Baran Anna, Nowowiejska Julia, Kamiński Tomasz W, Krahel Julita A, Flisiak Iwona
Department of Dermatology and Venereology, Medical University of Bialystok, Zurawia 14 St., 15-540 Bialystok, Poland.
Pittsburgh Heart, Lung and Blood Vascular Medicine Institute, University of Pittsburgh, Pittsburgh, PA 15260, USA.
Biology (Basel). 2021 Nov 3;10(11):1129. doi: 10.3390/biology10111129.
Plaque psoriasis (PSO) and lichen planus (LP) are skin diseases with some similarities in pathogenesis, comorbidities, and clinical presentation. Mucosal addressin cell adhesion molecule-1 (MAdCAM-1) and its ligand, αβ integrin, are involved in inflammatory bowel diseases and liver dysfunctions, which occur more frequently in PSO and LP. Serum MAdCAM-1 and ITGB7 levels in patients with plaque PSO and eruptive LP have never been studied before. The study included 42 patients with PSO, 13 with LP, and 23 controls. Serum molecules levels were evaluated using the immune-enzymatic method. ITGB7 concentration was not statistically different, both in patients with PSO and LP, compared to controls (both > 0.05). MAdCAM-1 level was significantly lower in PSO subjects than in controls ( = 0.041), whereas in the LP group, a downward trend was observed ( = 0.088) with = 0.0455 in ANOVA. Multiple linear regression revealed independent associations between ITGB7 and HDL and BMI and RBC in the LP group. In psoriatic patients with elevated CRP, there was an upward trend for MAdCAM-1, and also a positive correlation between MAdCAM-1 and WBC. ITGB7 and MAdCAM-1 cannot serve as markers of disease activity or liver pathology neither in patients with PSO nor LP. MAdCAM-1 might play a role as an inflammation indicator in PSO and a beneficial influence on the lipid profile in LP.
斑块状银屑病(PSO)和扁平苔藓(LP)是在发病机制、合并症及临床表现方面存在一些相似之处的皮肤病。黏膜地址素细胞黏附分子-1(MAdCAM-1)及其配体αβ整合素参与炎症性肠病和肝功能障碍,这些疾病在PSO和LP中更常见。此前从未对斑块状PSO和发疹性LP患者的血清MAdCAM-1和ITGB7水平进行过研究。该研究纳入了42例PSO患者、13例LP患者和23名对照者。采用免疫酶法评估血清分子水平。与对照组相比,PSO和LP患者的ITGB7浓度无统计学差异(均>0.05)。PSO患者的MAdCAM-1水平显著低于对照组(P = 0.041),而LP组则观察到下降趋势(P = 0.088),方差分析中P = 0.0455。多元线性回归显示LP组中ITGB7与高密度脂蛋白、体重指数和红细胞之间存在独立关联。在C反应蛋白升高的银屑病患者中,MAdCAM-1呈上升趋势,且MAdCAM-1与白细胞之间存在正相关。ITGB7和MAdCAM-1在PSO或LP患者中均不能作为疾病活动或肝脏病理的标志物。MAdCAM-1可能在PSO中作为炎症指标发挥作用,并对LP患者的血脂状况产生有益影响。