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Published in: Archives of Dermatological Research 7/2010

01-09-2010 | Original Paper

GABA and GABAA receptor expression on immune cells in psoriasis: a pathophysiological role

Authors: Rishi Nigam, Husameldin El-Nour, Beni Amatya, Klas Nordlind

Published in: Archives of Dermatological Research | Issue 7/2010

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Abstract

Psoriasis is a chronic inflammatory disease in which pruritus is a common symptom. Pruritus may be associated with the gamma-aminobutyric acid (GABA) system. The distribution of GABA and its GABAA receptor (R) was studied in involved and non-involved psoriatic skin, as well as normal healthy control skin, using an immunohistochemistry technique. Pruritus was determined using a visual analog scale. Inflammatory cells immunoreactive for the GABA ligand and the GABAA R were increased (P < 0.01, respectively) in the involved skin. Cells stained for GABA ligand were mostly macrophages with some lymphocytes, while cells stained for GABAA R were macrophages, neutrophils or lymphocytes. There was a positive correlation when comparing GABA ligand (P = 0.05) and GABAA R (P < 0.05) expressing inflammatory cells, with pruritus. The GABA ligand and its GABAA R may play a role for the pathogenesis of psoriasis as well as for pruritus in this disease.
Literature
1.
go back to reference Amatya B, Wennersten G, Nordlind K (2008) Patients’ perspective of pruritus in chronic plaque psoriasis: a questionnaire-based study. J Eur Acad Dermatol Venereol 22:822–826CrossRefPubMed Amatya B, Wennersten G, Nordlind K (2008) Patients’ perspective of pruritus in chronic plaque psoriasis: a questionnaire-based study. J Eur Acad Dermatol Venereol 22:822–826CrossRefPubMed
2.
go back to reference Bergasa NV, McGee M, Ginsburg IH, Engler D (2006) Gabapentin in patients with the pruritus of cholestasis: a double-blind, randomized, placebo-controlled trial. Hepatology 44:1317–1323CrossRefPubMed Bergasa NV, McGee M, Ginsburg IH, Engler D (2006) Gabapentin in patients with the pruritus of cholestasis: a double-blind, randomized, placebo-controlled trial. Hepatology 44:1317–1323CrossRefPubMed
3.
go back to reference Boehncke WH, Wortmann S, Kaufmann R, Mielke V, Sterry W (1995) A subset of macrophages located along the basement membrane (“lining cells”) is a characteristic histopathological feature of psoriasis. Am J Dermatopathol 17:139–144CrossRefPubMed Boehncke WH, Wortmann S, Kaufmann R, Mielke V, Sterry W (1995) A subset of macrophages located along the basement membrane (“lining cells”) is a characteristic histopathological feature of psoriasis. Am J Dermatopathol 17:139–144CrossRefPubMed
4.
go back to reference Boyd ST, Mihm L, Causey NM (2008) Improvement in psoriasis following treatment with gabapentin and pregabalin. Am J Clin Dermatol 9:419CrossRefPubMed Boyd ST, Mihm L, Causey NM (2008) Improvement in psoriasis following treatment with gabapentin and pregabalin. Am J Clin Dermatol 9:419CrossRefPubMed
5.
go back to reference Carlton SM, Zhou S, Coggeshall RE (1999) Peripheral GABA(A) receptors: evidence for peripheral primary afferent depolarization. Neuroscience 93:713–722CrossRefPubMed Carlton SM, Zhou S, Coggeshall RE (1999) Peripheral GABA(A) receptors: evidence for peripheral primary afferent depolarization. Neuroscience 93:713–722CrossRefPubMed
6.
go back to reference Denda M, Fuziwara S, Inoue K (2003) Influx of calcium and chloride ions into epidermal keratinocytes regulates exocytosis of epidermal lamellar bodies and skin permeability barrier homeostasis. J Invest Dermatol 121:362–367CrossRefPubMed Denda M, Fuziwara S, Inoue K (2003) Influx of calcium and chloride ions into epidermal keratinocytes regulates exocytosis of epidermal lamellar bodies and skin permeability barrier homeostasis. J Invest Dermatol 121:362–367CrossRefPubMed
