PMID- 19456762 OWN - NLM STAT- MEDLINE DCOM- 20100818 LR - 20100108 IS - 1365-2230 (Electronic) IS - 0307-6938 (Linking) VI - 34 IP - 8 DP - 2009 Dec TI - Identification of granzyme B-expressing CD-8-positive T cells in lymphocytic inflammatory infiltrate in cutaneous lupus erythematosus and in dermatomyositis. PG - 910-4 LID - 10.1111/j.1365-2230.2009.03297.x [doi] AB - BACKGROUND: Lupus erythematosus (LE) and dermatomyositis (DM) are interface dermatitis, histologically characterized by formation of colloid bodies and a CD4+ CD8+ lymphocyte infiltrate. Colloid bodies are examples of intraepidermal apoptosis. Granzyme (Gr)B, synthesized by activated cytotoxic lymphocytes, is a serine protease able to prime apoptosis. GrB+ lymphocytes have been previously found in infiltrates in skin lesions from other types of interface dermatitis. AIM: To evaluate, on histological skin specimens from patients with LE and DM, GrB expression as a mediator of keratinocyte apoptosis in lymphocyte infiltrate. METHODS: In total, 22 patients with cutaneous LE [9 with discoid lupus erythematosus (DLE), 9 with subacute lupus erythematosus (SCLE) and 4 with systemic lupus erythematosus (SLE)] and 20 patients with DM were studied. Skin specimens underwent immunohistochemical staining with antibodies to CD3, CD4, CD8 and GrB. RESULTS: Immunohistochemical study with GrB was positive in 17 of the 22 patients with LE but only 2 of the 20 patients with DM. In LE, in systemic and subacute forms of LE, the median obtained was < 10 (+) whereas in the chronic forms, the median was 10-50% (++). Patients with DM were negative for GrB. CONCLUSIONS: In LE, a correlation between GrB+ lymphocyte and the presence of DLE form was found, but in DM, GrB is poorly expressed. GrB labels a subpopulation of effector cells involved in ongoing cytotoxic action and should be considered as a specific marker showing the extent of the direct local cytotoxic damage. GrB could play a role in the induction of skin apoptosis mechanisms in LE. FAU - Grassi, M AU - Grassi M AD - Dermatology Clinic II, University of Turin, Turin, Italy. marcellagrassi@yahoo.it FAU - Capello, F AU - Capello F FAU - Bertolino, L AU - Bertolino L FAU - Seia, Z AU - Seia Z FAU - Pippione, M AU - Pippione M LA - eng PT - Journal Article DEP - 20090518 PL - England TA - Clin Exp Dermatol JT - Clinical and experimental dermatology JID - 7606847 RN - EC 3.4.21.- (Granzymes) SB - IM CIN - Clin Exp Dermatol. 2010 Aug;35(6):669-70. PMID: 20345990 MH - Adult MH - Aged MH - Aged, 80 and over MH - Apoptosis/genetics MH - CD8-Positive T-Lymphocytes/*metabolism MH - Dermatomyositis/immunology/*metabolism MH - Female MH - Granzymes/*metabolism MH - Humans MH - Lupus Erythematosus, Cutaneous/immunology/*metabolism MH - Male MH - Middle Aged EDAT- 2009/05/22 09:00 MHDA- 2010/08/19 06:00 CRDT- 2009/05/22 09:00 PHST- 2009/05/22 09:00 [entrez] PHST- 2009/05/22 09:00 [pubmed] PHST- 2010/08/19 06:00 [medline] AID - CED3297 [pii] AID - 10.1111/j.1365-2230.2009.03297.x [doi] PST - ppublish SO - Clin Exp Dermatol. 2009 Dec;34(8):910-4. doi: 10.1111/j.1365-2230.2009.03297.x. Epub 2009 May 18.