Urokinase plasminogen activator mRNA is induced by IL-1alpha and TNF-alpha in in vitro acantholysis

Claudio Feliciani1, Paola Toto, Binghe Wang

  • 1Department of Dermatology, University 'G. d'Annunzio', Chieti, Italy.

Experimental Dermatology
|August 22, 2003
PubMed

Insights

Pemphigus vulgaris (PV) involves urokinase plasminogen activator (uPA) in acantholysis. Keratinocyte cytokines, interleukin-1alpha (IL-1alpha) and tumor necrosis factor-alpha (TNF-alpha), are linked to uPA induction, suggesting a pathway for PV pathogenesis.

Area of Science:

  • Dermatology
  • Molecular Biology
  • Immunology

Background:

  • Pemphigus vulgaris (PV) pathogenesis involves urokinase type plasminogen activator (uPA) and acantholysis.
  • Keratinocyte-derived cytokines, IL-1alpha and TNF-alpha, have been implicated in PV-induced acantholysis.

Purpose of the Study:

  • To investigate the correlation between keratinocyte-derived IL-1alpha and TNF-alpha and uPA induction during PV-induced acantholysis.
  • To elucidate the mechanistic relationship between these cytokines and uPA in PV.

Main Methods:

  • Normal human keratinocytes were stimulated with diluted PV serum.
  • Messenger RNA (mRNA) expression of IL-1alpha, TNF-alpha, and uPA was analyzed using RT-PCR.
  • Antibody blocking studies were performed to assess the functional roles of IL-1alpha, TNF-alpha, and uPA in acantholysis.

Main Results:

  • PV serum stimulation induced IL-1alpha, TNF-alpha, and uPA mRNA expression in keratinocytes, with cytokine expression preceding uPA.
  • Blocking antibodies against IL-1alpha, TNF-alpha, and uPA significantly suppressed PV-induced acantholysis (76%, 80%, and 90%, respectively).
  • Anti-IL-1alpha and anti-TNF-alpha antibodies inhibited uPA mRNA induction, while anti-uPA antibodies did not affect cytokine mRNA levels.

Conclusions:

  • uPA plays a confirmed role in PV-induced acantholysis.
  • Keratinocyte-derived IL-1alpha and TNF-alpha are involved in the induction of uPA during PV pathogenesis.
  • This study suggests a sequential pathway where IL-1alpha and TNF-alpha drive uPA expression, contributing to acantholysis in pemphigus vulgaris.

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