Saurat J H, Gluckman E, Didierjean L, Sockeel F, Bonnetblanc J M, Puissant A
Ann Dermatol Venereol. 1977 Feb;104(2):121-6.
Antibodies reacting with the cytoplasm of epidermal cells (E. C. A.) were defected by indirect immunofluorescence (I.I.F.) studies of 255 sera in various dermatoses (8 p. 100) and significantly more frequently (46 p. 100) in bone marrow transplanted patients having skin lesions. Bound E.C.A. were only found in two cases. E.C.A. were found to be devoided of any diagnostic value. E.C.A. were interpreted as the result of a skin injury liberating skin antigens which stimulated their production. The reaction of E.C.A. in I.I.F. on human skins substrates showed three different patterns; in some cases only the basal cell layer was stained; in others only the supra basal layers were stained; in other all the layers were stained. A serum was shown to be able to give the three patterns of reaction (or no reaction at all) if different human skins were used as substrate. Autologous skins never gave a basal cell layer staining. These findings support the facts that (I) there is antigenic differences between the basal cell layer and the supra basal layers (with regard to the cytoplasmic antigens) (II) these antigens may be different from one subject to the other, supporting the allogeneic nature of this system. Therefore, E.C.A. are regarded as a useful marker of the human skin cytoplasmic antigens.
通过对255份各类皮肤病患者血清进行间接免疫荧光(IIF)研究,发现与表皮细胞质发生反应的抗体(ECA)(8%,即每100份中有8份),而在有皮肤病变的骨髓移植患者中出现频率显著更高(46%,即每100份中有46份)。仅在两例中发现有结合的ECA。发现ECA没有任何诊断价值。ECA被解释为皮肤损伤释放皮肤抗原从而刺激其产生的结果。ECA在人皮肤底物上进行IIF的反应呈现三种不同模式;在某些情况下,仅基底细胞层被染色;在另一些情况下,仅基底上层被染色;在其他情况下,所有层均被染色。如果使用不同的人皮肤作为底物,一种血清可呈现三种反应模式(或根本无反应)。自体皮肤从未出现基底细胞层染色。这些发现支持以下事实:(I)基底细胞层和基底上层之间(就细胞质抗原而言)存在抗原差异;(II)这些抗原在不同个体之间可能不同,支持该系统的同种异体性质。因此,ECA被视为人类皮肤细胞质抗原的有用标志物。