Vitronectin, also known as the serum spreading factor and S-protein, is a multifunctional plasma and tissue glycoprotein, which promotes the spread and attachment of cells, and may perform a regulatory function in the complement and coagulation systems [1, 10, 11]. Immunohistochemical studies of tissue have demonstrated that large amounts of vitronectin are deposited on the elastic fibres of the dermis [5]. Recently, Hintner et al. [7] reported that tissue vitronectin is non-covalently bound to elastic fibres in normal human dermis. Vitronectin is normally present in plasma at a concentration of approximately 300 gg/ml, and the presence of either the 65or 75-kDa form, or both, defines the vitronectin phenotype, which is based on a genetic polymorphism [3]. The determination of the concentration of plasma vitronectin under normal and pathological conditions is important in the understanding of its physiological function. Vitronectin belongs to a family of adhesive glycoproteins that includes fibronectin, fibrinogen and the von Willebrand factor. A recent study has shown that fibronectin may stimulate keratinocyte migration and promote keratinocyte mitosis activity in vivo [10]. A few studies have also reported increased levels of plasma fibronectin in psoriatic patients [4]. It was also suggested that the migration of keratinocytes may be stimulated by vitronectin in vivo [12]. However, there have been no reports concerning plasma vitronectin levels in psoriatic patients. Thus, it is of interest to investigate whether there are altered plasma vitronectin levels in patients with psoriasis vulgaris. Plasma was obtained from 45 patients with psoriasis vulgaris, five patients with psoriasis arthropathica, 19 patients with atopic dermatitis and 14 normal control subjects. The patients with psoriasis vulgaris were be-
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