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Bullous and cicatricial pemphigoid.

G J Anhalt1, L H Morrison

  • 1Johns Hopkins University, Department of Dermatology, Baltimore, Maryland 21205.

Journal of Autoimmunity
|February 1, 1991
PubMed
Summary

Bullous pemphigoid (BP) is an autoimmune blistering disease. Autoantibodies target hemidesmosome proteins, causing skin blistering, though definitive proof of this mechanism is still incomplete.

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Area of Science:

  • Dermatology
  • Immunology
  • Cell Biology

Background:

  • Bullous pemphigoid (BP) and cicatricial pemphigoid are autoimmune blistering diseases.
  • These conditions involve epithelial detachment from the stroma, with IgG and complement deposition at the lamina lucida.
  • The primary immune response involves IgG4 subclass autoantibodies targeting hemidesmosome proteins.

Purpose of the Study:

  • To investigate the role of specific antigens in bullous pemphigoid pathogenesis.
  • To explore the function of 230 kD and 180 kD transmembrane proteins in epithelial adhesion.

Main Methods:

  • Analysis of antibody responses in affected tissues.
  • Identification and characterization of antigens involved in blister formation.
  • Review of recent studies defining antigen sequences and cDNA encoding.

Main Results:

  • Autoantibodies in BP target unique 230 kD and 180 kD hemidesmosome proteins.
  • These antigens are crucial for stratified squamous epithelial cell adhesion.
  • Recent structural data provides insights into antigen function.

Conclusions:

  • Bullous pemphigoid is considered an autoimmune disease mediated by antihemidesmosome autoantibodies.
  • The binding of these autoantibodies to specific antigens is strongly suspected to cause cutaneous lesions.
  • Further research is needed to definitively prove the causative role of these autoantibodies in BP pathogenesis.

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