title: Pathogenic role of tonsillar lymphocytes in associated with HSP60/65 in Pustulosis palmaris et plantaris.
abstract: OBJECTIVE
  We aimed to define role of tonsillar lymphocytes (TL) and immune cross-reactivity between bacterial-HSP65 and human-HSP60 in Pustulosis palmaris et plantaris (PPP), an intractable chronic disease characterized with pustules and cornification of palms and soles.
  
  
  METHODS
  Two sets of crossover trials were designed by employing SCID mice model. In the first trial, mice were transplanted with tonsillar lymphocytes and skin-grafts from PPP patients (TL group). In the second trial, mice were transplanted with tonsillar lymphocytes from PPP patients and injected with recombinant human HSP60. Control groups were designed for each step. Comparisons were performed for immunologic analyses including infiltration of CD4+ lymphocytes in skin-grafts by immunostaining, and levels of anti-HSP65-IgG and cytokines in mice sera by enzyme-linked immunosorbent assay (ELISA).
  
  
  RESULTS
  In TL group, infiltration of CD4+ lymphocytes in skin-grafts were significantly higher than mice transplanted with blood lymphocytes (p<0.05), while anti-HSP65-IgG levels in sera showed non-significant tendency to increase in the TL group. CD4+ cells and anti-HSP65-IgG levels were also well-correlated with each other in TL group (p<0.01). Besides, anti-HSP65-IgG levels were significantly correlated with cytokine levels (IL-6, IFN-gamma) in mice sera (p<0.01). We found strong expression of HSP60 in PPP lesions. Finally, HSP60-stimulation in mice transplanted with TL from PPP patients induced significantly higher anti-HSP65-IgG levels in serum compared to control groups including mice without HSP60-stimulation or peripheral blood lymphocytes-transplanted mice or transplanted with TL from control patients (p<0.05).
  
  
  CONCLUSIONS
  Our results indicate the pathogenic role of TL and immune cross-reaction between human-HSP60 and bacterial-HSP65 in PPP.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Wakayama Medical University, Kimiidera, Wakayama-shi, Japan.
authors.forename: Masaki
authors.initials: M
authors.lastname: Hayashi
authors.forename: Keiji
authors.initials: K
authors.lastname: Fujihara
authors.forename: Levent B
authors.initials: LB
authors.lastname: Beder
authors.forename: Yoshikazu
authors.initials: Y
authors.lastname: Yamamoto
authors.forename: Muneki
authors.initials: M
authors.lastname: Hotomi
authors.forename: Noboru
authors.initials: N
authors.lastname: Yamanaka
mesh_terms: D000328:Adult; D000818:Animals; D000906:Antibodies / Q000097:blood; D001426:Bacterial Proteins / Q000276:immunology*; D001706:Biopsy; D015704:CD4 Antigens / Q000378:metabolism; D018791:CD4 Lymphocyte Count; D018834:Chaperonin 60 / Q000276:immunology* / Q000378:metabolism; D002678:Chimera; D003429:Cross Reactions; D018592:Cross-Over Studies; D016207:Cytokines / Q000097:blood; D004848:Epithelium / Q000378:metabolism; D000939:Epitopes; D005260:Female; D006360:Heat-Shock Proteins / Q000276:immunology*; D006801:Humans; D007074:Immunoglobulin G / Q000097:blood; D008214:Lymphocytes / Q000276:immunology*; D008297:Male; D051379:Mice; D016513:Mice, SCID / Q000097:blood; D008875:Middle Aged; D014066:Palatine Tonsil / Q000276:immunology* / Q000473:pathology; D011565:Psoriasis / Q000276:immunology* / Q000378:metabolism / Q000473:pathology; D012867:Skin / Q000378:metabolism / Q000473:pathology; D016038:Skin Transplantation; D014068:Tonsillectomy; D014183:Transplantation, Heterologous
chemical_list: D000906:Antibodies; D001426:Bacterial Proteins; D015704:CD4 Antigens; D018834:Chaperonin 60; D016207:Cytokines; D000939:Epitopes; D006360:Heat-Shock Proteins; D007074:Immunoglobulin G