PMID- 24943751 OWN - NLM STAT- MEDLINE DCOM- 20150406 LR - 20140619 IS - 0974-5130 (Electronic) IS - 0377-4929 (Linking) VI - 57 IP - 2 DP - 2014 Apr-Jun TI - Expression of tumor necrosis factor-alpha and nuclear factor-kappaB/RelA and the pathogenesis of psoriasis. PG - 205-8 LID - 10.4103/0377-4929.134664 [doi] AB - CONTEXT: Tumor necrosis factor-alpha (TNF-alpha) is an important mediator in the pathogenesis of psoriasis. Nuclear factor-kappaB (NF-kappaB) is a transcription factor that regulates the activity of the proinflammatory genes. Psoriasis is an inflammatory disease and the role of TNF-alpha and NF-kappaB, should be considerable. AIMS: We studied the role of TNF-alpha and NF-kappaB in psoriasis. MATERIALS AND METHODS: A total of 61 cases of psoriatic skin biopsies were studies and the grade of TNF-alpha and NF-kappaB, staining was correlated with the histopathological indices of severity. STATISTICAL ANALYSIS USED: Pearson's correlation coefficient and Chi-square test. Statistical Package for Social Sciences version 13 was used. RESULTS: The TNF-alpha immunostain in the cytoplasm of the epidermal cells and basal cells showed a strong inverse correlation with the grade of epidermal hyperplasia (P -0.019 and P -0.009, respectively). The epidermal cytoplasmic positivity and lymphocyte positivity for TNF-alpha did not correlate with the grade of NF-kappaB immunostaining in the epidermal cell nuclei, basal cells or lymphocytes. The basal cell cytoplasmic positivity for TNF-alpha correlated with the grade of NF-kappaB immunostaining in the nucleus of basal cells at a P - 0.005. There was a strong correlation between the epidermal cytoplasmic TNF-alpha immunostaining with the lymphocyte immunostaining (P -0.08); however, there was no correlation between the TNF-alpha expression in the other two locations. CONCLUSIONS: The study outlines the relationship between NF-kappaB and TNF-alpha and their combined role in the development of the characteristic histopathological changes in psoriasis. We hypothesize that NF-kappaB is involved in stimulating the release of TNF-alpha which would account for the characteristic histopathological changes of psoriasis. However, it is likely that NF-kappaB can act independently of TNF-alpha also in the pathogenesis of psoriasis. FAU - Moorchung, Nikhil AU - Moorchung N AD - Department of Pathology, Armed Forces Medical College, Pune, Maharashtra, India. FAU - Vasudevan, Biju AU - Vasudevan B FAU - Mani, N S AU - Mani NS FAU - Verma, Rajesh AU - Verma R LA - eng PT - Journal Article PL - India TA - Indian J Pathol Microbiol JT - Indian journal of pathology & microbiology JID - 7605904 RN - 0 (Transcription Factor RelA) RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Biopsy MH - Female MH - Humans MH - Immunohistochemistry MH - Male MH - Middle Aged MH - Prospective Studies MH - Psoriasis/*pathology MH - Severity of Illness Index MH - Skin/pathology MH - Transcription Factor RelA/*biosynthesis MH - Tumor Necrosis Factor-alpha/*biosynthesis MH - Young Adult EDAT- 2014/06/20 06:00 MHDA- 2015/04/07 06:00 CRDT- 2014/06/20 06:00 PHST- 2014/06/20 06:00 [entrez] PHST- 2014/06/20 06:00 [pubmed] PHST- 2015/04/07 06:00 [medline] AID - IndianJPatholMicrobiol_2014_57_2_205_134664 [pii] AID - 10.4103/0377-4929.134664 [doi] PST - ppublish SO - Indian J Pathol Microbiol. 2014 Apr-Jun;57(2):205-8. doi: 10.4103/0377-4929.134664.