Lymphatic and blood vessels in scleroderma skin, a morphometric analysis
Identifieur interne : 005794 ( Main/Exploration ); précédent : 005793; suivant : 005795Lymphatic and blood vessels in scleroderma skin, a morphometric analysis
Auteurs : Antonella Rossi [Italie] ; Francesca Sozio [Italie] ; Piersante Sestini [Italie] ; Elisabetta A. Renzoni [Royaume-Uni] ; Korsa Khan [Royaume-Uni] ; Christopher P. Denton [Royaume-Uni] ; David J. Abraham [Royaume-Uni] ; Elisabetta Weber [Italie]Source :
- Human Pathology [ 0046-8177 ] ; 2010.
Abstract
Vascular involvement is frequent in systemic sclerosis, but the role of the lymphatic vasculature is poorly known. Our aim was to evaluate lymphatic vessels in systemic sclerosis skin lesions. We studied skin forearm biopsies of 9 patients with systemic sclerosis and 7 age-matched controls. Lymphatic vessels were labeled with the monoclonal antibody D2-40 and blood vessels with a polyclonal antibody to von Willebrand Factor. All blood and lymphatic vessels present in each section were counted and total area, inner luminal area, and shape factors were measured. The number of blood and lymphatic vessels in papillary dermis was greater and their diameter lower than in reticular dermis both in systemic sclerosis and controls. In the reticular dermis, the number of lymphatic vessels was markedly reduced in systemic sclerosis (4.9 ± 1.1
Url:
DOI: 10.1016/j.humpath.2009.08.009
PubMed: 20004944
PubMed Central: 2829123
Affiliations:
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Renzoni</name><affiliation wicri:level="1"><nlm:aff id="aff3">Interstitial Lung Disease Unit, Royal Brompton Hospital, National Heart and Lung Institute, Imperial College of Science, Technology and Medicine, SW3 6LR London, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Interstitial Lung Disease Unit, Royal Brompton Hospital, National Heart and Lung Institute, Imperial College of Science, Technology and Medicine, SW3 6LR London</wicri:regionArea><wicri:noRegion>SW3 6LR London</wicri:noRegion></affiliation></author><author><name sortKey="Khan, Korsa" sort="Khan, Korsa" uniqKey="Khan K" first="Korsa" last="Khan">Korsa Khan</name><affiliation wicri:level="1"><nlm:aff id="aff4">Centre for Rheumatology and Connective Tissue Diseases, UCL Medical School, NW3 2PN London, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Centre for Rheumatology and Connective Tissue Diseases, UCL Medical School, NW3 2PN London</wicri:regionArea><wicri:noRegion>NW3 2PN London</wicri:noRegion></affiliation></author><author><name sortKey="Denton, Christopher P" sort="Denton, Christopher P" uniqKey="Denton C" first="Christopher P." last="Denton">Christopher P. Denton</name><affiliation wicri:level="1"><nlm:aff id="aff4">Centre for Rheumatology and Connective Tissue Diseases, UCL Medical School, NW3 2PN London, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Centre for Rheumatology and Connective Tissue Diseases, UCL Medical School, NW3 2PN London</wicri:regionArea><wicri:noRegion>NW3 2PN London</wicri:noRegion></affiliation></author><author><name sortKey="Abraham, David J" sort="Abraham, David J" uniqKey="Abraham D" first="David J." last="Abraham">David J. Abraham</name><affiliation wicri:level="1"><nlm:aff id="aff4">Centre for Rheumatology and Connective Tissue Diseases, UCL Medical School, NW3 2PN London, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Centre for Rheumatology and Connective Tissue Diseases, UCL Medical School, NW3 2PN London</wicri:regionArea><wicri:noRegion>NW3 2PN London</wicri:noRegion></affiliation></author><author><name sortKey="Weber, Elisabetta" sort="Weber, Elisabetta" uniqKey="Weber E" first="Elisabetta" last="Weber">Elisabetta Weber</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Neuroscience, Section of Molecular Medicine, University of Siena, Via Aldo Moro, 53100 Siena, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Neuroscience, Section of Molecular Medicine, University of Siena, Via Aldo Moro, 53100 Siena</wicri:regionArea><wicri:noRegion>53100 Siena</wicri:noRegion></affiliation></author></analytic><series><title level="j">Human Pathology</title><idno type="ISSN">0046-8177</idno><idno type="eISSN">1532-8392</idno><imprint><date when="2010">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>Summary</title><p>Vascular involvement is frequent in systemic sclerosis, but the role of the lymphatic vasculature is poorly known. Our aim was to evaluate lymphatic vessels in systemic sclerosis skin lesions. We studied skin forearm biopsies of 