Constitutive absence and interferon-gamma-induced expression of adhesion molecules in basal cell carcinoma

R S Taylor1, C E Griffiths, M D Brown

  • 1Department of Dermatology, University of Michigan Medical School.

Insights

Basal cell carcinomas (BCCs) often lack crucial adhesion molecules like ICAM-1 and LFA-3, hindering immune cell detection. However, these molecules can be induced by interferon-gamma, suggesting a potential therapeutic target for BCCs.

Area of Science:

  • Immunology
  • Dermatology
  • Oncology

Background:

  • Lymphocyte adhesion to target cells is vital for immune responses, mediated by molecules like lymphocyte function-associated (LFA) antigens and their ligands.
  • Intercellular adhesion molecule-1 (ICAM-1) and LFA-3 are key adhesion molecules expressed on nonlymphoid cells, critical for lymphocyte binding.

Purpose of the Study:

  • To investigate whether basal cell carcinomas (BCCs) evade immune detection by lacking adhesion molecules necessary for cytotoxic T lymphocyte binding.
  • To examine the expression of ICAM-1 and LFA-3 on BCCs and their modulation by interferon-gamma (IFN-gamma).

Main Methods:

  • Analysis of ICAM-1 and LFA-3 expression on freshly excised invasive BCCs.
  • Assessment of adhesion molecule expression on BCCs before and after in vitro incubation with IFN-gamma.
  • Examination of ICAM-1 expression on overlying normal keratinocytes in relation to dermal lymphocytic infiltrate.

Main Results:

  • A high percentage of BCCs (93%) lacked ICAM-1 expression, and a significant portion (73%) lacked LFA-3 expression.
  • Normal overlying keratinocytes expressed ICAM-1, especially when accompanied by a lymphocytic infiltrate.
  • In vitro IFN-gamma treatment induced ICAM-1 expression on 85% of BCC tumors studied.

Conclusions:

  • The constitutive absence of ICAM-1 and LFA-3 on BCCs is a potential mechanism for immune evasion.
  • BCC cells have the capacity to express these adhesion molecules, suggesting that low in vivo cytokine levels or barriers to cytokine interaction may be responsible for their absence.
  • IFN-gamma can induce the expression of these critical adhesion molecules on BCCs, highlighting a potential therapeutic strategy.

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