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Methotrexate inhibits the leukotriene B4 induced intraepidermal accumulation of polymorphonuclear leukocytes
Abstract:
The penetration of polymorphonuclear leukocytes (PMNs) into the epidermis following topical application of leukotriene B4 was assessed in the clinically uninvolved skin of psoriatic patients treated with methotrexate and of psoriatic patients without treatment, and in normal controls. Inhibition of PMN infiltration was observed in those patients treated with methotrexate while there was no significant difference between untreated psoriatic patients and normal controls.
Insights
Methotrexate treatment significantly inhibits polymorphonuclear leukocyte (PMN) infiltration into the epidermis in psoriasis patients. Untreated psoriasis patients showed no difference in PMN infiltration compared to healthy controls.
Area of Science:
- Dermatology
- Immunology
- Pharmacology
Background:
- Psoriasis is a chronic inflammatory skin condition characterized by epidermal hyperplasia and immune cell infiltration.
- Polymorphonuclear leukocytes (PMNs) play a role in the inflammatory process of psoriasis.
- Leukotriene B4 (LTB4) is a potent chemoattractant for PMNs.
Purpose of the Study:
- To investigate the effect of methotrexate on PMN infiltration into the epidermis in psoriatic skin.
- To compare PMN infiltration in methotrexate-treated psoriatic patients, untreated psoriatic patients, and normal controls.
Main Methods:
- Topical application of leukotriene B4 to the skin.
- Assessment of PMN penetration into the epidermis.
- Comparison of skin samples from three groups: methotrexate-treated psoriatic patients, untreated psoriatic patients, and normal controls.
Main Results:
- Methotrexate treatment significantly inhibited PMN infiltration into the epidermis.
- No significant difference in PMN infiltration was observed between untreated psoriatic patients and normal controls.
Conclusions:
- Methotrexate demonstrates an inhibitory effect on PMN infiltration in psoriatic skin.
- The findings suggest a mechanism by which methotrexate may exert its therapeutic effects in psoriasis by modulating leukocyte migration.