title: Gene expression profiling in dermatitis herpetiformis skin lesions.
abstract: Dermatitis herpetiformis (DH) is an autoimmune blistering skin disease associated with gluten-sensitive enteropathy (CD). In order to investigate the pathogenesis of skin lesions at molecular level, we analysed the gene expression profiles in skin biopsies from 6 CD patients with DH and 6 healthy controls using Affymetrix HG-U133A 2.0 arrays. 486 genes were differentially expressed in DH skin compared to normal skin: 225 were upregulated and 261 were downregulated. Consistently with the autoimmune origin of DH, functional classification of the differentially expressed genes (DEGs) indicates a B- and T-cell immune response (LAG3, TRAF5, DPP4, and NT5E). In addition, gene modulation provides evidence for a local inflammatory response (IL8, PTGFR, FSTL1, IFI16, BDKRD2, and NAMPT) with concomitant leukocyte recruitment (CCL5, ENPP2), endothelial cell activation, and neutrophil extravasation (SELL, SELE). DEGs also indicate overproduction of matrix proteases (MMP9, ADAM9, and ADAM19) and proteolytic enzymes (CTSG, ELA2, CPA3, TPSB2, and CMA1) that may contribute to epidermal splitting and blister formation. Finally, we observed modulation of genes involved in cell growth inhibition (CGREF1, PA2G4, and PPP2R1B), increased apoptosis (FAS, TNFSF10, and BASP1), and reduced adhesion at the dermal epidermal junction (PLEC1, ITGB4, and LAMA5). In conclusion, our results identify genes that are involved in the pathogenesis of DH skin lesions.
authors.affiliation: Instituto Giannina Gaslini, Clinical Immunology Unit, 16148 Genoa, Italy.
authors.forename: M
authors.initials: M
authors.lastname: Dolcino
authors.forename: E
authors.initials: E
authors.lastname: Cozzani
authors.forename: S
authors.initials: S
authors.lastname: Riva
authors.forename: A
authors.initials: A
authors.lastname: Parodi
authors.forename: E
authors.initials: E
authors.lastname: Tinazzi
authors.forename: C
authors.initials: C
authors.lastname: Lunardi
authors.forename: A
authors.initials: A
authors.lastname: Puccetti
mesh_terms: D000328:Adult; D017209:Apoptosis / Q000235:genetics; D001402:B-Lymphocytes / Q000276:immunology; D002448:Cell Adhesion / Q000235:genetics; D049109:Cell Proliferation; D002478:Cells, Cultured; D003874:Dermatitis Herpetiformis / Q000235:genetics* / Q000276:immunology / Q000473:pathology; D042783:Endothelial Cells / Q000276:immunology / Q000378:metabolism; D005260:Female; D020869:Gene Expression Profiling; D006801:Humans; D007249:Inflammation; D007962:Leukocytes / Q000276:immunology / Q000378:metabolism; D008213:Lymphocyte Activation; D008297:Male; D020782:Matrix Metalloproteinases / Q000096:biosynthesis; D008875:Middle Aged; D009504:Neutrophils / Q000276:immunology / Q000378:metabolism; D010447:Peptide Hydrolases / Q000096:biosynthesis; D012867:Skin / Q000276:immunology* / Q000378:metabolism* / Q000473:pathology; D013601:T-Lymphocytes / Q000276:immunology
chemical_list: D010447:Peptide Hydrolases; D020782:Matrix Metalloproteinases