Singh Suman, Singh Usha, Pandey S S
Division of Immunopathology, Department of Pathology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India.
Indian J Dermatol. 2012 Jan;57(1):12-4. doi: 10.4103/0019-5154.92668.
Vitiligo is an acquired depigmenting disorder characterized by the loss of functional melanocytes from the epidermis. Although the etiology of vitiligo is unknown, over the last few years, substantial data from clinical research has greatly supported the 'Autoimmune theory' and this is supported by the frequent association of vitiligo with disorders that have an autoimmune origin, including Hashimoto's thyroiditis, Graves disease, type 1 insulin-dependent diabetes mellitus, and Addison's disease. As cytokines are important mediators of immunity, there is evidence to suggest that they play a major role in the pathogenesis of autoimmune diseases.
Keeping this in view we have assayed sera for cytokine IL-6, IL-2, Tumor necrosis factor (TNF)-α, and IFNγ in 80 cases of vitiligo and compared it with healthy subjects, in order to find out whether they play a role in the pathogenesis of vitiligo or not.
Serum IL-6, IL-2, TNF-α, and IFNγ were done by the indirect enzyme linked immunosorbent assay (ELISA).
The mean serum IL-6 and IL-2 levels in the patient group were significantly higher when compared with those of the normal controls. The mean serum IFNγ level in patients with vitiligo was significantly lower than that in the control group. There was no significant difference in the serum level of TNF-α between vitiligo and healthy controls.
An increase in the production of proinflammatory cytokines such as IL-6 and IL-2 in vitiligo patients may play an important role in melanocytic cytotoxicity. Thus, we speculate that the cytokine production of epidermal microenvironment may be involved in vitiligo.
白癜风是一种获得性色素脱失性疾病,其特征为表皮功能性黑素细胞缺失。尽管白癜风的病因尚不清楚,但在过去几年中,临床研究的大量数据有力地支持了“自身免疫理论”,白癜风与自身免疫性起源的疾病频繁关联,包括桥本甲状腺炎、格雷夫斯病、1型胰岛素依赖型糖尿病和艾迪生病,这一点也支持了该理论。由于细胞因子是免疫的重要介质,有证据表明它们在自身免疫性疾病的发病机制中起主要作用。
鉴于此,我们检测了80例白癜风患者血清中的细胞因子白细胞介素-6(IL-6)、白细胞介素-2(IL-2)、肿瘤坏死因子(TNF)-α和干扰素γ(IFNγ),并与健康受试者进行比较,以确定它们是否在白癜风的发病机制中起作用。
采用间接酶联免疫吸附测定法(ELISA)检测血清IL-6、IL-2、TNF-α和IFNγ。
与正常对照组相比,患者组血清IL-6和IL-2的平均水平显著升高。白癜风患者血清IFNγ的平均水平显著低于对照组。白癜风患者与健康对照组血清TNF-α水平无显著差异。
白癜风患者促炎细胞因子如IL-6和IL-2的产生增加可能在黑素细胞细胞毒性中起重要作用。因此,我们推测表皮微环境的细胞因子产生可能与白癜风有关。