7.
go back to reference Denda M, Inoue K, Inomata S, Denda S (2002) Gamma-aminobutyric acid (A) receptor agonists accelerate cutaneous barrier recovery and prevent epidermal hyperplasia induced by barrier disruption. J Invest Dermatol 119:1041–1047CrossRefPubMed Denda M, Inoue K, Inomata S, Denda S (2002) Gamma-aminobutyric acid (A) receptor agonists accelerate cutaneous barrier recovery and prevent epidermal hyperplasia induced by barrier disruption. J Invest Dermatol 119:1041–1047CrossRefPubMed
8.
go back to reference D’Hulst C, Atack JR, Kooy RF (2009) The complexity of the GABAA receptor shapes unique pharmacological profiles. Drug Discov Today 14:866–875CrossRefPubMed D’Hulst C, Atack JR, Kooy RF (2009) The complexity of the GABAA receptor shapes unique pharmacological profiles. Drug Discov Today 14:866–875CrossRefPubMed
9.
go back to reference Ehrchen J, Ständer S (2008) Pregabalin in the treatment of chronic pruritus. J Am Acad Dermatol 58:S36–S37CrossRefPubMed Ehrchen J, Ständer S (2008) Pregabalin in the treatment of chronic pruritus. J Am Acad Dermatol 58:S36–S37CrossRefPubMed
10.
go back to reference Fehrenbacher JC, Taylor CP, Vasko MR (2003) Pregabalin and gabapentin reduce release of substance P and CGRP from rat spinal tissues only after inflammation or activation of protein kinase C. Pain 105:133–141CrossRefPubMed Fehrenbacher JC, Taylor CP, Vasko MR (2003) Pregabalin and gabapentin reduce release of substance P and CGRP from rat spinal tissues only after inflammation or activation of protein kinase C. Pain 105:133–141CrossRefPubMed
11.
go back to reference Ferenczi K, Burack L, Pope M, Krueger JG, Austin LM (2000) CD69, HLA-DR and the IL-2R identify persistently activated T cells in psoriasis vulgaris lesional skin: blood and skin comparisons by flow cytometry. J Autoimmun 14:63–78CrossRefPubMed Ferenczi K, Burack L, Pope M, Krueger JG, Austin LM (2000) CD69, HLA-DR and the IL-2R identify persistently activated T cells in psoriasis vulgaris lesional skin: blood and skin comparisons by flow cytometry. J Autoimmun 14:63–78CrossRefPubMed
12.
go back to reference Fortune DG, Richards HL, Main CJ, Griffiths CE (1998) What patients with psoriasis believe about their condition. J Am Acad Dermatol 39:196–201CrossRefPubMed Fortune DG, Richards HL, Main CJ, Griffiths CE (1998) What patients with psoriasis believe about their condition. J Am Acad Dermatol 39:196–201CrossRefPubMed
13.
go back to reference Fredriksson T, Pettersson U (1978) Severe psoriasis–oral therapy with a new retinoid. Dermatologica 157:238–244CrossRefPubMed Fredriksson T, Pettersson U (1978) Severe psoriasis–oral therapy with a new retinoid. Dermatologica 157:238–244CrossRefPubMed
14.
go back to reference Ghoreschi K, Weigert C, Röcken M (2007) Immunopathogenesis and role of T cells in psoriasis. Clin Dermatol l25:574–580CrossRef Ghoreschi K, Weigert C, Röcken M (2007) Immunopathogenesis and role of T cells in psoriasis. Clin Dermatol l25:574–580CrossRef
15.
go back to reference Han D, Kim HY, Lee HJ, Shim I, Hahm DH (2007) Wound healing activity of gamma-aminobutyric acid (GABA) in rats. J Microbiol Biotechnol 17:1661–1669PubMed Han D, Kim HY, Lee HJ, Shim I, Hahm DH (2007) Wound healing activity of gamma-aminobutyric acid (GABA) in rats. J Microbiol Biotechnol 17:1661–1669PubMed
16.
go back to reference Naini AE, Harandi AA, Khanbabapour S, Shahidi S, Seirafiyan S, Mohseni M (2007) Gabapentin: a promising drug for the treatment of uremic pruritus. Saudi J Kidney Dis Transplant 18:378–381 Naini AE, Harandi AA, Khanbabapour S, Shahidi S, Seirafiyan S, Mohseni M (2007) Gabapentin: a promising drug for the treatment of uremic pruritus. Saudi J Kidney Dis Transplant 18:378–381
17.
