps to specificity and diversity. Cell 67: 1033–1036

    Google Scholar 

  10. Carlos TM, Schwartz BR, Kovach NL et al (1990) Vascular cell adhesion molecule-1 mediates lymphocyte adherence to cytokine-activated cultured human endothelial cells. Blood 76: 965–970

    Google Scholar 

  11. Chin YH, Sackstein R, Cai JP (1991) Lymphocyte-homing receptors and preferential migration pathways. Proc Soc Exp Biol Med 196: 374–380

    Google Scholar 

  12. Dinther-Jansen ACHM van, Pals ST, Scheper RJ, Breedveld F, Meijer CJLM (1990) Dendritic cells and high endothelial venules in the rheumatoid synovial membrane. J Rheumatol 17: 11–16

    Google Scholar 

  13. Dustin ML, Singer KH, Tuck DT, Springer TA (1988) Adhesion of T lymphoblasts to epidermal keratinocytes is regulated by interferon gamma and is mediated by intercellular adhesion molecule (ICAM-1). J Exp Med 167: 1323–1340

    Google Scholar 

  14. Fierlbeck G, Rassner G, Muller C (1990) Psoriasis induced at the injection site of recombinant interferon gamma. Results of immunohistologic investigations. Arch Dermatol 126: 351–355

    Google Scholar 

  15. Forster S, Ilderon E, Summerly R, Yardley HJ (1983) The level of phospholipase A2 activity is raised in uninvolved epidermis of psoriasis. Br J Dermatol 120: 210–214

    Google Scholar 

  16. Fraki JE, Briggeman RA, Lazerus GS (1982) Uninvolved skin from psoriasis patients develops signs of involved psoriatic skin after being grafted onto nude mice. Science 215: 685–687

    Google Scholar 

  17. Frederiksson T, Pettersson U (1978) Severe psoriasis oral therapy with new retinoid. Dermatologica 157: 238–244

    Google Scholar 

  18. Gearing AJ, Fincham NJ, Bird CR, Wadhwa M, Meager A, Cartwright JE, Camp RD (1990) Cytokines in skin lesions of psoriasis. Cytokine 2: 68–75

    Google Scholar 

  19. Graham RC Jr, Lundholm U, Karnovsky MJ (1965) Cytochemical demonstration of peroxidase activity with 3-amino-9-ethyl carbazole. J Histochem Cytochem 13: 150–154

    Google Scholar 

  20. Griffiths CE, Voorhees JJ, Nickoloff BJ (1989) Characterization of intercellular adhesion molecule-1 and HLA-DR expression in normal and inflamed skin: modulation by recombinant gamma interferon and tumor necrosis factor. J Am Acad Dermatol 20: 617–629

    Google Scholar 

  21. Groves RW, Allen MH, Barker JN, Haskard DO, MacDonald DM (1991) Endothelial leucocyte adhesion molecule-1 (ELAM-1) expression in cutaneous inflammation. Br J Dermatol 124: 117–123

    Google Scholar 

  22. Horrocks C, Duncan JI, Oliver AM, Thomson AW (1991) Adhesion molecule expression in psoriatic skin lesions and the influence of cyclosporin A. Clin Exp Immunol 84: 157–162

    Google Scholar 

  23. Hsu SM, Raine L, Fanger H (1981) Use of avidin biotinperoxidase complex (ABC) in immunoperoxidase techniques: a comparison between ABC and unlabelled antibody (PAP) procedures. J Histochem Cytochem 29: 577–580

    Google Scholar 

  24. Issekutz TB (1992) Lymphocyte homing to sites of inflammation. Curr Opin Immunol 4: 287–293

    Google Scholar 

  25. Joost Th van, Bos JD, Heule F, Meinardi MMHM (1988) Low dose cyclosporin A in severe psoriasis. A double blind study. Br J Dermatol 118: 183–190

    Google Scholar 

  26. Kellner I, Konter U, Sterry W (1991) Overexpression of extracellular matrix receptors (VLA-3, -5 and-6) on psoriatic keratinocytes. Br J Dermatol 125: 211–216

    Google Scholar 

  27. Konter U, Kellner I, Klein E, Kaufmann R, Mielke V, Sterry W (1989) Adhesion molecule mapping in normal human skin. Arch Dermatol Res 281: 454–462

    Google Scholar 

  28. Koopman G, Pals ST (1992) Cellular interactions in the germinal centre: role of adhesion receptors and significance for the pathogenesis of AIDS and malignant lymphoma. Immunol Rev 126: 21–45

    Google Scholar 

  29. Krueger GG, Chambers DA, Shelby J (1981) Involved and uninvolved skin from psoriatic subjects: are they equally diseased? J Clin Invest 68: 1548–1557

    Google Scholar 

  30. Loos CM van der, Oord JJ van den, Das PK, Houthoff HJ (1988) Use of commercially available monoclonal antibodies for immunoenzyme double staining. Histochem J 20: 409–413

    Google Scholar 

  31. Loos CM van der, Das PK, Oord JJ van den, Houthoff HJ (1989) Multiple immunoenzyme staining techniques. Use of fluoresceinated, biotinylated and unlabelled monoclonal antibodies. J Immunol Methods 117: 45–52

