bromochloroacetic-acid and Warts

Topics: Adult; Female; Humans; Keratins; Keratosis; Scalp Dermatoses; Warts

Topics: Carcinoma, Squamous Cell; Humans; Keratins; Keratoacanthoma; Keratosis; Photography; Skin Neoplasms; Warts

A sensitive in situ hybridization test under low stringency conditions (LCS) with a set of digoxigenin-labeled human papillomavirus mixed probes (D-L HPV MP) revealed a positive reaction in 8 of 10 cases of oral verruca vulgaris (OVV). Ages ranged from 5 to 37 years with a mean of 14.5 years. 50% of all cases were located intraorally on the hard palate, followed in frequency by the commissures. These preliminary findings provide evidence of the role of HPV in OVV from a sample of the Venezuelan population. We show that in situ hybridization conducted under LSC is useful in HPV detection (regardless of the type) and the digoxigenin-labeling system is a rapid, relatively easy and specific method. In addition, this technique permits the retrospective evaluation of routinely processed material, thus widening the investigative spectrum for HPV.

Topics: Adolescent; Adult; Cell Nucleus; Child; Child, Preschool; Condylomata Acuminata; DNA Probes, HPV; Epithelium; Female; Humans; Keratins; Male; Mouth Diseases; Mouth Neoplasms; Nucleic Acid Hybridization; Papilloma; Papillomaviridae; Venezuela; Warts

Topics: Acrodermatitis; Amino Acid Metabolism, Inborn Errors; Basal Cell Nevus Syndrome; Epidermolysis Bullosa; Hair Diseases; Humans; Ichthyosis; Keratins; Keratosis; Neurofibromatosis 1; Psoriasis; Refsum Disease; Skin; Skin Diseases; Skin Neoplasms; Tuberous Sclerosis; Tyrosine; Warts; Xeroderma Pigmentosum

Topics: Antibodies, Viral; Bleomycin; Cell Division; Child; Chlorobenzenes; DNA, Viral; Epithelial Cells; Epithelium; Fluorouracil; Humans; Immunity, Cellular; Immunotherapy; Keratins; Microscopy, Electron; Papillomaviridae; Virus Diseases; Warts

The viral etiology of certain types of seborrheic keratosis (SK) has been a controversial subject in literature, with different molecular results. On the contrary, to the molecular approach, some have suggested that certain types of SK are indeed warts, due to their morphologic features. We decided to investigate the presence of coarse keratohyalin granules in cases of irritated SK.. We examined the last 60 cases with such a diagnosis in our Service of Anatomic Pathology and found these granules in eight cases (7.5%). The granules were evidenced in squamous eddies in four cases, while they were seen in foci of hypergranulosis from the top part of the epidermis in five cases. These granules were evidenced in a few foci in three cases while they were seen in multiple foci in five cases. In these eight cases, we also looked for other morphologic signs suggesting a viral origin, such as papilated, exo-endophytic configuration, parakeratosis at the tips of digitations, dilated vessels in the papillae and koilocytes. While six cases presented at least any of these other features, in two of the eight cases (25%), the only clue suggesting a viral origin was the evidence of the thick granules of keratohyalin.. We discuss the meaning of such a finding as described in literature, and conclude that it should be a specific feature to look out for, in cases of irritated SK, in order to exclude a diagnosis of verruca vulgaris.

Topics: Aged; Aged, 80 and over; Cytoplasmic Granules; Diagnosis, Differential; Epidermis; Female; Humans; Keratins; Keratosis, Seborrheic; Male; Middle Aged; Parakeratosis; Warts

Topics: Humans; Keratins; Male; Mandibular Diseases; Middle Aged; Odontogenic Cysts; Warts

