Evidence that thalidomide modifies the immune response of patients suffering from actinic prurigo.

Abstract:

BACKGROUND:Actinic prurigo (AP) is a photodermatosis with a restricted ethnic distribution, mainly affecting Mestizo women (mixed Indian and European). The lesions are polymorphic and include macules, papules, crusts, hyperpigmentation and lichenification. Thalidomide, an effective immunomodulatory drug, was first used successfully to treat AP in 1973. In this work we describe the effect that thalidomide had on TNF-alpha sera levels and on IL-4- and IFN gamma (IFNgamma)-producing lymphocytes of actinic prurigo (AP) patients. METHODS:Actinic prurigo patients were analyzed before and after thalidomide treatment. The percentage of IL-4+ or IFNgamma+ CD3+ lymphocytes was analyzed in eight of them by flow cytometry. TNFalpha in sera was measured by ELISA in 11 patients. RESULTS:A direct correlation was observed between resolution of AP lesions and an increase in IFNgamma+ CD3+ peripheral blood mononuclear cells (P < or = 0.001) and a decrease in TNFalpha serum levels (no statistical difference). No IL-4+ CD3+ cells were detected. CONCLUSIONS:Our findings confirm that AP is a disease that has an immunological component and that thalidomide clinical efficacy is exerted not only through inhibition of TNFalpha synthesis, but also through modulation of INFgamma-producing CD3+ cells. These cells could be used as clinical markers for recovery.

journal_name

Int J Dermatol

authors

Estrada-G I,Garibay-Escobar A,Núñez-Vázquez A,Hojyo-Tomoka T,Vega-Memije E,Cortés-Franco R,Pérez-Uribe A,Flores-Romo L,Santos-Argumedo L,Estrada-Parra S,Domínguez-Soto L

doi

10.1111/j.1365-4632.2004.02274.x

subject

Has Abstract

pub_date

2004-12-01 00:00:00

pages

893-7

issue

12

eissn

0011-9059

issn

1365-4632

pii

IJD2274

journal_volume

43

pub_type

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