Dańczak-Pazdrowska Aleksandra, Kowalczyk Michał J, Szramka-Pawlak Beata, Gornowicz-Porowska Justyna, Szewczyk Aleksandra, Silny Wojciech, Molińska-Glura Marta, Olewicz-Gawlik Anna, Zaba Ryszard, Pazdrowski Jakub, Hrycaj Paweł
Department of Dermatology, Poznan University of Medical Sciences, Poznan, Poland. Head of Department: Prof. Zygmunt Adamski MD, PhD.
Chair and Department of Computer Science and Statistics, Poznan University of Medical Sciences, Poznan, Poland. Head of Department: Prof. Jerzy A. Moczko.
Postepy Dermatol Alergol. 2013 Dec;30(6):337-42. doi: 10.5114/pdia.2013.39431. Epub 2013 Dec 18.
Morphea (localized scleroderma) is a rare cutaneous disease characterized by skin fibrosis of unknown pathogenesis. Transforming growth factor-β (TGF-β) is a potent profibrotic factor. The role of TGF-β in morphea remains unclear.
The goal of this study was to estimate the expression level of TGF-β1 in skin and peripheral blood mononuclear cells as well as the plasma levels of TGF-β1 in plaque morphea (MEP).
The study involved 20 MEP patients. Three control groups were involved: 1 - plasma: 36 healthy volunteers; 2 - PBMC: 47 healthy volunteers; 3 - skin biopsies: 13 samples collected during mastectomy (breast cancer was not skin involved). The analysis of TGF-β1 plasma levels was performed with the use an adequate ELISA kit, while real-time polymerase chain reaction was employed for the expression of TGF-β1 in peripheral blood mononuclear cells (PBMC) and skin.
In our study we have not detected differences in TGF-β 1 expression in PBMC, skin, nor in plasma levels of TGF-β1 between MEP patients and healthy controls, regardless of disease activity and its duration.
The results of our study contradict the claim of the substantial role of TGF-β1 in the most common morphea subtype - MEP.
硬斑病(局限性硬皮病)是一种罕见的皮肤病,其特征为皮肤纤维化,发病机制不明。转化生长因子-β(TGF-β)是一种强效的促纤维化因子。TGF-β在硬斑病中的作用仍不清楚。
本研究的目的是评估斑块状硬斑病(MEP)患者皮肤和外周血单个核细胞中TGF-β1的表达水平以及血浆中TGF-β1的水平。
本研究纳入了20例MEP患者。设置了三个对照组:1 - 血浆:36名健康志愿者;2 - 外周血单个核细胞:47名健康志愿者;3 - 皮肤活检:13份在乳房切除术期间采集的样本(乳腺癌未累及皮肤)。使用适当的ELISA试剂盒分析血浆中TGF-β1的水平,同时采用实时聚合酶链反应检测外周血单个核细胞(PBMC)和皮肤中TGF-β1的表达。
在我们的研究中,无论疾病活动度及其持续时间如何,我们均未检测到MEP患者与健康对照者在PBMC、皮肤中TGF-β1的表达以及血浆中TGF-β1水平存在差异。
我们的研究结果与TGF-β1在最常见的硬斑病亚型——MEP中起重要作用的观点相矛盾。