Gap junctions (GJs) have been shown to play a role in tumor progression including a variety of keratinocyte-derived and non-keratinocyte-derived skin tumors. Here we show that the synthesis of the GJ proteins connexin 26 and connexin 30 (Cx26 and Cx30) is induced in keratinocyte-derived epithelial skin tumors whereas there is either no change or a downregulation of Cx43. Cx26, Cx30, and Cx43 are absent in non-epithelial skin tumors. Further, Cx26 and Cx30 are induced in the epidermis adjacent to malignant melanoma but absent in the epidermis adjacent to benign non-epithelial skin lesions (melanocytic nevi and angioma). The keratinocyte-derived skin tumors are very heterogeneous regarding the Cx26/Cx30 pattern in the epidermis at the periphery of the tumors. We did not observe any difference in the localization of the very similar proteins Cx26 and Cx30 but a variation in intensity of immunoreactivity. As the staining patterns of Cx26 and Cx30 antibodies are not identical to those of CK6, a marker for hyperproliferation, and CK17, a marker for trauma, we discuss that the induction of these gap junctional proteins exceeds a reflection of reactive hyperproliferative or traumatized epidermis. We further discuss the putative roles of these gap junctional proteins in tumor progression.

Topics: Animals; Bowen's Disease; Carcinoma, Basal Cell; Carcinoma, Squamous Cell; Connexin 26; Connexin 30; Connexins; Epidermis; Hemangioma; Humans; Keratinocytes; Keratins; Keratosis; Liver; Melanoma; Mice; Mice, Inbred C57BL; Microscopy, Fluorescence; Nevus, Pigmented; Skin Neoplasms; Warts

Human papillomavirus type 1 (HPV1) E4 protein is associated with cytoplasmic and nuclear inclusions in productively infected keratinocytes. Here we have used transient expression of HPV1 E4 (also known as E1E4) protein in keratinocytes to reproduce formation of E4 inclusions. Immunofluorescence analysis showed that progressive formation of inclusions correlated with diminished colocalization between E4 and keratin intermediate filaments (IFs). Our results support a model in which the HPV1 E4-keratin IF association is transient, occurring only at an early stage of inclusion formation. We also demonstrate that E4 induces relocation of the promyelocytic leukemia protein (PML) from multiple intranuclear speckles (ND10 bodies) to the periphery of nuclear E4 inclusions and that this activity is specific to full-length E4 protein. Analysis of HPV1-induced warts demonstrated that nuclear PML-E4 inclusions were present in productively infected keratinocytes, indicating that reorganization of PML occurs during the virus's replication cycle. It has been suggested that ND10 bodies are the sites for papillomavirus genome replication and virion assembly. Our finding that E4 induces reorganization of ND10 bodies in vitro and in vivo is further strong evidence that these domains play an important role in the papillomavirus life cycle. This study indicates that HPV1 is analogous to other DNA viruses that disrupt or reorganize ND10 domains, possibly to increase efficiency of virus infection. We hypothesize that HPV1 E4-induced reorganization of PML is necessary for efficient replication of the virus during the virus-producing phase.

Topics: Cells, Cultured; Fibroblasts; Humans; Inclusion Bodies, Viral; Keratinocytes; Keratins; Neoplasm Proteins; Nuclear Proteins; Oncogene Proteins, Viral; Promyelocytic Leukemia Protein; Transcription Factors; Tumor Suppressor Proteins; Virus Replication; Warts

An unusual case of an odontogenic cyst with verrucous proliferation is described in a 13-year-old girl. This histologically distinctive odontogenic cyst variant does not appear to have been reported previously. The cyst was characterised by a series of verrucous projections in the lumen with hypergranulosis and cells resembling koilocytes, raising the possibility of a viral aetiology. However, no evidence of human papillomavirus (HPV) was found using immunohistochemistry and polymerase chain reaction (PCR) amplification.

Topics: Adolescent; Cell Division; Epithelial Cells; Female; Humans; Hyperplasia; Keratins; Maxillary Diseases; Mitosis; Odontogenic Cysts; Papillomaviridae; Warts

