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Updated: Aug 14, 2026

Lymphocyte Isolation from Human Skin for Phenotypic Analysis and Ex Vivo Cell Culture
Published on: April 8, 2016
High expression levels of keratinocyte antimicrobial proteins in psoriasis compared with atopic dermatitis
Gys J de Jongh1, Patrick L J M Zeeuwen, Martina Kucharekova
1Department of Dermatology, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
Abstract:
Recently, it was shown that lesional skin of atopic dermatitis patients expresses low levels of some antimicrobial peptides, compared with psoriasis patients. Here we performed microarray analysis on mRNA from purified lesional epidermal cells of patients with chronic plaque psoriasis and chronic atopic dermatitis, to investigate whether this is a general phenomenon for host defense proteins, and how specific it is for this class of molecules. Microarray data were confirmed on a selected set of genes by quantitative PCR and at the protein level by immunohistochemistry. We found overexpression of many antimicrobial proteins in keratinocytes from psoriatic skin compared with atopic dermatitis skin. Interestingly, we observed that markers of normal differentiation and the activated/hyperproliferative epidermal phenotype were expressed at equal levels. Chronic lesions of psoriasis and atopic dermatitis patients are remarkably similar with respect to cellular proliferation. We conclude that psoriatic epidermis expresses high levels of host defense proteins compared with atopic dermatitis epidermis, and this phenomenon appears to be specific for these proteins. It remains to be investigated whether this is caused by genetic polymorphisms in pathways leading to an epidermal antimicrobial response, or by differences in the cellular infiltrate in psoriasis compared with atopic dermatitis.
Insights
Psoriatic skin shows higher levels of antimicrobial peptides than atopic dermatitis skin. This difference in host defense proteins is specific to these molecules and not related to epidermal proliferation.
Area of Science:
- Dermatology
- Immunology
- Molecular Biology
Background:
- Lesional skin in atopic dermatitis (AD) exhibits lower antimicrobial peptide (AMP) levels compared to psoriasis.
- The specificity and breadth of this phenomenon across host defense proteins require further investigation.
Purpose of the Study:
- To compare the expression of host defense proteins in lesional skin of chronic plaque psoriasis and chronic atopic dermatitis patients.
- To determine if the observed differences in AMPs are specific to this class of molecules.
Main Methods:
- Microarray analysis of mRNA from purified lesional epidermal cells of psoriasis and AD patients.
- Validation of microarray data using quantitative PCR and immunohistochemistry for selected genes and proteins.
Main Results:
- Keratinocytes in psoriatic skin overexpress numerous antimicrobial proteins compared to AD skin.
- Epidermal differentiation and proliferation markers are expressed at similar levels in both psoriasis and AD chronic lesions.
- A significant difference in host defense protein expression exists between psoriatic and AD epidermis.
Conclusions:
- Psoriatic epidermis demonstrates elevated levels of host defense proteins relative to atopic dermatitis epidermis.
- This overexpression phenomenon appears specific to antimicrobial proteins.
- Future research should explore genetic factors or cellular infiltrate differences contributing to these findings.
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