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Published on: October 23, 2019
Cytokine expression in primary cutaneous germinal center cell lymphomas
K Asadullah1, S Gellrich, A Haeussler-Quade
1Department of Dermatology, Medical School Charité, Humboldt University Berlin, Germany.
Insights
Primary cutaneous B-cell lymphomas (CBCL) involve B-lymphocyte proliferation in the skin. This study found overexpression of specific cytokines, like IL-6 and IL-10, in CBCL lesions, potentially driving tumor growth.
Area of Science:
- Immunology
- Dermatology
- Oncology
Background:
- B-lymphocytes are typically absent in skin, even pathologically.
- Primary cutaneous B-cell lymphomas (CBCL) involve B-cell proliferation within the skin, suggesting a supportive microenvironment.
- Cytokines are implicated in T-cell lymphomas, but their role in CBCL is unstudied.
Purpose of the Study:
- To investigate cytokine expression in primary cutaneous B-cell lymphoma (CBCL) lesions.
- To compare cytokine profiles in CBCL with other skin conditions and healthy skin.
- To understand the potential role of cytokines in CBCL pathogenesis and progression.
Main Methods:
- Analysis of mRNA levels of various cytokines using competitive RT-PCR.
- Biopsies from CBCL patients (n=7), pleomorphic T-cell lymphoma (n=6), psoriasis (n=9), and healthy skin (n=7) were used.
- Specific cytokines measured included TNF-alpha, IL-10, IL-6, IL-8, IFN-gamma, and IL-2.
Main Results:
- Overexpression of tumor necrosis factor-alpha (TNF-alpha), interleukin-10 (IL-10), and interleukin-6 (IL-6) mRNA was observed in CBCL lesions.
- Enhanced IL-8 mRNA expression was detected in a subset of CBCL cases (2/7).
- Expression of interferon-gamma (IFN-gamma) and IL-2 was not detected in CBCL.
Conclusions:
- The identified cytokine pattern in CBCL lesions, particularly IL-6 and IL-10, may promote B-cell growth.
- Overexpressed IL-10 might contribute to tumor progression by suppressing immune surveillance through inhibition of type 1 cytokines.
- These findings suggest a cytokine milieu supporting B-cell proliferation and potentially tumor development in CBCL.
Abstract:
Physiologically, B-lymphocytes are not present in the skin. Even in pathological situations they rarely occur. In contrast, primary cutaneous B-cell lymphomas (CBCL) are characterized by proliferation of B lymphocytes within the skin. This suggests the existence of a certain microenvironment supporting homing and expansion of clonal B cells. Cytokines were demonstrated to be involved in the pathogenesis of cutaneous lymphomas of T-cell origin. Cytokine expression in cutaneous B-cell lymphoma lesions, however, has not been investigated so far. Therefore, the mRNA level of several cytokines was analyzed in biopsies from 7 patients with CBCL and compared to pleomorphic T-cell lymphoma (n = 6), psoriasis (n = 9), and healthy skin (n = 7), using a competitive RT-PCR approach. An overexpression of TNF-alpha, IL-10, and IL-6 was found. Enhanced IL-8 mRNA expression was detected in 2/7 cases. The overexpression of IL-6 and IL-10 in CBCL might be of particular importance, since these cytokines are considered to support B-cell growth. Additionally, the overexpression of IL-10 may contribute to tumor progression since this immunosuppressive cytokine might be involved in downregulation of immunological tumor surveillance, in part by inhibiting type 1 cytokine formation. In fact, we did not detect IFN-gamma and IL-2 expression. Taken together, we found a cytokine pattern in CBCL lesions which might contribute to tumor B-cell growth.
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