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Intranuclear inclusions containing melanosomes observed after PUVA therapy: a study of five psoriatic patients

Insights

Psoriatic patients undergoing PUVA therapy showed new intranuclear melanosome-like bodies and increased nuclear bodies in epidermal melanocytes. These findings offer insights into the cellular origins of these structures post-treatment.

Area of Science:

  • Dermatology
  • Cell Biology
  • Photobiology

Background:

  • Psoriasis is a chronic inflammatory skin condition.
  • PUVA therapy (psoralen plus UVA radiation) is a common treatment for psoriasis.
  • The cellular effects of PUVA therapy on epidermal melanocytes are not fully understood.

Purpose of the Study:

  • To investigate the presence and characteristics of intranuclear melanosome-like bodies and nuclear bodies in epidermal melanocytes of psoriatic patients before and after PUVA therapy.
  • To explore the potential origin of these intranuclear structures.

Main Methods:

  • Skin biopsies were collected from five psoriatic patients before and after PUVA treatment.
  • Epidermal melanocytes were examined for intranuclear melanosome-like bodies and nuclear bodies using microscopy.

Main Results:

  • Intranuclear melanosome-like bodies were observed exclusively after PUVA therapy.
  • The frequency of nuclear bodies significantly increased following PUVA treatment.
  • No remnants of nuclear envelope membranes were found associated with either type of intranuclear body.

Conclusions:

  • PUVA therapy induces the formation of intranuclear melanosome-like bodies in epidermal melanocytes.
  • The study suggests a potential intracellular origin for these structures, distinct from typical melanosome formation pathways.
  • Further research is needed to elucidate the precise biogenesis and function of these PUVA-induced intranuclear bodies.

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