Expression of selected neuropeptides in pathogenesis of bullous pemphigoid and dermatitis herpetiformis

Pol J Pathol. 2012 Mar;63(1):31-9.

Abstract

Bullous pemphigoid (BP) and dermatitis herpetiformis (DH) are chronic subepidermal bullous diseases, which progress together with an itch and an inflammatory reaction. These symptoms may be the cause of a phenomenon described in the literature as a neurogenic skin inflammation. Neuropeptides are one of the mediators which take part in this process. The aim of our study was to indicate the expression of selected neuropeptides - CRF (corticotropin releasing factor), CGRP (calcitonin gene-related peptide), NKB (neurokinin B), SP (substance P) and the receptor for endothelin B (ETRB) - in the skin of patients suffering from BP or DH. A significantly increased expression of CRF was found in the specimen collected from the skin lesions of patients with BP and DH as well as a significantly increased expression of receptor for endothelin B in the patients with DH by the immunohistochemical method. The results obtained give evidence of a possible participation of CRF and receptor for endothelin B in the pathogenesis of the itch in the dermatitis herpetiformis as well as CRF in bullous pemphigoid.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • Calcitonin Gene-Related Peptide / analysis
  • Calcitonin Gene-Related Peptide / biosynthesis
  • Corticotropin-Releasing Hormone / analysis
  • Corticotropin-Releasing Hormone / biosynthesis
  • Dermatitis Herpetiformis / complications
  • Dermatitis Herpetiformis / metabolism*
  • Female
  • Humans
  • Immunohistochemistry
  • Male
  • Middle Aged
  • Neurokinin B / analysis
  • Neurokinin B / biosynthesis
  • Neuropeptides / analysis
  • Neuropeptides / biosynthesis*
  • Pemphigoid, Bullous / complications
  • Pemphigoid, Bullous / metabolism*
  • Pruritus / etiology
  • Pruritus / metabolism*
  • Receptor, Endothelin B / analysis
  • Receptor, Endothelin B / biosynthesis
  • Substance P / analysis
  • Substance P / biosynthesis

Substances

  • Neuropeptides
  • Receptor, Endothelin B
  • Substance P
  • Neurokinin B
  • Corticotropin-Releasing Hormone
  • Calcitonin Gene-Related Peptide