ISSN:
1600-0757
Source:
Blackwell Publishing Journal Backfiles 1879-2005
Topics:
Medicine
Notes:
Immunohistochemical and immunoserological evidence supports the involvement of both cell-mediated and humoral mechanisms in the pathogenesis of melanocyte destruction in vitiligo. Punch biopsies from depigmented vitiliginous skin (VS), normal-looking pigmented skin (PS), and marginal skin (MS) from patients with generalized vitiligo (n = 15) were labeled with K 1.2.58, OKM1 (CD11b), Leu 11b (CD16), Leu 19 (CD56), IFN-γreceptor, IL-2 receptor (CD25), IgG, IgM, C3c, and C3d MoAbs. In addition, in vitro effects of vitiligo sera (n = 13) on human newborn melanocytes (HMel) under different culture conditions were studied.The immunohistochemical findings showed absence of K 1.2.58+ epidermal melanocytes in VS and abnormal morphology in MS. In these areas, a few CD11b + cells in the dermis and epidermis could be detected but no significant numbers of CD16+ or CD56+ cells were seen among the mononuclear cellular infiltrate. IL-2 and IFN-γ receptors were clearly expressed by the cellular infiltrate. No significant deposition of complement or immunoglobulin was seen.The addition of vitiligo sera to HMel cultures induced a significant cellular proliferation. The stimulation of cell proliferation occurred regardless whether the sera were added alone or when preheated (56°C for 1 hr) and then supplemented with a complement source (P 〈 0.01 at 2%, P 〈 0.001 at 10%, and P 〈 0.01 at 20% for sera alone) (P 〉 0.05 at 2%, P 〈 0.05 at 10%, and P 〈 0.01 at 20% for decomplemented sera plus complement). In contrast, incubation of vitiligo sera together with normal lymphocytes with HMel significantly decreased the number of living melanocytes in a dose dependent manner, suggesting an antibody-dependent cellular cytotoxicity (ADCC) reaction (P 〈 0.01 at 2% and 10%, P 〈 0.001 at 20%).The presence of lymphocytic infiltrate at marginal skin with evidence for IL-2- and IFN-γ-receptor expression and the decrease in the number of living cells by ADCC-like mechanisms provide further support for an autoimmune pathogenesis in vitiligo.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1111/j.1600-0749.1994.tb00013.x
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