Microvascular changes in relation to inflammation and epidermal hyperplasia in chronic cutaneous lesions of psoriasis vulgaris

Epidermal proliferation, inflammatory changes and microvascular augmentation are prominent features of chronic cutaneous psoriatic lesions. The objective of this study was the investigation of blood and lymphatic microvascular changes in relation to epidermal changes and inflammatory infiltration in dermis. Immunohistochemical analysis with antibodies to CD34, podoplanin, vascular endothelial growth factorsA and C (VEGF-A and C) and morphometric software were used for quantification of the following parameters: blood and lymphatic vessel area (BVA and LVA), VEGF-A and VEGF-C positive area, inflammatory cell infiltration in dermis (CIA) and epidermal area (EA). In comparison to healthy skin psoriatic lesions showed remarkable elevation of all measured parameters with the following average increase: BVA (2.8-times increased), LVA (2.6-times increased), VEGF-A and VEGF-C area (in epidermis 29-times and 19-times increased, in dermis 25-times and 15-times increased, respectively ), and EA (3-times increased). Statistical analysis revealed significant positive correlation between CIA and EA in psoriatic samples. Blood vessels area and VEGF-A expression in epidermis showed mild positive correlation with epidermal hyperplasia and weak positive correlation with dermal inflammatory infiltration. VEGF-A expression in epidermis also significantly correlated with blood vessels area. As for the lymphatic microcirculation we found a statistically significant positive correlation between lymphatic vessels area and the cellular infiltration in dermis but only weak correlation with epidermal hyperplasia. We hypothesize that angiogenesis in psoriasis is to a greater extent responding to epidermal hyperplasia and in a lesser way to inflammatory infiltration in dermis. However, lymphangiogenesis is significantly related to dermal inflammatory infiltration

Quantitative immunohistochemical assessment of blood and lymphatic microcirculation in cutaneous lichen planus lesions

Latest advances have brought to light the hypothesis that angiogenesis and lymphangiogenesis are tightly connected to some chronic inflammatory diseases. The present study focuses on immunohistochemical assessment of the quantitative changes in the blood and lymphatic microcirculatory bed in common chronic dermatosis - cutaneous lichen planus. Double immunohistochemistry with CD34 and podoplanin antibodies was used to detect blood and lymphatic endothelium, while anti-human VEGF was used for the observation of a key angiogenesis and lymphangiogenesis inducer. Morphometric analysis was performed with QuickPhoto Micro image analysis software. Results confirmed statistically significant enlargement of both the blood and lymphatic microcirculatory beds. Compared to healthy skin, cutaneous lichen planus lesions revealed 1.6 times enlarged blood microcirculatory bed and 1.8 times enlarged lymphatic microcirculatory bed. Vascular endothelial growth factor (VEGF) expression in lesional skin was significantly higher in the epidermis (19.1 times increase) than in the dermis (10.3 times increase). These findings indicate a tight association of angiogenesis and lymphangiogenesis with the pathogenesis of cutaneous lichen planus

Quantitative changes of the capillary bed in aging human skin

The present study focuses on the quantitative changes of the capillary bed in aging human skin. Forty-five skin samples were excised from the anterior thoracic region of cadavers of caucasian origin in the age range 33-82 years. The immunohistochemical method with anti-human CD34 was used for the detection of the capillary endothelium. Morphometric analysis was done by Vision Assistant software. The capillary bed was quantified by two parameters: capillary area (CA) and intercapillary distance (ID) in 6 age groups. Results revealed no quantitative changes of the capillary bed up to the age of 60 years. In the papillary dermis a significant reduction of the capillary area was seen in the 7th, 8th and 9th decennium. A considerable decrease, by 33%, was determined in the 7th decennium. During the 8th and 9th decennium the capillary area was reduced by a further 19% and 13%. In total from the 4th till the 9th decennium, the capillary bed in the papillary dermis was diminished by 65%. The intercapillary distance in the papillary dermis singnificantly increased during the 8th decennium. On the basis of the mutual evaluation of both the observed parameters, CA and ICD, the authors supposed that the reduction of the capillary bed in the papillary dermis during the 7th decennium was probably caused only by the shortening of the capillary loops, which copied flattened dermal papillae, and during the 8th decennium also by the decreased number of the capillary loops. In the reticular dermis the capillary bed remained unchange