PMID- 16096331 OWN - NLM STAT- MEDLINE DCOM- 20060420 LR - 20220311 IS - 0003-4967 (Print) IS - 1468-2060 (Electronic) IS - 0003-4967 (Linking) VI - 65 IP - 4 DP - 2006 Apr TI - Tumour necrosis factor alpha is expressed in refractory skin lesions from patients with subacute cutaneous lupus erythematosus. PG - 545-8 AB - OBJECTIVES: To investigate whether tumour necrosis factor alpha (TNFalpha) is expressed in subacute cutaneous lupus erythematosus (SCLE) skin lesions. METHODS: The in situ expression of TNFalpha in refractory lesional and non-lesional skin biopsy specimens from patients with SCLE was analysed using an immunohistochemical approach. At the time of biopsy these patients were receiving treatment with systemic medications such as antimalarial agents, immunosuppressive drugs, and thalidomide. Expression of TNFalpha was also evaluated in cutaneous lesions of patients with other inflammatory and neoplastic skin diseases as controls. RESULTS: The data showed that refractory lesional skin tissue from patients with SCLE displays a strongly positive distribution of TNFalpha, particularly within the epidermis. No prominent staining was seen in non-lesional skin from the same group of patients or in cutaneous lesions from the control group. CONCLUSIONS: These findings suggest that TNFalpha is localised and produced by epidermal cells within SCLE skin lesions and support its potential role in the pathogenesis of SCLE. The tissue localisation of TNFalpha may represent a potential therapeutic target providing a new perspective in the treatment of refractory skin lesions in patients with SCLE. FAU - Zampieri, S AU - Zampieri S AD - Department of Clinical and Experimental Medicine, University of Padova, Italy. FAU - Alaibac, M AU - Alaibac M FAU - Iaccarino, L AU - Iaccarino L FAU - Rondinone, R AU - Rondinone R FAU - Ghirardello, A AU - Ghirardello A FAU - Sarzi-Puttini, P AU - Sarzi-Puttini P FAU - Peserico, A AU - Peserico A FAU - Doria, A AU - Doria A LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20050811 PL - England TA - Ann Rheum Dis JT - Annals of the rheumatic diseases JID - 0372355 RN - 0 (Antirheumatic Agents) RN - 0 (Autoantibodies) RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Adult MH - Antirheumatic Agents/therapeutic use MH - Autoantibodies/analysis MH - Epidermis/immunology MH - Female MH - Humans MH - Immunoenzyme Techniques MH - Lupus Erythematosus, Cutaneous/drug therapy/*immunology MH - Lymphocyte Subsets/pathology MH - Middle Aged MH - Skin/*immunology MH - Tumor Necrosis Factor-alpha/*metabolism PMC - PMC1798098 COIS- Competing interest: None. EDAT- 2005/08/13 09:00 MHDA- 2006/04/21 09:00 PMCR- 2009/04/01 CRDT- 2005/08/13 09:00 PHST- 2005/08/13 09:00 [pubmed] PHST- 2006/04/21 09:00 [medline] PHST- 2005/08/13 09:00 [entrez] PHST- 2009/04/01 00:00 [pmc-release] AID - ard.2005.039362 [pii] AID - ar39362 [pii] AID - 10.1136/ard.2005.039362 [doi] PST - ppublish SO - Ann Rheum Dis. 2006 Apr;65(4):545-8. doi: 10.1136/ard.2005.039362. Epub 2005 Aug 11.