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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1991-6-26
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pubmed:abstractText |
We have investigated immunohistologically the cutaneous immune infiltrate in the lesions of five patients with severe, extensive lichen planus of recent onset before and after 15 days of oral, low-dose cyclosporine therapy (3 mg/kg/day). Before therapy, we observed an abnormal bandlike cellular infiltrate localized in the papillary dermis, composed mostly of CD3+ cells, with a prevalence of CD4+ cells. Infiltrating lymphocytes showed markers of activation (HLA-DR antigens and interleukin 2 receptor), and there were many Langerhans (CD1+) cells in the dermal infiltrate. After 15 days of cyclosporine therapy, we observed a dramatic decrease in the total number of T cells and a corresponding decrease in interleukin 2 receptor-positive activated CD25+ cells and in antigen-presenting cells (CD1+ and CD14b+). These changes were concurrent with clinical improvement. Our results are compatible with the hypothesis that the inhibition of CD4 T cells by cyclosporine might explain the drug's therapeutic action and that the interaction between antigen-presenting cells and CD4 T cells is important in the pathogenesis of lichen planus.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Apr
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pubmed:issn |
0190-9622
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
24
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
550-4
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:2033128-Adult,
pubmed-meshheading:2033128-Antibodies, Monoclonal,
pubmed-meshheading:2033128-Antigens, CD,
pubmed-meshheading:2033128-Cyclosporins,
pubmed-meshheading:2033128-HLA-DR Antigens,
pubmed-meshheading:2033128-Humans,
pubmed-meshheading:2033128-Immunoenzyme Techniques,
pubmed-meshheading:2033128-Keratinocytes,
pubmed-meshheading:2033128-Langerhans Cells,
pubmed-meshheading:2033128-Lichen Planus,
pubmed-meshheading:2033128-Lymphocyte Subsets,
pubmed-meshheading:2033128-Male,
pubmed-meshheading:2033128-Middle Aged,
pubmed-meshheading:2033128-Skin
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pubmed:year |
1991
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pubmed:articleTitle |
Immunohistologic evaluation of the effect of cyclosporine treatment on the lichen planus immune infiltrate.
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pubmed:affiliation |
Second Department of Dermatology, University of Milan, Italy.
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pubmed:publicationType |
Journal Article
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