PMID- 15792120 OWN - NLM STAT- MEDLINE DCOM- 20050628 LR - 20050328 IS - 0344-0338 (Print) IS - 0344-0338 (Linking) VI - 200 IP - 11-12 DP - 2005 TI - Correlation of donor-derived keratinocytes and severity of graft-versus-host disease (GVHD) in epidermis. PG - 775-81 AB - Recent reports suggest that bone marrow might serve as a source of skin progenitor cells. Graft-versus-host disease (GVHD) is a systemic disease that involves the skin, the liver, and the gastrointestinal tract, and contributes to transplant-related morbidity and mortality. To evaluate whether donor-derived bone marrow cells participated in its pathophysiology, we correlated the severity of GVHD in skin from sex-mismatched recipients with the percentage of donor-derived keratinocytes using fluorescence in situ hybridization (FISH) for detecting the Y chromosome. Y-positive signals were observed in female epidermis in both keratinocytes and lymphocytes. These results support the notion that donor-derived hematopoietic stem cells may contain pluripotent stem cells. Furthermore, there was a strong correlation between the frequency of Y-positive keratinocytes and the histopathologic grade of GVHD (p = 0.004), as well as with the number of Y-positive lymphocytes infiltrating the epidermis (p = 0.005), suggesting a role for donor-derived keratinocytes in the pathophysiology of GVHD. However, no clusters of Y-positive keratinocytes were found in the epidermis, and no correlation was observed between the number of Y-positive keratinocytes and time course of GVHD after transplantation. We hypothesize that donor-derived stem cells may play a role in the regeneration of damaged keratinocytes in GVHD. FAU - Niino, Daisuke AU - Niino D AD - Department of Molecular Pathology, Atomic Bomb Disease Institute, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan. FAU - Nakashima, Masahiro AU - Nakashima M FAU - Kondo, Hisayoshi AU - Kondo H FAU - Ito, Masahiro AU - Ito M FAU - Matsuu, Mutsumi AU - Matsuu M FAU - Shichijo, Kazuko AU - Shichijo K FAU - Nakayama, Toshiyuki AU - Nakayama T FAU - Tomonaga, Masao AU - Tomonaga M FAU - Sekine, Ichiro AU - Sekine I LA - eng PT - Journal Article PL - Germany TA - Pathol Res Pract JT - Pathology, research and practice JID - 7806109 SB - IM MH - Adult MH - Bone Marrow Transplantation/*pathology MH - Cell Count MH - Chromosomes, Human, Y/genetics MH - Epidermis/*pathology MH - Female MH - Graft vs Host Disease/etiology/genetics/*pathology MH - *Graft vs Host Reaction MH - Humans MH - In Situ Hybridization, Fluorescence MH - Keratinocytes/*pathology MH - Middle Aged MH - Pluripotent Stem Cells/pathology/physiology MH - Skin Diseases/etiology/genetics/*pathology MH - Tissue Donors EDAT- 2005/03/29 09:00 MHDA- 2005/06/29 09:00 CRDT- 2005/03/29 09:00 PHST- 2005/03/29 09:00 [pubmed] PHST- 2005/06/29 09:00 [medline] PHST- 2005/03/29 09:00 [entrez] AID - S0344-0338(04)00178-5 [pii] AID - 10.1016/j.prp.2004.09.007 [doi] PST - ppublish SO - Pathol Res Pract. 2005;200(11-12):775-81. doi: 10.1016/j.prp.2004.09.007.