9 patients with systemic sclerosis and 7 age-matched controls. Lymphatic vessels were labeled with the monoclonal antibody D2-40 and blood vessels with a polyclonal antibody to von Willebrand Factor. All blood and lymphatic vessels present in each section were counted and total area, inner luminal area, and shape factors were measured. The number of blood and lymphatic vessels in papillary dermis was greater and their diameter lower than in reticular dermis both in systemic sclerosis and controls. In the reticular dermis, the number of lymphatic vessels was markedly reduced in systemic sclerosis (4.9 ± 1.1 <italic>μ</italic>m<sup>−2</sup> versus 8.9 ± 1.2 <italic>μ</italic>m<sup>−2</sup><italic>P</italic> = .03), and a similar trend was observed in papillary dermis (8.4 ± 3.7 <italic>μ</italic>m<sup>−2</sup> versus 8.1 ± 5.3 <italic>μ</italic>m<sup>−2</sup>). Interestingly, the number of periglandular lymphatics in systemic sclerosis was not different from controls. The inner luminal area (possibly indicating compensatory dilation) of lymphatic vessels, particularly the periglandular ones, was greater in systemic sclerosis than in controls. No differences were observed in the number of blood vessels, but the percentage of blood vessel profiles (without lumen) was significantly less in systemic sclerosis both in papillary and in reticular dermis. In conclusion, our data show that skin lesions in systemic sclerosis are characterized by a selective rarefaction of lymphatic vasculature that spares periglandular vessels and that might have a pathogenic role in the evolution and in the clinical manifestations of the disease.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Fleming, J N" uniqKey="Fleming J">J.N. 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Ryan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Adams, R H" uniqKey="Adams R">R.H. Adams</name></author><author><name sortKey="Alitalo, K" uniqKey="Alitalo K">K. Alitalo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chitale, S" uniqKey="Chitale S">S. Chitale</name></author><author><name sortKey="Al Mowallad, A F" uniqKey="Al Mowallad A">A.F. Al-Mowallad</name></author><author><name sortKey="Wang, Q" uniqKey="Wang Q">Q. Wang</name></author><author><name sortKey="Kumar, S" uniqKey="Kumar S">S. Kumar</name></author><author><name sortKey="Herrick, A" uniqKey="Herrick A">A. Herrick</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mackiewicz, Z" uniqKey="Mackiewicz Z">Z. Mackiewicz</name></author><author><name sortKey="Sukura, A" uniqKey="Sukura A">A. Sukura</name></author><author><name sortKey="Povilenaite, D" uniqKey="Povilenaite D">D. Povilenaité</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Asahara, T" uniqKey="Asahara T">T. Asahara</name></author><author><name sortKey="Masuda, H" uniqKey="Masuda H">H. Masuda</name></author><author><name sortKey="Takahashi, T" uniqKey="Takahashi T">T. Takahashi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Religa, P" uniqKey="Religa P">P. Religa</name></author><author><name sortKey="Cao, R" uniqKey="Cao R">R. Cao</name></author><author><name sortKey="Bjorndahl, M" uniqKey="Bjorndahl M">M. Bjorndahl</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Italie</li><li>Royaume-Uni</li></country></list><tree><country name="Italie"><noRegion><name sortKey="Rossi, Antonella" sort="Rossi, Antonella" uniqKey="Rossi A" first="Antonella" last="Rossi">Antonella Rossi</name></noRegion><name sortKey="Sestini, Piersante" sort="Sestini, Piersante" uniqKey="Sestini P" first="Piersante" last="Sestini">Piersante Sestini</name><name sortKey="Sozio, Francesca" sort="Sozio, Francesca" uniqKey="Sozio F" first="Francesca" last="Sozio">Francesca Sozio</name><name sortKey="Weber, Elisabetta" sort="Weber, Elisabetta" uniqKey="Weber E" first="Elisabetta" last="Weber">Elisabetta Weber</name></country><country name="Royaume-Uni"><noRegion><name sortKey="Renzoni, Elisabetta A" sort="Renzoni, Elisabetta A" uniqKey="Renzoni E" first="Elisabetta A." last="Renzoni">Elisabetta A. Renzoni</name></noRegion><name sortKey="Abraham, David J" sort="Abraham, David J" uniqKey="Abraham D" first="David J." last="Abraham">David J. Abraham</name><name sortKey="Denton, Christopher P" sort="Denton, Christopher P" uniqKey="Denton C" first="Christopher P." last="Denton">Christopher P. Denton</name><name sortKey="Khan, Korsa" sort="Khan, Korsa" uniqKey="Khan K" first="Korsa" last="Khan">Korsa Khan</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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