HogenEsch H, Gijbels M J, Offerman E, van Hooft J, van Bekkum D W, Zurcher C
Department of Pathology, TNO-Institute for Ageing and Vascular Research, Leiden, The Netherlands.
Am J Pathol. 1993 Sep;143(3):972-82.
Chronic proliferative dermatitis is a new spontaneous mutation in C57BL/Ka mice. Breeding results suggest an autosomal recessive mode of inheritance. Mutant mice develop skin lesions at the age of 5 to 6 weeks. The lesions occur in the ventral and dorsal skin of the body, whereas ears, footpads, and tail are not involved. The lesions are characterized by epidermal hyperplasia, hyper- and parakeratosis, and single cell necrosis of keratinocytes. The dermis and epidermis are infiltrated by granulocytes and macrophages, and occasionally subcorneal and intracorneal microabscesses are formed. The number of mast cells in the dermis progressively increases with age. There is dilatation and proliferation of dermal capillaries. Similar lesions develop in the mouth, esophagus, and forestomach, which, in the mouse, are all lined by orthokeratinizing stratified squamous cell epithelium. Studies with bromodeoxyuridine confirm the increased rate of epithelial cell proliferation. Most inflammatory cells in the affected skin express Mac-1, and few express the T lymphocyte marker CD3. There is increased expression of intracellular adhesion molecule-1 on keratinocytes and endothelial cells. Infiltration of neutrophils and macrophages are also seen in the liver, lung, and several joints. The disease could not be transferred by bone marrow or spleen transplants into irradiated normal syngeneic hosts. Treatment of the mice with triamcinolone, a long-acting corticosteroid, resulted in nearly complete regression of the lesions over a period of 4 weeks, whereas systemic cyclosporin A treatment was ineffective.
慢性增殖性皮炎是C57BL/Ka小鼠中的一种新的自发突变。繁殖结果提示其遗传方式为常染色体隐性遗传。突变小鼠在5至6周龄时出现皮肤病变。病变发生在身体的腹侧和背侧皮肤,而耳朵、脚垫和尾巴未受累。病变的特征为表皮增生、角化过度和不全角化,以及角质形成细胞的单细胞坏死。真皮和表皮有粒细胞和巨噬细胞浸润,偶尔形成角层下和角层内微脓肿。真皮中肥大细胞的数量随年龄逐渐增加。真皮毛细血管扩张并增生。在口腔、食管和前胃也出现类似病变,在小鼠中,这些部位均由正角化复层鳞状上皮衬里。用溴脱氧尿苷进行的研究证实上皮细胞增殖率增加。受累皮肤中的大多数炎性细胞表达Mac-1,少数表达T淋巴细胞标志物CD3。角质形成细胞和内皮细胞上细胞间黏附分子-1的表达增加。在肝脏、肺和几个关节中也可见中性粒细胞和巨噬细胞浸润。该疾病不能通过骨髓或脾脏移植转移到经辐射的同基因正常宿主中。用长效皮质类固醇曲安奈德治疗小鼠,在4周内病变几乎完全消退,而全身用环孢素A治疗无效。