Volume 37, Issue 4 pp. 452-459

Xeroderma pigmentosum skin: an immune privilege site for tumor development

Kalthoum Abid

Corresponding Author

Kalthoum Abid

Immuno-Histology Laboratory, Medicine University of Tunis, Tunisia

Kalthoum Abid, Immuno-Histology Laboratory, Medicine University of Tunis, 15, Rue Djebel Lakhdar, 1007 Bab Saadoun, Tunis, Tunisia
Tel: +216 98 64 88 50
Fax: +216 71 887 030
e-mail: [email protected]Search for more papers by this author
Faouzi El Mezni

Faouzi El Mezni

Department of Anatomo-Pathology, A. Mami Hospital, Lariana, Tunisia

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Mohamed Ridha Kamoun

Mohamed Ridha Kamoun

Dermatology Department, Charles Nicolle Hospital, 1060 Tunis, Tunisia

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Becima Fazaa

Becima Fazaa

Dermatology Department, Charles Nicolle Hospital, 1060 Tunis, Tunisia

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Rachida Zermani

Rachida Zermani

Department of Anatomo-Pathology, Charles Nicolle Hospital, 1060 Tunis, Tunisia

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Chokri Hadouchi

Chokri Hadouchi

Department of Anatomo-Pathology, A. Mami Hospital, Lariana, Tunisia

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Kamel Hamzaoui

Kamel Hamzaoui

Immuno-Histology Laboratory, Medicine University of Tunis, Tunisia

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First published: 11 February 2010
Citations: 4

Abstract

A unique feature of the skin immune system is its proximity to cells continuously exposed to sun rays, as it is located in the interface between the body and the environment.

In this study, we aimed to determine the impact of DNA damaged keratinocytes on the expression of apoptotic-related molecules, in T-cells of the inflammatory component of the tumor environment. Immunohistochemistry was performed on tissue sections derived from skin biopsies of basal cell carcinomas (BCCs) of xeroderma pigmentosum (XP) patients, non-XP patients and nevoid basal cell carcinoma syndrome (NBCCS) patients, using antibodies against B-cell lymphoma/leukemia-2 (Bcl-2), Bcl-2 associated X protein (Bax), CD95, CD3, CD8 and CD56.

Our results showed significantly lower levels of expression of the antiapoptotic Bcl-2 molecule, in XP, in comparison with non-XP and NBCCS T-lymphocytes, leading to the highest Bax/Bcl-2 ratio for XP T-cells. For the CD95 receptor expression levels, there were significant differences among T-cells of the three patient subgroups as well.

The higher propensity of XP T-cells to undergo apoptosis may have evolved in individual XP patients, apparently during the course of their disease, to maintain a special skin as an immune privilege site for tumors' development.

Abid K, El Mezni F, Kamoun MR, Fazaa B, Zermani R, Hadouchi C, Hamzaoui K. Xeroderma pigmentosum skin: an immune privilege site for tumor development.

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