Volume 21, Issue 8 pp. 3537-3545
ORIGINAL ARTICLE

Immunohistochemical expression of cornulin in lesional and perilesional skin of plaque psoriasis

Wafaa Ahmed Shehata MD

Corresponding Author

Wafaa Ahmed Shehata MD

Dermatology, Andrology and STDs Department, Faculty of Medicine, Menoufia University, Shebin El Kom, Egypt

Correspondence

Wafaa Ahmed Shehata, Dermatology, Andrology and STDs Department, Faculty of Medicine, Menoufia University, Shebin El Kom, 32716, Egypt.

Email: [email protected]

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Mostafa Ahmed Hammam MD

Mostafa Ahmed Hammam MD

Dermatology, Andrology and STDs Department, Faculty of Medicine, Menoufia University, Shebin El Kom, Egypt

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Amina Ayad MBBCH

Amina Ayad MBBCH

Health Sector, Egypt Ministry of Health and Population, Cairo, Egypt

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Nanis S. Holah MD

Nanis S. Holah MD

Pathology Department, Faculty of Medicine, Menoufia University, Shebin El Kom, Egypt

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First published: 02 December 2021

Abstract

Background

Psoriasis is an immune-related disease with dermal inflammation and epidermal hyperplasia. Cornulin has a significant role in keratinocyte proliferation and stimulates inflammation in psoriasis.

Aim of the Work

This work aims to evaluate Cornulin expression values in lesional and perilesional psoriatic skin compared with the control group's skin through immunohistochemistry.

Methods

This case-control study included 30 cases with plaque psoriasis and another 30 as controls. Patient samples were collected, and immunohistochemical staining of Cornulin was conducted.

Results

In the epidermis, there was a stepwise pattern of significant Cornulin overexpression in keratinocytes starting from controls (34.00 ± 23.65) to lesional (62.59 ± 23.93) passing through perilesional skin (36.52 ± 18.49) (p < 0.001). Moreover, there was also a stepwise pattern of the significance of Cornulin starting from 4 in controls (13.3% for both) to 28 lesional cases (93.3%) and 18 (60.0%) passing through 17 perilesional skin cases (56.7%) and 5 (16.7%) (p < 0.001 for both) for inflammatory cells and adnexa, respectively. A significant relationship between lesional epidermal Cornulin's strong intensity and a higher H-score and both hyperkeratosis and parakeratosis was found (p = 0.008 for both intensity and 0.028 for both H-scores).

Conclusion

Cornulin might be implicated in keratinocyte hyperproliferation and inflammation in plaque psoriasis and may be valuable as therapeutic target.

CONFLICT OF INTEREST

None.

DATA AVAILABILITY STATEMENT

The data that support the findings of this study are available from the corresponding author upon reasonable request.

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