Abstract | BACKGROUND: Human papilloma virus (HPV)-related warts persist, evading host immune surveillance, but sometimes disappear with inflammation. OBJECTIVES: To elucidate the immune evasion mechanisms of HPV, we have examined the density, dynamics, and subsets of dendritic cell (DC) types in non-inflammatory or inflammatory HPV-related skin lesions such as warts and Bowen's disease (HPV-Bowen), and compared the epidermal expression levels of macrophage inflammatory protein (MIP)-3α and E-cadherin. METHODS: The expression of various DC markers, MIP-3α, and E-cadherin in the tissue samples obtained from patients with warts, HPV-Bowen and HPV-unrelated skin diseases was evaluated by immunohistochemistry. MIP-3α gene expression levels were examined in warts and HPV-Bowen by in situ hybridization (ISH) and real-time quantitative polymerase chain reaction (RT-qPCR). RESULTS: The numbers of Langerhans cells (LCs) and the expression levels of MIP-3α and E-cadherin were decreased in non-inflammatory warts and HPV-Bowen, as compared with normal skin. Both epidermal LCs and MIP-3α expression reappeared in inflammatory warts, associated with dermal infiltrates composed of many cytotoxic T cells and various subsets of DCs, while cellular infiltrates in HPV-Bowen contained many B cells and plasma cells with sparse infiltration of DCs. The upregulation of MIP-3α gene expression was confirmed in the inflammatory warts and HPV-Bowen by ISH and RT-qPCR. CONCLUSIONS: The depletion of LCs in the non-inflammatory warts and HPV-Bowen is associated with a down-regulation of expression levels of MIP-3α and E-cadherin in the lesional keratinocytes. MIP-3α expression is upregulated in lesional keratinocytes of inflammatory warts, with the subsequent recruitment of various DC subsets and cytotoxic T cells, whereas plasma cell-rich infiltration was induced in HPV-Bowen.
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Authors | Yumi Nakayama, Kenji Asagoe, Akiko Yamauchi, Takenobu Yamamoto, Yoshinori Shirafuji, Shin Morizane, Gen Nakanishi, Keiji Iwatsuki |
Journal | Journal of dermatological science
(J Dermatol Sci)
Vol. 63
Issue 3
Pg. 173-83
(Sep 2011)
ISSN: 1873-569X [Electronic] Netherlands |
PMID | 21715145
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Copyright | Copyright © 2011 Japanese Society for Investigative Dermatology. Published by Elsevier Ireland Ltd. All rights reserved. |
Chemical References |
- CCL20 protein, human
- Cadherins
- Chemokine CCL20
- DNA Probes, HPV
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Topics |
- Apoptosis
- Base Sequence
- Bowen's Disease
(genetics, immunology, metabolism, virology)
- Cadherins
(genetics, metabolism)
- Chemokine CCL20
(genetics, metabolism)
- DNA Probes, HPV
(genetics)
- Dendritic Cells
(classification, immunology)
- Humans
- Immunohistochemistry
- In Situ Hybridization
- Keratinocytes
(pathology)
- Keratosis, Seborrheic
(genetics, immunology, metabolism)
- Papillomavirus Infections
(genetics, immunology, metabolism)
- Real-Time Polymerase Chain Reaction
- Skin Diseases, Viral
(genetics, immunology, metabolism)
- Warts
(genetics, immunology, metabolism)
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