To compare the expression of keratin (K) 13 and K19 in cutaneous warts of renal transplant recipients (RTRs) and immunocompetent individuals (ICIs).. Retrospective, nonrandomized immunohistochemical study.. Specimens from cutaneous warts of RTRs and ICIs were retrieved from the archives of the Department of Pathology, University Medical Center St Radboud, Nijmegen, the Netherlands. Twenty-one warts from RTRs and 21 from ICIs were examined. Nine RTRs (10 specimens) received either systemic acitretin or topical all-trans retinoic acid, and their effect on both keratins was assessed.. Frequency and expression patterns of K13 and K19 in warts of RTRs vs ICIs and the effect of retinoids.. A significantly higher percentage of warts of RTRs expressed K13 compared with warts of ICIs (86% vs 14%, 18 vs 3 cases, respectively; P<.001). In warts of RTRs, retinoid treatment correlated significantly with a particularly strong, segmental K13 expression pattern, which we termed zebroid. Without use of retinoids, K13 was mostly restricted to suprabasal single cells. Keratin 19 was absent in all warts of both patient groups.. Retinoids strongly correlate with K13 in a characteristic zebroid pattern in warts of RTRs, making K13 a sensitive marker for retinoid bioactivity in skin (lesions) of RTRs. In non-retinoid-treated RTRs, K13 is also frequently found in warts but without the dramatic zebroid pattern noted in retinoid-treated warts.

Topics: Acitretin; Adult; Aged; Confidence Intervals; Culture Techniques; Female; Humans; Immunohistochemistry; Keratins; Kidney Transplantation; Male; Middle Aged; Probability; Reference Values; Retrospective Studies; Sensitivity and Specificity; Skin Diseases; Warts

Nevoid hyperkeratosis of the nipple and areola is a rare dermatosis with unknown etiology, (Perez-Izquierdo JM, Vilata JJ, Sanchez JL, et al. Retinoic acid treatment of nipple hyperkeratosis. Arch Dermatol 1990;126:687-688). Only 40 cases have been reported until 1997 (Alpsoy E, Yilmaz E, Aykol A. Hyperkeratosis of the nipple: report of two cases. J Dermatol 1997;24:43-45). The disease has a benign course and may only be a cosmetic problem. Different modalities have been used in the treatment of NHNA. In our case treatment with topical retinoic acid induced an acceptable response.

Topics: Administration, Cutaneous; Adult; Breast Diseases; Female; Humans; Hyperpigmentation; Keratins; Keratolytic Agents; Keratosis; Nipples; Tretinoin; Warts

Two patients presented with the unusual condition of multiple warty dyskeratomas on the scalp. Biopsies of affected skin stained positive with human keratin monoclonal antibodies HKN-6 and -7, specific for cortex and inner root sheath of normal human hair, respectively. Multiple warty dyskeratomas are a rare occurrence and their aetiopathogenesis remains elusive. Positive immunohistochemical staining of a lesion with antikeratin antibodies HKN-6 and -7, specific for human hair keratin, suggests a follicular origin for warty dyskeratoma.

Topics: Aged; Aged, 80 and over; Female; Humans; Keratins; Scalp Dermatoses; Warts

Of 291 immunosuppressed renal transplant recipients (RTRs) with surviving allografts attending the Royal London Hospital, 171 patients (59%) were found to have warty keratoses. On histological analysis, the lesions in 50 patients (17%) showed partial-thickness dysplasia, and 34 (12%) had one or more invasive squamous cell carcinoma (SCC) and/or one or more in situ SCC or full-thickness dysplasia. We examined the claim that squamoproliferative lesions in RTRs possess distinctive histopathological features that differ from those of similar lesions occurring sporadically in the nonimmunosuppressed population. We compared 40 squamoproliferative lesions from RTRs with 40 matched squamoproliferative lesions from nonimmunosuppressed patients; lesions were coded and their source was unknown to the assessors. Two dermatopathologists independently assessed the cases and gave scores for 11 histological features that have been reported to be characteristic of such lesions in the immunosuppressed population. These included a warty architecture, koilocytes, and multinucleate giant cells. Using these criteria, it was not possible to distinguish lesions of immunosuppressed patients from those of immunocompetent people.

