Dermatology and Venereology Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt; and.
Pathology Department, Faculty of Medicine, Tanta University, Tanta, Egypt.
Am J Dermatopathol. 2024 Nov 1;46(11):734-738. doi: 10.1097/DAD.0000000000002774. Epub 2024 Sep 17.
Vitiligo is a skin disorder characterized by the loss of melanocytes from the epidermis. Cysteine x cysteine motif chemokine ligand 10 (CXCL10) is linked to the Th1 pattern and has been suggested as one of the most relevant chemokine axes that promote T-cell migration in different autoimmune and inflammatory processes. The aim of this study was to assess the immunohistochemical (IHC) expression of CXCL 10 in skin lesions of patients with vitiligo to explore its possible role in the pathogenesis of the disease.
In this prospective, case-control study, we examined biopsies from the lesional skin of 20 patients with vitiligo for IHC expression of CXCL 10: 10 patients presented with stable nonsegmental vitiligo (group A), 10 patients presented with active nonsegmental vitiligo (group B), and 10 apparently healthy volunteers were examined as controls (group C).
Nine patients in group A had mild IHC expression of CXCL 10 (+1) and 1 patient had moderate expression (+2). In group B, 8 patients had strong expression of CXCL 10 (+3), and the remaining patients had moderate expression (+2). However, there was no expression of CXCL 10 in all skin specimens in the control group.
CXCL10 IHC expression was increased in vitiligo lesions indicating a possible role in the pathogenesis of disease. The expression was significantly increased in active vitiligo compared with stable vitiligo.
白癜风是一种以表皮黑素细胞丧失为特征的皮肤疾病。半胱氨酸-半胱氨酸基序趋化因子配体 10(CXCL10)与 Th1 模式相关联,并且被认为是促进不同自身免疫和炎症过程中 T 细胞迁移的最重要的趋化因子轴之一。本研究旨在评估 CXCL10 在白癜风患者皮损中的免疫组织化学(IHC)表达,以探讨其在疾病发病机制中的可能作用。
在这项前瞻性病例对照研究中,我们检查了 20 例白癜风患者皮损的活检标本中 CXCL10 的 IHC 表达:10 例患者表现为稳定的非节段性白癜风(A 组),10 例患者表现为活动期非节段性白癜风(B 组),10 例明显健康的志愿者作为对照组(C 组)。
A 组 9 例患者 CXCL10 的 IHC 表达为轻度(+1),1 例为中度(+2)。B 组 8 例患者 CXCL10 表达强(+3),其余患者表达中度(+2)。然而,对照组所有皮肤标本均无 CXCL10 表达。
CXCL10 的 IHC 表达在白癜风皮损中增加,表明其可能在疾病发病机制中起作用。与稳定的白癜风相比,活动期白癜风的表达明显增加。