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Monochromatic excimer light (308 nm): an immunohistochemical study of cutaneous T cells and apoptosis-related molecules in psoriasis.

Abstract

BACKGROUND

Various types of UVB radiation source (290-320 nm) are used in treating psoriasis and their therapeutic mechanism has been attributed to immunosuppressive properties. Recently, a new UVB source generated by a 308-nm excimer laser has been introduced for the treatment of psoriasis.

OBJECTIVE

In this study we investigated the immunohistochemical evaluation of T cells and the expression of various apoptosis-related molecules in the psoriatic hyperproliferative skin before and after treatment with 308-nm monochromatic excimer light (MEL).

METHODS

Ten patients (three women and seven men), ranging in age from 29 to 79 years, affected by plaque-type psoriasis vulgaris, were treated with MEL. Biopsies from psoriatic lesions of MEL-treated sites were taken before, 24 h and/or 48 h after the first irradiation and analysed by the immunophosphatase alkaline technique (APAAP).

RESULTS

MEL treatment was found to cause a significant decrease in the rate of proliferation of keratinocytes and a relevant depletion of T cells in all psoriatic lesions, 48 h after the first irradiation: 308 nm light eliminated T cells from the psoriatic epidermis and also from the dermis, highlighting the ability of this UVB source to penetrate the skin compared with normal UVB and establish direct cytotoxic action on T cells infiltrating skin lesions. Rapid clearing of psoriatic lesions involves potential molecular targets of UVB in T cells including p53, which is upregulated after direct irradiation with 308-nm UVB. Moreover, Bcl-2 expression in healing psoriasis epidermis after MEL treatment is significantly decreased compared with untreated skin and the TUNEL (TdT-mediated dUTP-biotin nick end labelling) technique revealed the presence of relevant apoptotic keratinocytes in the irradiated epidermis.

CONCLUSIONS

These results indicate that psoriatic skin after monochromatic excimer light therapy is associated with significant T-cell depletion and alterations of apoptosis-related molecules accompanied by a decreased proliferation index and clinical remission.

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  • Authors+Show Affiliations

    ,

    Department of Dermatological Sciences, University of Florence, Via degli Alfani, 37, 50121 Florence, Italy. beatrice.bianchi@dermatol.unifi.it

    , , , ,

    Source

    MeSH

    Adult
    Aged
    Apoptosis
    Biopsy, Needle
    Dose-Response Relationship, Radiation
    Female
    Follow-Up Studies
    Humans
    Immunohistochemistry
    In Situ Nick-End Labeling
    Male
    Middle Aged
    Probability
    Prospective Studies
    Psoriasis
    Risk Assessment
    Sampling Studies
    Skin
    T-Lymphocytes
    Treatment Outcome
    Ultraviolet Rays
    Ultraviolet Therapy

    Pub Type(s)

    Comparative Study
    Journal Article

    Language

    eng

    PubMed ID

    12834450

    Citation

    Bianchi, B, et al. "Monochromatic Excimer Light (308 Nm): an Immunohistochemical Study of Cutaneous T Cells and Apoptosis-related Molecules in Psoriasis." Journal of the European Academy of Dermatology and Venereology : JEADV, vol. 17, no. 4, 2003, pp. 408-13.
    Bianchi B, Campolmi P, Mavilia L, et al. Monochromatic excimer light (308 nm): an immunohistochemical study of cutaneous T cells and apoptosis-related molecules in psoriasis. J Eur Acad Dermatol Venereol. 2003;17(4):408-13.
    Bianchi, B., Campolmi, P., Mavilia, L., Danesi, A., Rossi, R., & Cappugi, P. (2003). Monochromatic excimer light (308 nm): an immunohistochemical study of cutaneous T cells and apoptosis-related molecules in psoriasis. Journal of the European Academy of Dermatology and Venereology : JEADV, 17(4), pp. 408-13.
    Bianchi B, et al. Monochromatic Excimer Light (308 Nm): an Immunohistochemical Study of Cutaneous T Cells and Apoptosis-related Molecules in Psoriasis. J Eur Acad Dermatol Venereol. 2003;17(4):408-13. PubMed PMID: 12834450.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Monochromatic excimer light (308 nm): an immunohistochemical study of cutaneous T cells and apoptosis-related molecules in psoriasis. AU - Bianchi,B, AU - Campolmi,P, AU - Mavilia,L, AU - Danesi,A, AU - Rossi,R, AU - Cappugi,P, PY - 2003/7/2/pubmed PY - 2003/12/3/medline PY - 2003/7/2/entrez SP - 408 EP - 13 JF - Journal of the European Academy of Dermatology and Venereology : JEADV JO - J Eur Acad Dermatol Venereol VL - 17 IS - 4 N2 - BACKGROUND: Various types of UVB radiation source (290-320 nm) are used in treating psoriasis and their therapeutic mechanism has been attributed to immunosuppressive properties. Recently, a new UVB source generated by a 308-nm excimer laser has been introduced for the treatment of psoriasis. OBJECTIVE: In this study we investigated the immunohistochemical evaluation of T cells and the expression of various apoptosis-related molecules in the psoriatic hyperproliferative skin before and after treatment with 308-nm monochromatic excimer light (MEL). METHODS: Ten patients (three women and seven men), ranging in age from 29 to 79 years, affected by plaque-type psoriasis vulgaris, were treated with MEL. Biopsies from psoriatic lesions of MEL-treated sites were taken before, 24 h and/or 48 h after the first irradiation and analysed by the immunophosphatase alkaline technique (APAAP). RESULTS: MEL treatment was found to cause a significant decrease in the rate of proliferation of keratinocytes and a relevant depletion of T cells in all psoriatic lesions, 48 h after the first irradiation: 308 nm light eliminated T cells from the psoriatic epidermis and also from the dermis, highlighting the ability of this UVB source to penetrate the skin compared with normal UVB and establish direct cytotoxic action on T cells infiltrating skin lesions. Rapid clearing of psoriatic lesions involves potential molecular targets of UVB in T cells including p53, which is upregulated after direct irradiation with 308-nm UVB. Moreover, Bcl-2 expression in healing psoriasis epidermis after MEL treatment is significantly decreased compared with untreated skin and the TUNEL (TdT-mediated dUTP-biotin nick end labelling) technique revealed the presence of relevant apoptotic keratinocytes in the irradiated epidermis. CONCLUSIONS: These results indicate that psoriatic skin after monochromatic excimer light therapy is associated with significant T-cell depletion and alterations of apoptosis-related molecules accompanied by a decreased proliferation index and clinical remission. SN - 0926-9959 UR - https://www.unboundmedicine.com/medline/citation/12834450/Monochromatic_excimer_light__308_nm_:_an_immunohistochemical_study_of_cutaneous_T_cells_and_apoptosis_related_molecules_in_psoriasis_ L2 - https://onlinelibrary.wiley.com/resolve/openurl?genre=article&sid=nlm:pubmed&issn=0926-9959&date=2003&volume=17&issue=4&spage=408 DB - PRIME DP - Unbound Medicine ER -