Topics: Carcinoma in Situ; Carcinoma, Squamous Cell; Cytoplasmic Granules; Diagnosis, Differential; Epithelium; Female; Giant Cells; Graft Survival; Humans; Hyalin; Immunocompetence; Immunosuppression Therapy; Keratins; Keratosis; Kidney Transplantation; Male; Neoplasm Invasiveness; Papilloma; Skin Neoplasms; Transplantation, Homologous; Warts

Study of the human papillomavirus (HPV) E4 gene product has focused largely on HPV type 1 (HPV 1) primarily because of the large quantities of protein that can be purified from HPV 1-induced warts. We have extended the characterization of the HPV 1 E4 protein and, in this study, have shown that protein purified from clinical material and a heterologous expression system contains the divalent metal ion zinc. Furthermore, using a [65Zn]Cl2 dot-blot assay, we have shown that this binding is specific for zinc and those divalent cations that are known to structurally substitute zinc in metalloproteins. Mutational analysis has demonstrated that histidine amino acids (residues 56, 86, and 121), but not the cysteine residue (115), are essential for the zinc-binding activity of the E4 protein. Two assayable functions of E4 are dimerization and the formation of E4/cytokeratin structures in cultured cells; however, neither activity is abrogated by the loss of zinc binding.

Topics: Cloning, Molecular; Humans; In Vitro Techniques; Keratinocytes; Keratins; Metalloproteins; Mutagenesis, Site-Directed; Oncogene Proteins, Viral; Papillomaviridae; Structure-Activity Relationship; Warts; Zinc

The profile of keratin expression in benign warts from various cutaneous and mucosal sites along with dysplastic warts and squamous cell carcinomas has been examined using a panel of monospecific antibodies to epithelial keratins. Viral warts and verrucous keratoses from immunosuppressed renal transplant recipients show a spectrum of squamous atypia from benign lesions, from minimal changes to full thickness dysplasia. Changes associated with malignancy include loss of differentiation-specific keratins 1 and 10 together with expansion of basal cell epitopes and inappropriate expression of simple epithelial keratins 8, 18, and 19 in advanced squamous cell carcinoma. This late expression of keratins 8 and 18 contrasts with early expression of keratin 17 in all dysplastic lesions examined. Keratin 17 is found suprabasally in hyperproliferative lesions, including benign warts, but marked basal plus suprabasal expression is seen increasingly in malignantly transformed epidermis. These findings were not specific to immunosuppression, as shown by identical findings in control squamous cell carcinoma from nonimmunosuppressed individuals. Keratin 17 expression may prove prognostically helpful when assessing dysplasia in epidermal tumors.

Topics: Biomarkers; Carcinoma, Squamous Cell; Cell Transformation, Neoplastic; Cell Transformation, Viral; Condylomata Acuminata; Epithelium; Female; Humans; Immunohistochemistry; Keratins; Skin; Skin Diseases; Skin Neoplasms; Warts

Following incubation of HPV 1-induced warts in the presence of [32P] phosphate several of the E4-encoded proteins were found to be radiolabeled. Two-dimensional isoelectric focusing sodium dodecyl sulfate-polyacrylamide gel electrophoresis indicated that the 17K E4 polypeptides had incorporated [32P]phosphate whereas those of 16K were unlabeled. Purified E4 gene products were separated by ion exchange chromatography into a large number of different species, which were of similar size but of different charge due to varying extents of phosphorylated peptides have been isolated and identified. Phosphoserine and phosphothreonine were identified in all 16/17K E4 fractions but not phosphotyrosine. Both HPV 1 E4 16K and 17K fractions were phosphorylated in vitro by cAMP-dependent protein kinase but not by myosin light chain kinase or by phosphorylase kinase. Incubation with cAMP PK gave incorporation of approx. 0.5 mole phosphate/mol of protein indicating that the cAMP-dependent protein kinase site(s) was partially phosphorylated in vivo. This view was supported by the fact that species which were more heavily phosphorylated in vivo incorporated less phosphate after cAMP-dependent protein kinase phosphorylation. HPV 1 E4 was also phosphorylated at serine and threonine residues by a crude cytoplasmic extract prepared from cultured human keratinocytes and cultured human retinoblasts. These results are discussed in the light of the known effects of phosphorylation on the interactions of other keratinocyte-specific proteins.

