Detection of perforin and granzyme B mRNA expressing cells in lichen sclerosus

Robert E Hunger1, Marcel Brönnimann, Andreas Kappeler

  • 1Department of Dermatology, University of Bern, Inselspital, 3010 Bern, Switzerland. robert.hunger@insel.ch

Insights

Cell-mediated cytotoxicity, marked by granzyme B and perforin mRNA, is a key factor in lichen sclerosus pathogenesis. This study found high expression of these cytotoxic markers in affected skin, indicating their role in tissue damage.

Area of Science:

  • Immunology
  • Dermatology
  • Molecular Biology

Background:

  • Granzyme B and perforin mRNA are specific in vivo activation markers for cytotoxic cells.
  • Cell-mediated cytotoxicity is implicated in various inflammatory skin conditions.

Purpose of the Study:

  • To evaluate the role of cell-mediated cytotoxicity in the pathogenesis of lichen sclerosus.
  • To investigate the expression of granzyme B and perforin mRNA in lesional skin of lichen sclerosus patients.

Main Methods:

  • In situ hybridization and immunohistochemistry were performed on lesional and normal skin biopsies.
  • Cellular infiltrates were characterized using T cell (CD3+, CD4+, CD8+) and B cell (CD20+) markers.

Main Results:

  • Lesional skin showed a predominant infiltrate of T cells (CD3+) and some B cells (CD20+), with roughly equal numbers of CD4+ and CD8+ T cells.
  • A high percentage of infiltrating cells in lichen sclerosus biopsies expressed mRNA for perforin and granzyme B.
  • These cytotoxic marker-expressing cells were located in the dermal infiltrate and intraepidermally, near keratinocytes, suggesting in situ activation.

Conclusions:

  • Cell-mediated cytotoxicity, evidenced by high perforin and granzyme B mRNA expression, plays a significant role in the tissue destruction observed in lichen sclerosus.
  • The findings suggest that cytotoxic T cells are activated in situ within the skin lesions of lichen sclerosus.

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