RATIONALE: Despite colonization with microbes, the skin of atopic dermatitis (AD) subjects is characterized by the lack of neutrophils in contrast to psoriasis.METHODS: Peripheral blood neutrophils and biopsies were obtained from 4 AD, 4 psoriasis subjects and 4 controls. The expression of neutrophil chemoattractans (IL-8, GRO-alpha and MIP-1alpha) was assessed by Real-time PCR. Neutrophils were analyzed by dual-color flow cytometry (CD16) for expression of receptors relevant for cell migration: CCR1, CXCR1, CXCR2, C3a receptor®, C5aR, C3bR, FMLPR, PAFR and CRTH2(DP2).RESULTS: IL-8, GRO-alpha and MIP-1alpha mRNA was highly expressed in the skin of AD (71-fold, 40-fold and 10-fold; respectively) and psoriasis subjects (96-fold, 42-fold and 5-fold; respectively) compared to controls. No difference between groups was observed for any of the receptors except CRTH2 and PAFR. CRTH2 - thought to identify Th2-lymphocytes was detected on neutrophils of controls and psoriasis (netMFI 24±;7 and 46±;11; respectively) in contrast to AD subjects who expressed little to no CRTH2 (netMFI 1±;0.4, p<0.05). PAFR showed a tendency toward higher expression in psoriatics (netMFI 27±;7) compared to controls (netMFI 8±;1) and AD subjects (netMFI 11±;1).CONCLUSIONS: Despite the lack of neutrophils in AD, IL-8, GRO-alpha and MIP-1alpha were markedly increased in AD skin. Their receptors were equally expressed across subject groups. Unexpectedly, CRTH2 was expressed on neutrophils from controls and psoriasis but not AD subjects. The relevance of this finding and that of PAFR will be the focus of future experiments. This preliminary work suggests that the lack of neutrophils in AD is due at least in part to the lack of priming. RATIONALE: Despite colonization with microbes, the skin of atopic dermatitis (AD) subjects is characterized by the lack of neutrophils in contrast to psoriasis. METHODS: Peripheral blood neutrophils and biopsies were obtained from 4 AD, 4 psoriasis subjects and 4 controls. The expression of neutrophil chemoattractans (IL-8, GRO-alpha and MIP-1alpha) was assessed by Real-time PCR. Neutrophils were analyzed by dual-color flow cytometry (CD16) for expression of receptors relevant for cell migration: CCR1, CXCR1, CXCR2, C3a receptor®, C5aR, C3bR, FMLPR, PAFR and CRTH2(DP2). RESULTS: IL-8, GRO-alpha and MIP-1alpha mRNA was highly expressed in the skin of AD (71-fold, 40-fold and 10-fold; respectively) and psoriasis subjects (96-fold, 42-fold and 5-fold; respectively) compared to controls. No difference between groups was observed for any of the receptors except CRTH2 and PAFR. CRTH2 - thought to identify Th2-lymphocytes was detected on neutrophils of controls and psoriasis (netMFI 24±;7 and 46±;11; respectively) in contrast to AD subjects who expressed little to no CRTH2 (netMFI 1±;0.4, p<0.05). PAFR showed a tendency toward higher expression in psoriatics (netMFI 27±;7) compared to controls (netMFI 8±;1) and AD subjects (netMFI 11±;1). CONCLUSIONS: Despite the lack of neutrophils in AD, IL-8, GRO-alpha and MIP-1alpha were markedly increased in AD skin. Their receptors were equally expressed across subject groups. Unexpectedly, CRTH2 was expressed on neutrophils from controls and psoriasis but not AD subjects. The relevance of this finding and that of PAFR will be the focus of future experiments. This preliminary work suggests that the lack of neutrophils in AD is due at least in part to the lack of priming.
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