Detection of apoptosis in pemphigus vulgaris by TUNEL technique

Abstract: Background: Pemphigus is part of a group of blistering diseases that affect the skin and mucous membranes. Based on its autoimmune origin, autoantibodies develop in pemphigus that are directed toward cell surface components of keratinocytes. However, some data cannot be explained, such as...

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Main Authors: Juan Carlos Cuevas-Gonzalez, Maria Elisa Vega-Memíje, Francisco Javier García-Vázquez, Marco António Aguilar-Urbano
Format: Article
Language:English
Published: Sociedade Brasileira de Dermatologia 2016-06-01
Series:Anais Brasileiros de Dermatologia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962016000300296&tlng=en
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author Juan Carlos Cuevas-Gonzalez
Maria Elisa Vega-Memíje
Francisco Javier García-Vázquez
Marco António Aguilar-Urbano
author_facet Juan Carlos Cuevas-Gonzalez
Maria Elisa Vega-Memíje
Francisco Javier García-Vázquez
Marco António Aguilar-Urbano
author_sort Juan Carlos Cuevas-Gonzalez
collection DOAJ
description Abstract: Background: Pemphigus is part of a group of blistering diseases that affect the skin and mucous membranes. Based on its autoimmune origin, autoantibodies develop in pemphigus that are directed toward cell surface components of keratinocytes. However, some data cannot be explained, such as the lack of a relationship between autoantibody levels and the severity of clinical manifestations, treatment resistance, the presence of inflammatory infiltrates and the potential occurrence of apoptosis as determinants of vesicle formation. Objective: To examine the presence of apoptosis in pemphigus vulgaris by TUNEL technique. Methods: In this cross-sectional study, we selected 15 paraffin-embedded tissues from subjects who were diagnosed with pemphigus vulgaris by hematoxylin and eosin staining. The samples were subjected to TUNEL assay and examined under an Olympus BX61 fluorescence microscope. Positivity was categorized dichotomously, and the statistical analysis was performed using the X2 test. Results: Positivity was observed in basal layer cells in 14 (93.3%) cases. In 13 (86.7%) of the positive cases, we noted espinosum and granular layers that formed the blister roof, and in 12 cases (80%), positive acantholytic cells were observed. Conclusions: TUNEL positivity was observed in pemphigus vulgaris, implicating apoptosis in the pathophysiology of this condition, which can help guide the development of apoptotic blockers as therapeutics.
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spelling doaj.art-341c9921a8c5405b922ecc2acf69e7222022-12-21T21:28:56ZengSociedade Brasileira de DermatologiaAnais Brasileiros de Dermatologia0365-05962016-06-0191329629910.1590/abd1806-4841.20164598Detection of apoptosis in pemphigus vulgaris by TUNEL techniqueJuan Carlos Cuevas-GonzalezMaria Elisa Vega-MemíjeFrancisco Javier García-VázquezMarco António Aguilar-UrbanoAbstract: Background: Pemphigus is part of a group of blistering diseases that affect the skin and mucous membranes. Based on its autoimmune origin, autoantibodies develop in pemphigus that are directed toward cell surface components of keratinocytes. However, some data cannot be explained, such as the lack of a relationship between autoantibody levels and the severity of clinical manifestations, treatment resistance, the presence of inflammatory infiltrates and the potential occurrence of apoptosis as determinants of vesicle formation. Objective: To examine the presence of apoptosis in pemphigus vulgaris by TUNEL technique. Methods: In this cross-sectional study, we selected 15 paraffin-embedded tissues from subjects who were diagnosed with pemphigus vulgaris by hematoxylin and eosin staining. The samples were subjected to TUNEL assay and examined under an Olympus BX61 fluorescence microscope. Positivity was categorized dichotomously, and the statistical analysis was performed using the X2 test. Results: Positivity was observed in basal layer cells in 14 (93.3%) cases. In 13 (86.7%) of the positive cases, we noted espinosum and granular layers that formed the blister roof, and in 12 cases (80%), positive acantholytic cells were observed. Conclusions: TUNEL positivity was observed in pemphigus vulgaris, implicating apoptosis in the pathophysiology of this condition, which can help guide the development of apoptotic blockers as therapeutics.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962016000300296&tlng=enApoptosisAutoimmune diseasesPemphigusTUNEL technique
spellingShingle Juan Carlos Cuevas-Gonzalez
Maria Elisa Vega-Memíje
Francisco Javier García-Vázquez
Marco António Aguilar-Urbano
Detection of apoptosis in pemphigus vulgaris by TUNEL technique
Anais Brasileiros de Dermatologia
Apoptosis
Autoimmune diseases
Pemphigus
TUNEL technique
title Detection of apoptosis in pemphigus vulgaris by TUNEL technique
title_full Detection of apoptosis in pemphigus vulgaris by TUNEL technique
title_fullStr Detection of apoptosis in pemphigus vulgaris by TUNEL technique
title_full_unstemmed Detection of apoptosis in pemphigus vulgaris by TUNEL technique
title_short Detection of apoptosis in pemphigus vulgaris by TUNEL technique
title_sort detection of apoptosis in pemphigus vulgaris by tunel technique
topic Apoptosis
Autoimmune diseases
Pemphigus
TUNEL technique
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962016000300296&tlng=en
work_keys_str_mv AT juancarloscuevasgonzalez detectionofapoptosisinpemphigusvulgarisbytuneltechnique
AT mariaelisavegamemije detectionofapoptosisinpemphigusvulgarisbytuneltechnique
AT franciscojaviergarciavazquez detectionofapoptosisinpemphigusvulgarisbytuneltechnique
AT marcoantonioaguilarurbano detectionofapoptosisinpemphigusvulgarisbytuneltechnique