Immunology Today, voL 7, No. 12, 1986

-Ietters Lockwood, D.H. (1970) Ann. N. Y. Acad. Sci. 171,882498

14 Tarter, T.H. and Alexander, N.J. (1984) Am. J. Reprod. Immunol. 6, 28-32

Interactions between epidermal cells and lymphocytes in psoriasis Sir, H. Valdimarsson and his colleagues should be complimented for pointing out the significance of altered epidermal cell-lymphocyte interaction in psoriasis (ImmunoL Today, 1986, 7, 256-259). They develop the concept that psoriatic lesions are initiated by the accumulation of a putatively abnormal antigen in the dermis, presented on Langerhans' cells and propagated by the response of specific helper T (Th) cells crossing the dermal--epidermal junction. The end product of that reaction is the increased presence of HLA-DR + Th and Langerhans' cells in the epidermis. As lymphokines induce epidermal cell growth I, it seems conceivable that activated Th cells may initiate the abnormal epidermal cell proliferation that is

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15 Richards, J.M., Bedford, J.M. and Witkin, S.S. (1984) Science 224, 390--392 16 Thomas, I.K. and McLean, J.M. (1984) Am. J. Reprod. ImmunoL 6, 185-189

17 Sachiko, K., Ryuji, U. and Hayaishi, O. (1986) Proc. Natl Acad. Sci. USA 83, 2682-2683 18 Hurtenbach, U. and Shearer, G.M. (1982)J. Exp. Med. 155, 1719-1729

characteristic in psoriasis. Studying the stimulation of enriched T cells by autologous, isolated epidermal cells (the autologous mixed epidermal cell-lymphocyte reaction, AMECLR), we found that the AMECLR in healthy controls (n=9) resembled that in psoriatic patients when the epidermal cells were isolated from uninvolved skin. However, in 10 psoriatic patients epidermal cells from the sites of lesions induced a significantly higher T cell proliferation in the AMECLR (p

Interactions between epidermal cells and lymphocytes in psoriasis.

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