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T cells and T-cell subsets in mycosis fungoides and parapsoriasis. A study of 18 cases with anti-human T-cell monoclonal antibodies and histochemical techniques.

Abstract
Skin lesions from 15 patients with mycosis fungoides (MF) and from three with parapsoriasis were studied immunohistochemically with monoclonal antibodies against T cells (Leu 1) and against T-cell subsets (Leu 2a, Leu 3a). Lymphoid cell reactivity was diverse among these sampled cases. In two cases of parapsoriasis and nine of MF, there was a predominance of helper/inducer (Leu-3a-reactive) cells over suppressor/cytotoxic (Leu-2a-reactive) cells. In one case of parapsoriasis and one (advanced tumor stage) of MF, there was suppressor/cytotoxic cell predominance. One case of MF showed strong reactivity for both T-cell subset markers. Four cases of MF (two plaque-stage and two tumor-stage) featured a predominant cell type in the dermis which was nonreactive for all three antibodies. The intraepidermal lymphoid cellularity was Leu-1-reactive in ten cases of MF and two of parapsoriasis. Among these 12 cases, the intraepidermal cellularity was Leu-2a-reactive in four and Leu-3a-reactive in three. The use of such studies of T-cell subsets on in situ cutaneous lymphoid infiltrates may demonstrate a correlation with cytomorphology, clinical stage, and disease prognosis.
AuthorsS A Buechner, R K Winkelmann, P M Banks
JournalArchives of dermatology (Arch Dermatol) Vol. 120 Issue 7 Pg. 897-905 (Jul 1984) ISSN: 0003-987X [Print] United States
PMID6233942 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Antibodies, Monoclonal
  • Antigens, Surface
  • HLA-DR Antigens
  • Histocompatibility Antigens Class II
Topics
  • Adult
  • Aged
  • Antibodies, Monoclonal (immunology)
  • Antigens, Surface (analysis)
  • Female
  • HLA-DR Antigens
  • Histocompatibility Antigens Class II (analysis)
  • Histocytochemistry
  • Humans
  • Male
  • Middle Aged
  • Mycoses (immunology, pathology)
  • Parapsoriasis (immunology, pathology)
  • Skin (pathology)
  • T-Lymphocytes (immunology)
  • T-Lymphocytes, Helper-Inducer (immunology)
  • T-Lymphocytes, Regulatory (immunology)

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