[Expression of blood group-related antigens Lewis A, Lewis B, CA 19-9, and sialyl SSEA-1 in normal human skin in comparison with the patient's blood type].

S Hirai, T Kageshita, T Nakamura, A Yoshii, T Kimura, T Arao
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Abstract

Blood Group related antigens Lewis A, Lewis B, CA 19-9, and sialyl SSEA-1 were examined in normal human skin and oral mucosa, using monoclonal antibodies to the respective antigen immunohistochemically. These antigens were not expressed on normal keratinocytes but Lewis A and Lewis B were expressed on oral mucous epithelium. Lewis A, Lewis B, and CA 19-9 were expressed clearly on intraepidermal and dermal eccrine duct, but sialyl SSEA-1 was poorly expressed in some cases. In secreting portion of eccrine gland, Lewis A was expressed in 20%, Lewis B was expressed in 70%, and CA 19-9 was expressed in 10%, and sialyl SSEA-1 was expressed weakly in 20% of cases. It's noteworthy that sialyl SSEA-1 was expressed on dendritic cell in epidermis and some infiltrated small round cell in dermis. There is no correlation between patient's peripheral blood type (Lewis) and expression of Lewis antigen in normal skin.

[血型相关抗原Lewis A、Lewis B、CA 19-9和唾液SSEA-1在正常人皮肤中的表达与患者血型的比较]。
采用单克隆抗体免疫组化方法检测正常人皮肤和口腔黏膜的血型相关抗原Lewis A、Lewis B、CA 19-9和唾液酸SSEA-1。这些抗原在正常角质形成细胞上不表达,而Lewis A和Lewis B在口腔黏膜上皮上表达。Lewis A、Lewis B和CA 19-9在表皮内和真皮分泌管上表达明显,而唾液SSEA-1在部分病例中表达较差。在分泌腺中Lewis A的表达率为20%,Lewis B的表达率为70%,CA 19-9的表达率为10%,唾液SSEA-1的弱表达率为20%。值得注意的是,sialyl SSEA-1在表皮的树突状细胞上表达,并在真皮的小圆细胞中浸润。患者外周血型(Lewis)与正常皮肤Lewis抗原表达无相关性。
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