Intercellular adhesion molecule-1 (ICAM-1), putatively expressed by
antigen-presenting or target skin cells, is a
ligand for the lymphocyte function-associated
antigen (LFA-1) present on circulating lymphocytes. Immunohistochemistry of normal adult human skin using monoclonal antiserum to
ICAM-1 demonstrated focal reactivity restricted to endothelium lining the dermal microvasculature.
Delayed hypersensitivity responses elicited with
dinitrochlorobenzene in the skin of the same subject were evaluated sequentially over a 96 h period using immunohistochemical and ultrastructural techniques. The first alteration observed consisted of mast cell degranulation within perivenular foci in the superficial dermis at 4 h after
antigen challenge. Sparse superficial perivascular T-cell infiltrates were present by 24 h. Progressive staining for
ICAM-1 was observed in microvascular endothelium and in dermal dendritic cells between 24 and 48 h.
ICAM-1 expression was documented focally within the lower epidermis at 48 h and diffusely within the lower and upper epidermal layers at 96 h.
ICAM-1 expression by keratinocytes was consistently associated with T-cell migration into the epidermis, whereas migration was never observed in the absence of
ICAM-1 reactivity. Immunoelectron microscopy confirmed
ICAM-1 to be exclusively present on endothelial cells, dermal dendritic cells, mononuclear cells, and keratinocytes, and permitted characterization of the patterns of membrane reactivity.
ICAM-1 expression by epidermal cells appears to be closely linked to the progressive migration of T cells from the dermis into the epidermis that characterizes cutaneous
delayed hypersensitivity.