Mycosis fungoides (MF) is the most common subtype of primary
cutaneous T cell lymphomas, whereas
pityriasis lichenoides chronica (PLC) is a chronic inflammatory skin disorder. The
inflammasome is a part of the natural immune system which has a multimeric structure consisting of the receptor, adaptor and effector
protein that show specificity for various
ligands or activators. After the activation of the
inflammasome complex,
caspase 1 becomes activated which subsequently triggers
interleukin-18 (IL-18) and interleukin-1β (IL-1β) production. In our study we aimed to examine the roles of
nucleotide-binding oligomerization domain-like receptor containing pyrin domain 1 (NLRP1) and
nucleotide-binding oligomerization domain-like receptor containing pyrin domain (NLRP3)
inflammasomes in the etiopathogeneses of PLC and MF. NLRP1, NLRP3,
caspase 1,
IL-18 and IL-1β levels were examined and compared immunohistochemically in the skin biopsies belonging to 16 control patients; 16 PLC cases, 12 cases with stage 1 MF and 12 cases with other stages of MF (stage 2-4). In the paired comparisons of NLRP1, stage 2-4 MF group and PLC group were shown to have increased levels of NLRP1 expression compared to the control group. IL-1β was also expressed at statistically significantly higher levels in each of the stage 1 MF, stage 2-4 MF and PLC groups compared to the control group. In the paired comparisons of
caspase 1 and
IL-18, it was found that stage 1 MF, stage 2-4 MF and PLC groups had increased levels of expression compared to the control group. Our findings suggest that the NLRP1
inflammasome pathway might play a role in the etiopathogenesis and progression of PLC and MF.