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Exp Dermatol. 2021 Feb;30(2):262-270. doi: 10.1111/exd.14226. Epub 2020 Nov 12.

The inflammation in cutaneous lichen planus is dominated by IFN-ϒ and IL-21-A basis for therapeutic JAK1 inhibition.

Experimental dermatology

Katharina Pietschke, Julia Holstein, Katharina Meier, Iris Schäfer, Eva Müller-Hermelink, Irene Gonzalez-Menendez, Leticia Quintanilla-Martinez, Franziska C Ghoreschi, Farzan Solimani, Kamran Ghoreschi

Affiliations

  1. Department of Dermatology, University Medical Center Tübingen, Eberhard Karls University, Tubingen, Germany.
  2. Department of Dermatology, Venereology and Allergology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.
  3. Institute of Pathology and Neuropathology, Eberhard Karls University of Tubingen and Comprehensive Cancer Center, Tubingen University Hospital, Tubingen, Germany.

PMID: 33113249 DOI: 10.1111/exd.14226

Abstract

Cutaneous lichen planus (CLP) and psoriasis (PSO) are both common chronic inflammatory skin diseases for which development of new treatments requires the identification of key targets. While PSO is a typical Th17/IL-17-disorder, there is some evidence that Th1/IFN-ɣ dominate the inflammatory process in CLP. Nonetheless, the immunopathogenesis of CLP is not fully explained and key immunological factors still have to be recognized. In this study, we compared the immune signature of CLP lesions with the well-characterized inflammation present in PSO skin. First, we analysed the histological and immunohistological characteristics of CLP and PSO. Second, we assessed the cytokine expression (IL1A, IL1B, IL4, IL6, IL8, IL10, IL17A, IL19, IL21, IL22, IL23A, IL13, IFNG, TNF, IL12A, IL12B and IL36G) of lesional skin of CLP with PSO by qPCR. Histology revealed a similar epidermal thickness in CLP and PSO. Immunohistochemically, both diseases presented with an inflammatory infiltrate mainly composed by CD3

© 2020 The Authors. Experimental Dermatology published by John Wiley & Sons Ltd.

Keywords: IL-17; JAK inhibitors; immune signature; lichen planus; psoriasis

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