Topics: Cell-Free System; Electrophoresis, Gel, Two-Dimensional; Humans; In Vitro Techniques; Isoelectric Point; Keratins; Kinetics; Molecular Weight; Myosin-Light-Chain Kinase; Papillomaviridae; Peptide Fragments; Phosphoproteins; Phosphorylase Kinase; Phosphorylation; Protein Kinases; Viral Proteins; Warts

Based on investigations on common warts, we studied the effect of cryotherapy on the immunohistological detection of intermediate filaments (cytokeratin, vimentin/desmin, tubulin) and plasminogen activators of the urokinase type (uPA). The staining patterns of 3 anticytokeratins were markedly changed after cryotherapy. Two broad-spectrum antibodies showed decreased or no binding to tissue sections. In addition, we found a paradoxical reactivity of lower epidermal cells with a monoclonal antibody against cytokeratin 19. Our results are discussed with special reference to autoimmunity after cryotherapy.

Topics: Cryosurgery; Desmin; Fluorescent Antibody Technique; Humans; Intermediate Filament Proteins; Keratins; Skin; Tubulin; Urokinase-Type Plasminogen Activator; Vimentin; Warts

A simple, reliable culture system for keratinocytes from anogenital warts is described. Using this technique we found that it was possible to produce multiple confluent keratinocyte cultures from two-thirds of the surgically-excised anogenital wart specimens received in our laboratory. Some morphological and cultural differences between these cells and normal keratinocytes derived from neonatal foreskins were observed, although there was no evidence that wart-derived keratinocytes were 'transformed'. The cultures were tested for evidence of HPV-DNA replication using 32P-labelled HPV-DNA probes, for the production of viral capsid proteins using peroxidase-antiperoxidase staining and for whole virus particles using electron microscopy. Fifty-seven per cent (8 of 14) of the wart cultures tested showed persistence of HPV-DNA (5-100 copies HPV-DNA/cell genome equivalent). However, no viral proteins or particles were detected in any culture. This system may prove to be a useful in vitro model for the study of virus-cell interaction and the role of HPV in the malignant conversion of epithelial cells.

Topics: Anus Diseases; Culture Techniques; DNA, Viral; Epidermis; Female; Genital Diseases, Female; Genital Diseases, Male; Humans; Keratins; Male; Microscopy, Electron; Nucleic Acid Hybridization; Papillomaviridae; Warts

To determine a possible role of Langerhans cells in viral infection of skin, we studied the distribution of Langerhans and indeterminate cells in the lesional skin of mollusca contagiosa, verrucae vulgaris, plantar warts, and condylomata acuminata. A total absence of Langerhans and indeterminate cells was observed in molluscum contagiosum, but their number appeared to be normal or increased in the perilesional normal skin. Few Langerhans and indeterminate cells were seen in the suprabasal location in verrucae vulgaris and plantar warts, and normal numbers were noted in the perilesional skin. In contrast, a larger number of Langerhans and indeterminate cells reaching up to stratum granulosum were found in the condylomata acuminata. It is possible that alteration of keratinocytes by viral infection may effect the migration of Langerhans cells to the epidermis. The lack of Langerhans cells may lead to a paucity of inflammatory response (in particular, T cell-mediated response) to the cells infected with the virus.

Topics: Adolescent; Adult; Antibodies, Monoclonal; Condylomata Acuminata; Dendritic Cells; Epidermal Cells; HLA-DR Antigens; Humans; Immunoenzyme Techniques; Keratins; Langerhans Cells; Molluscum Contagiosum; Skin Diseases, Infectious; Warts

