Gamze ERKILINÇ, Onur ERTUNÇ, Mehmet KIRAN, Nermin KARAHAN, Havva Hilal AYVAZ, Dudu Dilek YAVUZ, Zümrüt Arda KAYMAK

Derinin Skuamöz Hücreli Karsinomunda ve Liken Planusta PDL1, PD1 Ekspresyonlarının Değerlendirilmesi

Amaç: Programlı hücre ölümü 1 (PD1) T hücre ailesinde olan immün sistemi “down” regüle eden bir proteindir. PD ligandı 1 (PDL1) T hücre proliferasyonunu ve sitokin üretimini inhibe eden PD1 reseptör proteinidir. Dermiste lenfositik reaksiyon Liken Planusta (LP) lezyonun özelliği iken Skuamöz Hücreli Karsinomada (SHK) tümör hücrelerine karşı gelişen bir cevap olarak da izlenebilir. Çalışmamızda SHK ve LP’de PD1, PDL1’in epidermis ve lenfositik hücrelerdeki ekspresyonunu karşılaştırmayı amaçladık. Materyal ve Method: Retrospektif randomize olarak dermiste LHİ (lenfositik hücre infiltrasyonu) yaygın olan 31 SCC ve 38 LP tanılı olgu çalışmamıza dahil edildi. PD1, PDL1’in; SHK, LP’ lerde dermisteki LHİ ekspresyonu ve epidermisteki hücrelerdeki ekspresyonları skorlandı. Bulgular: PD1’in LHİ skoru LP’lerde anlamlı şekilde skor 1 ve 2 sık görülür iken (sırasıyla %44.7, %34.2), SHK’larda çoğunlukla skor 0 (%67.7) idi. PD1’in LP, SHK’da skor 3 hiç görülmez iken her iki grupta skor 0 çoğunlukta saptandı (LP: %76.3, SHK %87.1). PDL1’in LHİ skoru LP, SHK’da çoğunlukla skor 2, 3 olarak saptandı. PDL1’in deri skoru LP’lerde skor 2 ve 3 hiç görülmezken SHK’larda skor 2 %9.7, skor 3 %6.5 oranında görüldü. Sonuç: PD1, PDL1 ile LP’lerin SHK’lara göre anlamlı şekilde lenfositik hücrelerde ekspresyonu, neoplastik durumlarda kullanımı sonrası yan etki olarak görülen LP ve benzeri deri reaksiyonlarını açıklayabileceğini düşünmekteyiz.

Anahtar Kelimeler:

PDL1, PD1, Skuamöz Hücreli Karsinoma, Liken Planus

Evaluation of PD1 and PDL1 Expressions in Squamous Cell Carcinoma and Lichen Planus

Keywords:

PDL1, PD1, Squamous Cell Carcinoma, Lichen Planus,

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