    Google Scholar 

  32. MacCay CR, Imhof BA (1993) Cell adhesion in the immune system. Immunol Today 14: 99–102

    Google Scholar 

  33. Mason DY, Stein H, Naiem M, Abdulaziz Z (1981) Immunohistological analysis of human lymphoid tissue by double immunoenzymatic labelling. J Cancer Res Clin Oncol 101: 13–18

    Google Scholar 

  34. McGregor JM, Barker JNWN, Ross EL, MacDonald DM (1992) Epidermal dendritic cells in psoriasis possess a phenotype associated with antigen presentation: In situ expression of Beta2-integrins- J Am Acad Dermatol 27: 383–388

    Google Scholar 

  35. Norris P, Poston RN, Thomas DS, Thornhill M, Hawk J, Haskard DO (1991) The expression of endothelial leucocyte adhesion molecule 1 (ELAM-1), intercellular adhesion molecule-1 (ICAM-1) and vascular cell adhesion molecule-1 (VCAM-1) in experimental cutaneous inflammation: a comparison ultraviolet B erythema and delayed hypersensitivity. J Invest Dermatol 96: 763–770

    Google Scholar 

  36. Panfilis G de, Manara GC, Ferrari C, Torresani C, Zucchi A, Devoto RM (1989) Further characterization of the “incipient lesion of chronic stationary type psoriasis vulgaris in exacerbation”. The CD4 positive lymphocytes are the prominent cell population infiltrating the dermis. Acta Derm Venereol Suppl (Stockh) 146: 26–30

    Google Scholar 

  37. Panifilis G de, Soligo D, Manara GC, Ferrari C, Torresani C (1989) Adhesion molecules on the plasma membrane of epidermal cells. I. Human resting Langerhans cells express two members of adherence promoting CD11/CD18 family, namely H-MAC-1 (CD11b/CD18) and gp150,95 (CD11c/CD18). J Invest Dermatol 93: 60–69

    Google Scholar 

  38. Pellegrini G, De Luca M, Orecchia G, Balzac F, Cremona O, Savoia P, Cancedda R, Marchisio PC (1992) Expression, topography, and function of integrin receptors are severely altered in keratinocytes from involved and uninvolved psoriatic skin. J Clin Invest 89: 1783–1795

    Google Scholar 

  39. Picker LJ (1992) Mechanisms of lymphocyte homing. Curr Opin Immunol 4: 277–286

    Google Scholar 

  40. Picker LJ, Michie SA, Rott LS, Butcher EC (1990) A unique phenotype of skin associated lymphocytes in humans. Preferential expression of the HECA-452 epitope by benign and malignant T cells at cutaneous sites. Am J Pathol 136: 1053–1068

    Google Scholar 

  41. Pober JS (1987) Effects of tumor necrosis factor and related cytokines on vascular endothelial cells. Ciba Found Symp 131: 170–184

    Google Scholar 

  42. Raynaud F, Evain-Brion D (1991) Protein kinase C activity in normal and psoriatic cells: cultures of fibroblasts and lymphocytes. Br J Dermatol 124: 542–546

    Google Scholar 

  43. Ryan TJ (1980) Microcirculation in psoriasis. Blood vessels, lymphatics and tissue fluid. Pharmacol Ther 10: 27–64

    Google Scholar 

  44. Simon JC, Cruz PD, Tigelaar RE, Sontheimer RD, Bergstresser PR (1991) Adhesion molecules CD11a, CD18 and ICAM-1 on human epidermal Langerhans cells serve a functional role in the activation of alloreactive T cells. J Invest Dermatol 96: 148–151

    Google Scholar 

  45. Streilein JW (1990) Speculations on the immunopathogenesis of psoriasis: T-cell violation of a keratinocytes sphere of influence. J Invest Dermatol 95: 20s-21s

    Google Scholar 

  46. Teunissen MBM, Wormeester J, Krieg SR et al (1990) Human epidermal Langerhans cells undergo profound morphological and phenotypical changes during in vitro culture. J Invest Dermatol 94: 166–173

    Google Scholar 

  47. Tidman N, Janossy G, Bodger M, Granger S, Kung PC, Goldstein G (1981) Delineation of human thymocyte differentiation pathways utilizing double staining techniques with monoclonal antibodies. Clin Exp Immunol 45: 457–461

    Google Scholar 

  48. Vejlsgaard GL, Ralfkiaer E, Avnstorp C, Czajkowski M, Marlin SD, Rothlein R (1989) Kinetics and characterization of intercellular adhesion molecule-1 (ICAM-1) expression on keratinocytes in various inflammatory skin lesions and malignant cutaneous lymphomas. J Am Acad Dermatol 20: 782–790

    Google Scholar 

  49. Weinschenker BG, Bass BH, Ebers GC, Rice GPA (1989) Remission of psoriatic lesions with muromonab-CD3 (Orthoclone OKT3) treatment. J Am Acad Dermatol 20: 1132–1133

    Google Scholar 

  50. Wellicome SM, Thornhill MH, Pitzalis C et al (1990) A monoclonal antibody that detects a novel antigen on endothelial cells that is induced by tumor necrosis factor, IL-1, or lipopolysaccharide. J Immunol 144: 2558–2565

    Google Scholar 

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de Boer, O.J., Wakelkamp, I.M.M.J., Pals, S.T. et al. Increased expression of adhesion receptors in both lesional and non-lesional psoriatic skin. Arch Dermatol Res 286, 304–311 (1994). https://doi.org/10.1007/BF00402220

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