A murine hybridoma secreting an IgM monoclonal antibody (KL3) was produced by cell fusion of mouse myeloma cells with spleen cells from mice immunized with human epidermal keratins. On normal human epidermis KL3 stained the intercellular spaces from the stratum germinatum to the stratum granulosum with a fluorescence intensity increasing from the basal layer to the upper layers. Basal cells were not stained on the side facing the basement membrane. About 90% of free keratinocytes isolated after trypsinization were labelled by KL3 in a punctate staining. Immunoelectron microscopy allowed us to show that the antigen recognized by KL3 was exclusively localized on the keratinocyte membrane especially in the desmosomal plaques. KL3 reactivity was not modified by preincubation of skin sections with lectins showing a selective intercellular labelling of upper layers of epidermis or pemphigus antisera, nor by adsorption of the antibody on NP40 soluble proteins of the epidermis. Though KL3 reactivity was completely abolished after adsorption of purified keratins, no immunological reactivity of KL3 was detected with epidermal keratin polypeptides blotted on nitrocellulose paper. In psoriatic epidemis and epidermal tumors KL3 reactivity was drastically modified. These results suggest that KL3 recognized a keratinocyte membrane antigen implied in the epidermal differentiation process.

Topics: Animals; Antibodies, Monoclonal; Antigens, Surface; Carcinoma, Basal Cell; Carcinoma, Squamous Cell; Cell Differentiation; Cell Membrane; Epidermal Cells; Fluorescent Antibody Technique; Humans; Immunoenzyme Techniques; Keratins; Macaca fascicularis; Mice; Psoriasis; Rabbits; Skin; Skin Diseases; Skin Neoplasms; Warts

Seventy-six cases of tumorlike and neoplastic lesions from epidermis and oral epithelium were analyzed by a histochemical technique for the demonstration of keratin. Formalin-fixed paraffin sections were reacted with rabbit antihuman keratin antiserum (dilution of 1:40). The types of distribution of keratin in cells of lesions were classified into five categories: (1) regional, as found in normal squamous epithelia and benign hyperkeratinized lesions, and papilloma, and keratinized squamous cell carcinoma; (2) total, as seen in intensely keratinized lesions, such as verruca vulgaris and highly keratinized squamous cell carcinoma; (3) negative, as displayed by basal cell carcinoma; (4) scattered, as in the most poorly differentiated squamous cell carcinomas; and (5) mixed cellular, as found in both poorly and moderately differentiated squamous cell carcinomas.

Topics: Carcinoma, Basal Cell; Carcinoma, Squamous Cell; Dermatitis, Seborrheic; Epithelium; Humans; Immunoenzyme Techniques; Keratins; Keratosis; Lectins; Mouth Neoplasms; Papilloma; Protein Binding; Skin Neoplasms; Warts

In normal skin, cytokeratin polypeptides are expressed in different cell-type-specific patterns, in the keratinocytes of the different epidermal cell strata as well as in different lateral epithelial domains. Using light microscopically controlled microdissection of defined regions from frozen sections of biopsies, we have prepared cytoskeletons of various benign and malignant keratinocyte-derived tumors of human skin and analyzed their cytokeratin polypeptide patterns by two-dimensional gel electrophoresis. Premalignant fibroepitheliomas and basal cell epitheliomas display a relatively simple cytokeratin pattern (cytokeratins nos. 5, 14, 15, and 17). Pseudocarcinomatous hyperplasia, some squamous cell carcinomas, and a certain subtype of condylomata acuminata present a hair-follicle-like pattern (nos. 5, 6, 14, 16, 17). In addition to these components, variable, mostly low amounts of cytokeratins nos. 1 (Mr 68,000), and 11 are detected in most squamous cell carcinomas, in keratoacanthomas, verruca vulgaris, and another type of condylomata acuminata. In molluscum contagiosum, verruca plana, solar keratosis, and seborrheic keratosis, the cytokeratin expression is shifted more towards the normal epidermal pattern (polypeptides nos. 1, 2, 5, 10, 11, 14, 15 and traces of nos. 6 and 16 in the latter two tumors). No tumor-specific cytokeratins have been found. We conclude that keratinocyte-derived skin tumors contain various combinations of cytokeratins of the subset typical for normal keratinocytes of skin, but no cytokeratins typical for internal, simple epithelia. Different groups of tumors can be distinguished by their specific cytokeratin patterns. Possible applications of cytokeratin typing in clinical diagnosis are discussed.