go back to reference Pan CF, Shen MY, Wu CJ, Hsiao G, Chou DS, Sheu JR (2007) Inhibitory mechanisms of gabapentin, an antiseizure drug, on platelet aggregation. J Pharm Pharmacol 59:1255–1261CrossRefPubMed Pan CF, Shen MY, Wu CJ, Hsiao G, Chou DS, Sheu JR (2007) Inhibitory mechanisms of gabapentin, an antiseizure drug, on platelet aggregation. J Pharm Pharmacol 59:1255–1261CrossRefPubMed
18.
go back to reference Rainesalo S, Keränen T, Saransaari P, Honkaniemi J (2005) GABA and glutamate transporters are expressed in human platelets. Brain Res Mol Brain Res 141:161–165CrossRefPubMed Rainesalo S, Keränen T, Saransaari P, Honkaniemi J (2005) GABA and glutamate transporters are expressed in human platelets. Brain Res Mol Brain Res 141:161–165CrossRefPubMed
19.
go back to reference Rane MJ, Gozal D, Butt W et al (2005) Gamma-amino butyric acid type B receptors stimulate neutrophil chemotaxis during ischemia-reperfusion. J Immunol 174:7242–7249PubMed Rane MJ, Gozal D, Butt W et al (2005) Gamma-amino butyric acid type B receptors stimulate neutrophil chemotaxis during ischemia-reperfusion. J Immunol 174:7242–7249PubMed
20.
go back to reference Reich A, Szepietowski JC (2007) Mediators of pruritus in psoriasis. Mediat Inflamm 2007:64727 Reich A, Szepietowski JC (2007) Mediators of pruritus in psoriasis. Mediat Inflamm 2007:64727
21.
go back to reference Reyes-García MG, Hernández-Hernández F, Hernández-Téllez B, García-Tamayo F (2007) GABA (A) receptor subunits RNA expression in mice peritoneal macrophages modulate their IL-6/IL-12 production. J Neuroimmunol 188:64–68CrossRefPubMed Reyes-García MG, Hernández-Hernández F, Hernández-Téllez B, García-Tamayo F (2007) GABA (A) receptor subunits RNA expression in mice peritoneal macrophages modulate their IL-6/IL-12 production. J Neuroimmunol 188:64–68CrossRefPubMed
22.
go back to reference Tian J, Chau C, Hales TG, Kaufman DL (1999) GABA(A) receptors mediate inhibition of T cell responses. J Neuroimmunol 96:21–28CrossRefPubMed Tian J, Chau C, Hales TG, Kaufman DL (1999) GABA(A) receptors mediate inhibition of T cell responses. J Neuroimmunol 96:21–28CrossRefPubMed
23.
go back to reference van den Oord JJ, de Wolf-Peeters C (1994) Epithelium-lining macrophages in psoriasis. Br J Dermatol 130:589–594CrossRefPubMed van den Oord JJ, de Wolf-Peeters C (1994) Epithelium-lining macrophages in psoriasis. Br J Dermatol 130:589–594CrossRefPubMed
24.
go back to reference Vila T, Gommer J, Scates AC (2008) Role of gabapentin in the treatment of uremic pruritus. Ann Pharmacother 42:1080–1084CrossRefPubMed Vila T, Gommer J, Scates AC (2008) Role of gabapentin in the treatment of uremic pruritus. Ann Pharmacother 42:1080–1084CrossRefPubMed
25.
go back to reference Wang H, Peters T, Kess D et al (2006) Activated macrophages are essential in a murine model for T cell-mediated chronic psoriasiform skin inflammation. J Clin Invest 116:2105–2114CrossRefPubMed Wang H, Peters T, Kess D et al (2006) Activated macrophages are essential in a murine model for T cell-mediated chronic psoriasiform skin inflammation. J Clin Invest 116:2105–2114CrossRefPubMed
26.
go back to reference Yosipovitch G, Goon A, Wee J, Chan YH, Goh CL (2000) The prevalence and clinical characteristics of pruritus among patients with extensive psoriasis. Br J Dermatol 143:969–973CrossRefPubMed Yosipovitch G, Goon A, Wee J, Chan YH, Goh CL (2000) The prevalence and clinical characteristics of pruritus among patients with extensive psoriasis. Br J Dermatol 143:969–973CrossRefPubMed
Metadata
Title
GABA and GABAA receptor expression on immune cells in psoriasis: a pathophysiological role
Authors
Rishi Nigam
Husameldin El-Nour
Beni Amatya
Klas Nordlind
Publication date
01-09-2010
Publisher
Springer-Verlag
Published in
Archives of Dermatological Research / Issue 7/2010
Print ISSN: 0340-3696
Electronic ISSN: 1432-069X
DOI
https://doi.org/10.1007/s00403-010-1052-5

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