TNFalpha and IL-6 are mediators in the blistering process of pemphigus.

Int J Dermatol

Department of Immunology, CBE, Universidad Autónoma de Zacatecas, Guadalupe, Zac. México.

Published: March 2001

Background: Pemphigus is an autoimmune disease characterized by intraepidermal blisters induced by pemphigus IgG. In addition to autoantibodies, molecular mechanisms involved in acantholysis remain largely unknown. For this reason, we address a possible role of the inflammatory cytokines IL-6 and TNFalpha in pemphigus lesions.

Methods: Sixteen biopsies from patients with different types of pemphigus were studied by in situ hybridization using DNA fluorescent probes for IL-6 and TNFalpha mRNA.

Results: Fifty-six percent of lesional biopsies exhibited cytokine gene expression, which was poorly expressed in noninvolved skin. Deposits of TNFalpha and IL-6 were products of in situ transcription at the epidermal level.

Conclusions: Inflammatory cytokine expression around the blister could play a mediator role in pemphigus lesions by increasing epithelial damage.

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http://dx.doi.org/10.1046/j.1365-4362.2001.01083.xDOI Listing

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