[Effect of proteflazid on TLRs expression by mononuclear leukocytes of peripheral blood and epithelial cells of mucous membranes and skin in patients with herpes-associated erythema multiforme and erythema annulare centrifugum]

Eksp Klin Farmakol. 2014;77(3):28-32.
[Article in Russian]

Abstract

The article reports survey data on 23 patients with erythemas, including 19 patients with herpes-associated erythema multiforme (HAEM) and 4 patients with Darier's erythema annulare centrifugum (DEAC). Patients in the initial state (baseline) and after two weeks of therapy with proteflazid were characterized by measuring the levels of Toll-like receptor (TLR) expression in peripheral blood mononuclear cells (PBMC) and in epithelial cells of the throat and the skin. The TLR expression in PBMC and skin was assessed by flow cytometry with monoclonal antibodies (ICA) (Caltag Laboratories, USA; Hycult Biotech, Netherlands) against relevant antigens. In addition, patients were also characterized by the content of subpopulations of lymphocytes expressing surface markers CD3, CD4, CD8, CD16, CD21, CD23, CD72, CD25, and HLA-DR in the peripheral blood, which was measured by flow cytometry. The therapy with proteflazid in patients with both HAEM and DEAC led to normalization of the level of both T-cell and B-cell immunity, which was manifested by an increase in the total number of lymphocytes, CD3+, CD4+, CD21+, and CD72+. Measurements of the dynamics of TLR expression in the course of immunotherapy showed an increase in the number of TLR 2, 3, 4, 7, 8, and 9 in PBMC (which was especially pronounced for TLR2) and in epithelium of the pharyngeal mucosa and skin (increased expression of TLR3, 7, and 9).

Publication types

  • English Abstract

MeSH terms

  • Adolescent
  • Adult
  • Antigens, CD / genetics
  • Antigens, CD / immunology
  • Antiviral Agents / therapeutic use*
  • B-Lymphocytes / drug effects
  • B-Lymphocytes / immunology
  • B-Lymphocytes / metabolism
  • Epithelial Cells / drug effects*
  • Epithelial Cells / immunology
  • Epithelial Cells / metabolism
  • Erythema / complications
  • Erythema / drug therapy*
  • Erythema / genetics
  • Erythema / immunology
  • Erythema Multiforme / complications
  • Erythema Multiforme / drug therapy*
  • Erythema Multiforme / genetics
  • Erythema Multiforme / immunology
  • Female
  • Flavonoids / therapeutic use
  • Flow Cytometry
  • Gene Expression / drug effects*
  • Glycosides / therapeutic use
  • HLA-DR Antigens / genetics
  • HLA-DR Antigens / immunology
  • Herpes Simplex / complications
  • Herpes Simplex / drug therapy*
  • Herpes Simplex / genetics
  • Herpes Simplex / immunology
  • Humans
  • Immunity, Cellular
  • Immunity, Innate
  • Male
  • Mouth Mucosa / drug effects*
  • Mouth Mucosa / immunology
  • Mouth Mucosa / metabolism
  • Pharynx / drug effects
  • Pharynx / immunology
  • Pharynx / metabolism
  • Skin / drug effects
  • Skin / immunology
  • Skin / metabolism
  • Skin Diseases, Genetic / complications
  • Skin Diseases, Genetic / drug therapy*
  • Skin Diseases, Genetic / genetics
  • Skin Diseases, Genetic / immunology
  • T-Lymphocytes / drug effects
  • T-Lymphocytes / immunology
  • T-Lymphocytes / metabolism
  • Toll-Like Receptors / agonists
  • Toll-Like Receptors / genetics*
  • Toll-Like Receptors / immunology

Substances

  • Antigens, CD
  • Antiviral Agents
  • Flavonoids
  • Glycosides
  • HLA-DR Antigens
  • Toll-Like Receptors

Supplementary concepts

  • Annular Erythema