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Dendritic cell subsets and immunological milieu in inflammatory human papilloma virus-related skin lesions.

AbstractBACKGROUND:
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.
AuthorsYumi Nakayama, Kenji Asagoe, Akiko Yamauchi, Takenobu Yamamoto, Yoshinori Shirafuji, Shin Morizane, Gen Nakanishi, Keiji Iwatsuki
JournalJournal of dermatological science (J Dermatol Sci) Vol. 63 Issue 3 Pg. 173-83 (Sep 2011) ISSN: 1873-569X [Electronic] Netherlands
PMID21715145 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
CopyrightCopyright © 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
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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