Topics: Carcinoma, Basal Cell; Carcinoma, Squamous Cell; Condylomata Acuminata; Electrophoresis, Polyacrylamide Gel; Humans; Keratins; Keratoacanthoma; Keratosis; Molecular Weight; Molluscum Contagiosum; Papilloma; Peptides; Skin; Skin Neoplasms; Warts

Topics: Antigens, Viral; Basement Membrane; Cell Differentiation; Fluorescent Antibody Technique; Humans; Keratins; Skin; Skin Diseases; Warts

We have investigated the immunoperoxidase staining pattern of the epidermis in several dermatoses characterized by exocytosis of mononuclear cells into the epidermis. We found that HLA-DR antigens showed an intercellular distribution in localized areas of the epidermis in nine of ten cases of pityriasis rosea, and in all four cases of spontaneously regressing flat warts, two cases of pityriasis lichenoides chronica, two of Schamberg's disease, and one case of lichen striatus. Lichen planus and mycosis fungoides cases were used as positive controls. OKT6 antigen was recognized only on the dendritic cells of the epidermis in all these cases. Judging from the distribution of Langerhans cells, the epidermal intercellular HLA-DR antigen seems to be expressed on the keratinocytes in such diseases, and this feature was confirmed by immunoelectron microscopy. These findings support the hypothesis that the expression of HLA-DR antigen on keratinocytes in these dermatoses is linked to cellular immune reactions involving the epidermis.

Topics: Cell Membrane; Epidermis; Exocytosis; Histocompatibility Antigens Class II; HLA-DR Antigens; Humans; Immunoenzyme Techniques; Keratins; Langerhans Cells; Lymphocytes; Microscopy, Electron; Pigmentation Disorders; Pityriasis; Skin Diseases; Warts

The clinical and histopathological study of cutaneous and mucosal warts demonstrates divergences between clinical and histopathological diagnoses among the group of myrmecias, mosaics, acrodigitate, and common warts. There is correlations criteria (when considered separately), such as hyperkeratosis and absence of keratohyaline granules in flat warts, and in ano-genital vegetations. The existence of clinical and histological overlaps emphasizes that it is not clear whether these cases are rare clinical varieties caused by as yet unknown types of human papillomaviruses, or rather by differences in the degree of keratinization at different sites in the body.

Topics: Humans; Keratins; Papillomaviridae; Skin Diseases; Warts

Thirty-one common and five plantar warts were investigated histopathologically and electron microscopically in order to reveal whether or not these warts keratinize in a fashion similar or identical to trichilemmal keratinization (TK). Histopathologically, parts of 12 of 31 common, and 3 of 5 plantar warts, exhibited varying keratinization similarities to TK. The most similar case showed changes almost identical to intrinsic TK. Electron microscopy revealed uneven and somewhat interdigitating borders between the keratinized and the keratinizing cells, with a few ladder-like membrane coating granules. It is postulated that there may be TK or TK-like keratinization without any relationship to the outer root-sheath of the hair follicle. We propose the concept of pseudo-TK to distinguish this type of keratinization from intrinsic TK.

Topics: Epithelium; Hair; Humans; Keratins; Warts

The keratin polypeptide composition of different types of warts was studied by means of SDS polyacrylamide gel electrophoresis. It was composed of five main polypeptides, similar to those found in normal epidermis (mol. wt. 67K to 55K) and an additional polypeptide (72K) was often detected. The distribution of each polypeptide was expressed as percentage of total keratins in the different samples. The most characteristic feature observed in warts was the marked decrease of the 67K polypeptide. There were increased amounts of the 67K-63K proteins and some difference was observed in the distribution of these proteins in the different types of warts. Thus, the viral infection seems mainly to modify the proteins which are only involved in the latest stages of the differentiation of keratinocytes.

