PMID- 15325798 OWN - NLM STAT- MEDLINE DCOM- 20050211 LR - 20061115 IS - 0165-2478 (Print) IS - 0165-2478 (Linking) VI - 95 IP - 1 DP - 2004 Aug 15 TI - Increased expression of IL-18 in cutaneous graft-versus-host disease. PG - 57-61 AB - Interleukin-18 (IL-18) is an 18-kDa cytokine produced by lipopolysaccharide (LPS)-activated macrophages or Kupffer cells. In addition, IL-18 is also produced by many different types of cells and tissues, including epidermal keratinocytes, the adrenal cortex, and the brain. IL-18 acts on the immune system to increase IFN-gamma production from T and NK cells to enhance NK cell cytotoxicity and to activate Th1 cell proliferation. It is considered that the tissue expression of cytokines and cell adhesion molecules such as ICAM-1 are common in graft-versus-host disease (GVHD). Recent evidence suggests that IL-18 is a cytokine relevant in the pathogenesis of GVHD. Despite the potential importance of IL-18 in GVHD, the distribution of IL-18 production in cutaneous GVHD has not been fully investigated. In this study, the expression of IL-18 in the cutaneous GVHD was investigated. Formalin-fixed, paraffin-embedded tissue sections were obtained, and immunohistochemical analysis was performed to detect IL-18 and ICAM-1 expression according to the acute and chronic GVHD. Immunohistochemical analysis confirmed the enhanced IL-18 expression levels in the early stage (grade 1) of acute GVHD and the late stage (sclerodermoid) of chronic GVHD compared to the other stages. In contrast, the ICAM-1 expression level was constant at all stages. Our findings indicate that IL-18 is a significant pathogenic indicator in cutaneous GVHD, and the tissue expression of IL-18 seems to be associated with the pathogenesis of acute and chronic GVHD. FAU - Park, Hyun Jeong AU - Park HJ AD - Department of Dermatology, St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. FAU - Kim, Ji Eun AU - Kim JE FAU - Lee, Jun Yong AU - Lee JY FAU - Cho, Baik Kee AU - Cho BK FAU - Lee, Wang Jae AU - Lee WJ FAU - Kim, Taesng AU - Kim T FAU - Yoon, Doyoung AU - Yoon D FAU - Cho, Daeho AU - Cho D LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Netherlands TA - Immunol Lett JT - Immunology letters JID - 7910006 RN - 0 (Interleukin-18) RN - 126547-89-5 (Intercellular Adhesion Molecule-1) SB - IM MH - Chronic Disease MH - Graft vs Host Disease/*immunology/pathology/prevention & control MH - Humans MH - Intercellular Adhesion Molecule-1/biosynthesis MH - Interleukin-18/*biosynthesis/metabolism MH - *Skin/pathology MH - Up-Regulation EDAT- 2004/08/25 05:00 MHDA- 2005/02/12 09:00 CRDT- 2004/08/25 05:00 PHST- 2004/05/18 00:00 [received] PHST- 2004/06/08 00:00 [revised] PHST- 2004/06/10 00:00 [accepted] PHST- 2004/08/25 05:00 [pubmed] PHST- 2005/02/12 09:00 [medline] PHST- 2004/08/25 05:00 [entrez] AID - S0165-2478(04)00161-0 [pii] AID - 10.1016/j.imlet.2004.06.011 [doi] PST - ppublish SO - Immunol Lett. 2004 Aug 15;95(1):57-61. doi: 10.1016/j.imlet.2004.06.011.