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The development of manifest psoriatic lesions is linked with the appearance of ICAM-1 positivity on keratinocytes

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Abstract

The development of psoriatic lesions was studied in 36 psoriatic patients using the Koebner reaction induced by tape stripping. Two biopsies per patient were taken from non-lesional psoriatic skin before, and 6 h, 2 days, 7 days, 14 days and 21 days after tape stripping. Alterations in HLA-DR, ICAM-1, Ki-67 and FXIIIa positivities in both the dermis and the epidermis were estimated using immunohistochemical methods. A double staining for CD4+ and CD8+ T cells was also carried out to show their possible Ki-67 positivity. Results were compared with those from lesional (mature plaque) and non-lesional psoriatic skin, and control skin. Of the 36 patients, 9 were Koebner-positive. The most important finding in Koebner-positive psoriatic skin was the appearance of ICAM-1 positivity on epidermal keratinocytes simultaneously with the clinically observed lesion on day 7. The number of FXIIIa+ dendrocytes in the dermis was quite constant, and increased in mature psoriatic lesions only. The number of active HLA-DR+ immunocompetent cells increased in developing psoriatic lesions, being highest in mature lesions, but no Ki-67 positivity was detected in epidermal or dermal T cells in the psoriatic specimens. Based on these results, it is concluded that T cells divide and are activated extracutaneously in psoriasis, and also that ICAM-1/LFA-1 interactions are important in the recruitment of inflammatory cells and in controlling the effector cell functions.

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Authors and Affiliations

  1. Department of Dermatology, Kuopio University Hospital, Kuopio, Finland

    Kari Paukkonen & Maija Horsmanheimo

  2. Department of Pathology, Kuopio University Hospital, SF-70211, P.O. Box 1777, Kuopio, Finland

    Anita Naukkarinen

Authors
  1. Kari Paukkonen
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  2. Anita Naukkarinen
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  3. Maija Horsmanheimo
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Paukkonen, K., Naukkarinen, A. & Horsmanheimo, M. The development of manifest psoriatic lesions is linked with the appearance of ICAM-1 positivity on keratinocytes. Arch Dermatol Res 287, 165–170 (1995). https://doi.org/10.1007/BF01262326

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  • DOI: https://doi.org/10.1007/BF01262326

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