Evaluation of E- cadherin and Hydrogen Peroxide in Skin of Patients with Vitiligo
Abstract Background Vitiligo is acquired depigmentary disorder characterized by destruction of the epidermal melanocytes leading to the loss of the skin color. Oxidative stress has a major role in the aetiopathogenesis and in melanocytic destruction due to its accumulation in the melanocytes and the hazardous effects to all compartments of the cell. Objective The aim of the work was to evaluate the level of E-cadherin and H2O2 level in vitiligo versus controls. Subjects This is a case control study which was carried out at Department of Dermatology, Venereology and Andrology,New Cairo Police Academy Hospital on 20 Subjects were divided into two groups, Group I included 10 patients having non segemental vitiligo. Group II included 10 non vitilignous controls were included in the study. Results We found that H2O2 level is increased in NSV patients when compared with healthy individuals. While E-cadherin level is significantly decreased in vitiligo skin compared to normal skin. Conclusion As compared to controls, increased H2O2 levels levels were suggestive of oxidative stress in patients of vitiligo in our study. From our results we can conclude that vitiligo is not a disease confined to melanocytes only, keratinocytes also showed certain pathological changes in vitiliginous lesions. As functional and structural units with melanocytes, keratinocytes in depigmented epidermis may constitute a different microenvironment compared to those in normally pigmented epidermis. These differences include obvious loss of cell to cell adhesion between keratinocytes and melanocytes and between keratinocytes and each other, which in turn may affect the pigmentary system of the skin.