Topics: Cell Transformation, Viral; Electrophoresis, Polyacrylamide Gel; Humans; Keratins; Papillomaviridae; Peptide Biosynthesis; Warts

Anti-keratin polypeptide sera (K.P.S) were obtained by immunizing guinea pigs with fibrous proteins from stratum corneum, which were acquired from normal human epidermis by m eans of S.D.S. polyacrylamide gel electrophoresis. After absorption with red blood cells and liver powder the sera were tested by indirect immunofluorescence technique on different substrates. Antibodies against polypeptides P1 and P2 of M.W. 67,000 and 62,000 dalton, respectively, were directed toward cytoplasmic Ag of keratinocytes of spinous and graunular layer of normal human and rabbit epidermis. No labeling could be detected in the basal cell layer. This finding is in favor of various differentiation stages of the keratinizing cells. P3 of M.W. 53,000 dalton induced low titre anibodies which labelled the whole epidermis, including the basal cell layer. The fourth polypeptide of M.W. 49,000 dalton seemed not to be immunogenic in such experiences. In tumors, such as basal cell carcinom,a squamous cell carcinoma, and warts, the expression of keratin antigens is markedly diminished. No analogy could be drawn between experimental keratin polypeptide antibodies and the human epidermal cytoplasmic antibodies which were detected in some patient sera.

Topics: Animals; Antibody Formation; Antibody Specificity; Carcinoma, Basal Cell; Carcinoma, Squamous Cell; Cytoplasm; Epidermis; Female; Fluorescent Antibody Technique; Guinea Pigs; Humans; Keratins; Peptides; Rabbits; Skin; Skin Neoplasms; Warts

The heterogenecity of keratohyalin (KH) has been demonstrated in rats, then in human warts where similar morphological features have been found and among them, dense homogeneous ovoïd single granules (SG) and composite granules (CG) apparently made up of single granules "coated" with a matrix. This work compares the ultrastructure of the KH of the tongue of newborn rats with that of common warts with and without post-fixation by OsO4, after oxydation by H2O2 and after pepsin treatment. The osmiophily of the SG is confirmed as well as the absence of osmiophily of the matrix of the CG. In man, however, the SG are resistant to oxydation by H2O2 and the CG matrix is oxydation sensitive whereas the opposite is observed in the case of rats. These differences show that it is impossible to deduce the composition of the KH in human warts from that of the rat despite their close ultrastructural resemblance but that important modification of the keratogenesis and KH formation are induced in the cells parasited by the virus of common warts.

Topics: Animals; Animals, Newborn; Hyalin; Hydrogen Peroxide; Keratins; Male; Osmium; Pepsin A; Rats; Warts

In the case of viral acanthomas, the stratum spinosum and granulosum presents ballooned cells which contain all transitional stages from multivesicular bodies (MVB) to keratinosomes. A particularity in condylomata acuminata are the "wagon-wheel" bodies. These structures are typical for the non keratinazed squamous epithelium. The participation of intercellular extruded "wagon-wheel" bodies, MVB and atypical keratinosomes on an irregular baso-apical diffusion-barrier in the epidermis of cases with viral acanthomas has been discussed. On the basis of the relation seen between MVB and the Golgi-apparatus, their transition to partially atypical keratinosomes in cases of viral acanthomas and their "expulsion" into the intercellular space could indicate that in keratinozytes the enzymatically regulated feed-back between the cellular surface and the capability to synthesize is changed by viral agents. The interference appears to manifest itself in the Golgi-apparatus and also appears to be "specified" by the terrain present.

Topics: Animals; Condylomata Acuminata; Cytoplasmic Granules; Epithelium; Humans; Keratins; Laryngeal Neoplasms; Microscopy, Electron; Papilloma; Skin Diseases; Skin Neoplasms; Tumor Virus Infections; Warts

Topics: Adolescent; Cell Transformation, Neoplastic; Humans; Ichthyosis; Infant, Newborn; Keratins; Melanoma; Nevus; Nevus, Pigmented; Skin Neoplasms; Warts

Topics: Adenosine Triphosphatases; Adult; Aged; Dermatitis, Seborrheic; Dihydroxyphenylalanine; Female; Histocytochemistry; Humans; Keratins; Keratosis; Langerhans Cells; Male; Melanocytes; Middle Aged; Skin; Warts

Topics: Animals; Dermoid Cyst; Epithelium; Female; Fibroblasts; Hair; Histiocytes; Keratins; Male; Mice; Neoplasm Transplantation; Neoplasms, Experimental; Papilloma; Skin; Skin Neoplasms; Transplantation, Homologous; Warts

Topics: Humans; Keratins; Warts