Liu Ping, Tan Sheng-shun, Wang Qiong-yu, Zhang Pan-jian
Department of Dermatology, Second Hospital of Xi'an Jiaotong University, Xi'an, China.
Nan Fang Yi Ke Da Xue Xue Bao. 2008 Aug;28(8):1354-7.
To investigate the expressions of fibrillin-1, elastin and matrix metalloproteinase-1 and -9 (MMP-1, 9) in chronic actinic dermatitis in elderly patients and explore the pathogenesis of the disease.
Twenty-three patients with chronic actinic dermatitis were examined for the expressions of fibrillin-1, elastin, MMP-1, and MMP-9 with immunohistochemistry in the skin lesions. Image analysis was carried out to measure MMP-1 and MMP-9 expressions semi-quantitatively.
In the skin lesions of patients with chronic actinic dermatitis, elastin expression was obviously reduced or absent in the papillary dermis. The elastic fibers were disorderly arranged in the reticular dermis with local aggregation in some regions. Obvious fibrillin-1 deposition was found in the reticular dermis. Increased expressions of MMP-1, but not that of MMP-9, was found in the skin lesions of the patients.
Elastin and fibrillin-1 deposition can be found in the skin lesions in patients with chronic actinic dermatitis, suggesting the association of increased MMP-1 expression with the elastic tissue degeneration in the lesions. MMP-9 does not exhibit an obvious association with the pathogenesis of chronic actinic dermatitis in elderly patients.
研究老年慢性光化性皮炎患者皮肤中微原纤维蛋白-1、弹性蛋白以及基质金属蛋白酶-1和-9(MMP-1、9)的表达情况,探讨该病的发病机制。
采用免疫组织化学法检测23例老年慢性光化性皮炎患者皮损中微原纤维蛋白-1、弹性蛋白、MMP-1和MMP-9的表达情况,利用图像分析技术对MMP-1和MMP-9的表达进行半定量测定。
老年慢性光化性皮炎患者皮损中,乳头层弹性蛋白表达明显减少或缺失,网状层弹性纤维排列紊乱,部分区域局部聚集。网状层可见明显的微原纤维蛋白-1沉积。患者皮损中MMP-1表达增加,而MMP-9表达未见增加。
老年慢性光化性皮炎患者皮损中存在弹性蛋白和微原纤维蛋白-1沉积,提示MMP-1表达增加与皮损中弹性组织变性有关。MMP-9与老年慢性光化性皮炎的发病机制无明显关联。