Rätsep R, Kingo K, Karelson M, Reimann E, Raud K, Silm H, Vasar E, Kõks S
Department of Physiology, University of Tartu, 50411 Tartu, Estonia.
Br J Dermatol. 2008 Dec;159(6):1275-81. doi: 10.1111/j.1365-2133.2008.08785.x. Epub 2008 Aug 19.
Vitiligo is a pigmentation disorder, the cause of which is complex and not yet fully understood. There is a significant change of epidermal cytokines in involved skin of patients with vitiligo compared with uninvolved skin and skin of healthy controls, thus suggesting a possible involvement of cytokines in the pathogenesis of vitiligo.
To evaluate potential roles of IL10 family cytokines (IL10, IL19, IL20, IL22 and IL24) in vitiligo. Along with the selected cytokines, we investigated subunits of the receptors (IL10RA, IL10RB, IL20RA and IL22RA1) which are involved in the signalling pathway of the cytokines.
Quantitative real-time polymerase chain reaction was used to detect mRNA expression levels in samples extracted from skin biopsies and peripheral blood mononuclear cells and an enzyme-linked immunosorbent assay was used to measure protein concentrations in serum from patients with vitiligo and healthy controls.
IL22 is significantly associated with vitiligo, especially with the active stage of vitiligo, as shown by results of mRNA expression and supported by results of protein level in sera. IL22 may provoke inflammation which leads to destruction of melanocytes.
The actual role of IL22 during pathogenesis of vitiligo remains to be better characterized. Signal transductions of other investigated cytokines seem to be regulated on the expression level of their receptor complex subunits.
白癜风是一种色素沉着紊乱疾病,其病因复杂,尚未完全明确。与未受累皮肤及健康对照者的皮肤相比,白癜风患者受累皮肤中的表皮细胞因子有显著变化,这表明细胞因子可能参与了白癜风的发病机制。
评估白细胞介素10(IL10)家族细胞因子(IL10、IL19、IL20、IL22和IL24)在白癜风中的潜在作用。除了所选细胞因子外,我们还研究了参与细胞因子信号通路的受体亚基(IL10RA、IL10RB、IL20RA和IL22RA1)。
采用定量实时聚合酶链反应检测皮肤活检组织和外周血单个核细胞样本中的mRNA表达水平,并用酶联免疫吸附测定法测量白癜风患者和健康对照者血清中的蛋白质浓度。
mRNA表达结果以及血清中蛋白质水平结果均表明,IL22与白癜风显著相关,尤其是与白癜风的活动期相关。IL22可能引发炎症,导致黑素细胞破坏。
IL22在白癜风发病机制中的实际作用仍有待进一步明确。其他所研究细胞因子的信号转导似乎在其受体复合物亚基的表达水平上受到调节。