Manga Prashiela, Sheyn David, Yang Fan, Sarangarajan Rangaprasad, Boissy Raymond E
Department of Dermatology, University of Cincinnati, PO Box 670592, Cincinnati, OH 45267-0592, USA.
Am J Pathol. 2006 Nov;169(5):1652-62. doi: 10.2353/ajpath.2006.050769.
Vitiligo presents with depigmented cutaneous lesions following localized melanocyte death. Multiple factors contribute to cell death, including genetically determined susceptibility to trauma, and environmental factors, such as exposure to 4-tert-butylphenol (4-TBP). We demonstrate that 4-TBP induces oxidative stress that is more readily overcome by melanocytes from normally pigmented individuals than from two individuals with vitiligo. The antioxidant catalase selectively and significantly reduced death of melanocytes derived from two individuals with vitiligo, indicating a role for oxidative stress in vitiligo pathogenesis. In normal melanocytes, oxidative stress results in reduced expression of microphthalmia-associated transcription factor (MITF). Melanocyte-stimulating hormone-induced expression of MITF protein caused increased sensitivity to 4-TBP, whereas sensitivity of melanomas correlated with MITF expression. MITF stimulates melanin synthesis by up-regulating expression of melanogenic enzymes such as tyrosinase-related protein-1 (Tyrp1). Although melanin content per se did not affect sensitivity to 4-TBP, expression of Tyrp1 significantly increased sensitivity. Melanocytes and melanomas that express functional Tyrp1 were significantly more sensitive to 4-TBP than Tyrp1-null cells. Thus, normal melanocytes respond to 4-TBP by reducing expression of MITF and Tyrp1. We hypothesize that melanocytes in vitiligo demonstrate reduced ability to withstand oxidative stress due, partly, to a disruption in MITF regulation of Tyrp1.
白癜风表现为局部黑素细胞死亡后出现色素脱失性皮肤损害。多种因素导致细胞死亡,包括遗传决定的对创伤的易感性以及环境因素,如接触4-叔丁基苯酚(4-TBP)。我们证明,4-TBP诱导的氧化应激,正常色素沉着个体的黑素细胞比两名白癜风患者的黑素细胞更容易克服这种应激。抗氧化剂过氧化氢酶选择性且显著地减少了两名白癜风患者来源的黑素细胞的死亡,表明氧化应激在白癜风发病机制中起作用。在正常黑素细胞中,氧化应激导致小眼相关转录因子(MITF)表达减少。促黑素细胞激素诱导的MITF蛋白表达导致对4-TBP的敏感性增加,而黑色素瘤的敏感性与MITF表达相关。MITF通过上调酪氨酸酶相关蛋白-1(Tyrp1)等黑素生成酶的表达来刺激黑色素合成。虽然黑色素本身含量并不影响对4-TBP的敏感性,但Tyrp1的表达显著增加了敏感性。表达功能性Tyrp1的黑素细胞和黑色素瘤比Tyrp1缺失的细胞对4-TBP更敏感。因此,正常黑素细胞通过降低MITF和Tyrp1的表达来响应4-TBP。我们推测,白癜风中的黑素细胞抵抗氧化应激的能力降低,部分原因是MITF对Tyrp1的调节受到破坏。