AI Article Synopsis

  • Mycosis fungoides (MF) is a type of skin cancer characterized by malignant CD4 T-cells, but the interactions of these cells with the skin's immune environment remain poorly understood.
  • Researchers used a non-invasive tape stripping method to analyze cytokine levels in the skin of patients with MF, atopic dermatitis (AD), and healthy controls, finding notable differences in cytokine secretion patterns.
  • The study concluded that while certain pro-inflammatory cytokines are present in MF lesions, there is no distinct cytokine profile that can differentiate MF from AD, indicating that tape stripping cannot effectively diagnose MF based on skin cytokine levels.

Article Abstract

Mycosis fungoides (MF) is characterised by malignant CD4 T-cell infiltrates in the skin. The functional characteristics of the malignant T cells and their interaction with the tumor immune microenvironment is largely unknown. We performed tape stripping of the stratum corneum (SC), a non-invasive technique, to gain insight into the cytokine secretion patterns in MF skin lesions. In addition, we assessed whether the SC cytokine profile of MF lesions is distinct from that of atopic dermatitis (AD) lesions. We compared nine cytokine levels in 20 patients with MF, 10 patients with AD and 10 healthy controls. In patients with MF and AD, lesional SC levels of IL-8 and MMP9 were significantly higher than in non-lesional SC and in healthy controls. VEGFα was significantly higher in lesional MF and AD skin than in healthy controls. The SC levels of IL-1α were significantly lower in MF and AD lesions than in healthy controls. There was no specific cytokine profile or inflammation pattern that could reliably distinguish MF from AD. In conclusion, in lesional SC of MF patients, pro-inflammatory cytokines can be detected. As a diagnostic method, tape stripping of lesional SC cannot discriminate MF skin from AD skin.

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http://dx.doi.org/10.1111/exd.14694DOI Listing

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