Keratoacanthomas have an immunosuppressive cytokine environment of increased IL-10 and decreased GM-CSF compared to squamous cell carcinomas
1999

Keratoacanthomas and Their Immune Environment

Sample size: 20 publication Evidence: moderate

Author Information

Author(s): Lowes M A, Bishop G A, Cooke B E, Barnetson R StC, Halliday G M

Primary Institution: Department of Medicine (Dermatology), University of Sydney at Royal Prince Alfred Hospital

Hypothesis

What is the relationship between keratoacanthoma and squamous cell carcinoma in terms of cytokine expression?

Conclusion

Keratoacanthomas have an immunosuppressive environment that may allow for their rapid growth and subsequent involution.

Supporting Evidence

  • Keratoacanthomas showed a significant increase in interleukin-10 compared to squamous cell carcinomas.
  • Granulocyte macrophage colony-stimulating factor mRNA was decreased in keratoacanthomas compared to squamous cell carcinomas.
  • CD3δ mRNA was increased in keratoacanthomas, indicating a T-cell infiltrate.

Takeaway

Keratoacanthomas are skin growths that can grow quickly but then shrink back down, possibly because they thrive in a weak immune environment.

Methodology

Cytokine mRNA levels in keratoacanthomas and squamous cell carcinomas were compared using RT-PCR.

Participant Demographics

12 keratoacanthoma samples and 8 squamous cell carcinoma samples were analyzed.

Statistical Information

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1038/sj.bjc.6690552

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