Review Article

Factor XIII Subunit A in the Skin: Applications in Diagnosis and Treatment

Table 1

Markers used most often during immunohistochemistry to distinguish cells in the dermis and epidermis and their coexpression with FXIII in normal skin and dermatological conditions.

MarkerCoexpression with FXIII+/− (%)In dermatologyFunctionExpressing cellsReferences

CD11c (CR4)Normal skin(i) Type I transmembrane glycoprotein
(ii) Integrin αX (ITGAX) forms with ITGB2 a leukocyte specific integrin receptor (CR4)
(i) Myeloid dendritic cells[25, 37, 45, 62]
NL
GA
AD
Psoriasis
Stromal cell cc.

CD1c (BDCA-1)Normal skin(i) Type I membrane glycoprotein
(ii) Mediating the presentation of nonpeptide antigens to T cells
(i) Myeloid dendritic cells[25, 37, 63]
NL
GA
+ (25%)MF
+ (25%)Psoriasis

CD45+Normal skin(i) Protein tyrosine phosphatase
(iii) Required for differentiation, growth, mitosis
(i) Bone marrow derived cells[37, 45, 64, 65]
AD
Psoriasis

HLADR+++ (85%)Normal skin(i) MHC class II receptor
(ii) Antigen presentation to T cells
(i) Antigen presenting cells[37, 45, 49, 62]
+AD
+Psoriasis
Histiocytosis

CD34



JLS
Self-healing papular mucinosis
DF
DFSP
Oral lichen planus
(i) Single chain transmembrane glycoprotein
(ii) Regulating cell-cell adhesion and inhibits hematopoietic cell differentiation
(i) Hematopoietic progenitor cells
(ii) Endothelial progenitor cells
(iii) Vascular endothelial cells
[54, 6669]

CD11b (MAC-1α)Normal skin(i) Integrin αM chain
(ii) Part of C3 complement receptor
(iii) Receptor for C3bi, fibrinogen, FX
(i) Myeloid cells
(ii) Monocytes
(iii) NK cells (weak)
[45]

CD14+ (22%)Normal skin(i) Lipopolysaccharide receptor(i) Monocytes
(ii) Macrophages
(iii) Myeloid dendritic cells
[45, 62]

CD83Normal skin(i) Immunoglobulin receptor
(ii) Antigen presentation, T cell activation
(i) Mature dendritic cells[25, 49]
NL
GA
Histiocytosis

CD205 (DEC205)Normal skin(i) C type lecithin type I membrane protein, part of the macrophage mannose receptor family
(ii) Participates in antigen endocytosis
(i) Mature dendritic cells
(ii) Thymic epithelial cells
(iii) Monocytes
[37]

CD209 (ICAM-3, DC-SIGN)+++ (98.8%)
+++ (96%)
+++ (93.5%)
Normal skin
NL
GA
(i) C type lecithin receptor type II
(ii) Adhesion receptor, connection between DC-T cells and DC-endothelial, antigen receptor
(i) Tissue dendritic cells
(ii) Macrophages
(iii) Immature dendritic cells
[25]

CD208 (LAMP-3, DC-LAM)Normal skin(i) Type I lysosome associated membrane glycoprotein
(ii) Maturation marker (upregulated by GM-CSF, IL-4, TNFα)
(i) Mature dendritic cells[25, 37]
NL
GA

CD123 (IL3Rα chain)Normal skin(i) Forming high affinity IL3 receptor
(ii) Cell growth and differentiation
(i) Plasmacytoid dendritic cells
(ii) Basophil granulocytes
[37, 70, 71]
Tuberculoid leprosy
Lepromatous leprosy

CD68+++ (85.5%)
++ (64.33%)
++ (62.3%)




+++
Normal skin
NL
GA
AD
Psoriasis
Lichen planus
Chronic GVHD
Dermal dendrocytomas
(i) Type I lysosomal/endosomal associated membrane glycoprotein
(ii) Binding low-density lipoprotein
(i) Monocytes
(ii) Tissue macrophages
(iii) Dendritic cells
[25, 48, 49, 53, 65, 72, 73]

CD1a (Leu-6)Normal skin(i) Type I membrane glycoprotein
(ii) Lipid and glycolipid antigen presentation
(i) Langerhans cells
(ii) Dendritic cells
(iii) Cortical thymocytes
[25, 45, 49, 63, 65, 7072]
NL
GA
AD
Psoriasis
Lichen planus
Chronic GVHD
Leprosy
LCH/DC histiocytosis

CD207 (langerin)Tuberculoid leprosy(i) Type II C-type transmembrane lecithin receptor
(ii) Capturing antigens and inducing Birbeck granule formation
(i) Langerhans cells
(ii) Dendritic cells
[49, 70]
LCH

CD36+++ (92%)Normal skin(i) Class B scavenger receptor
(ii) Binding long chain fatty acids, oxidized LDL, collagen types I, IV and V, and thrombospondin, as well as for apoptotic cells
(i) Endothelial cells
(ii) Erythrocytes
(iii) Platelets
(iv) Monocytes
(v) Macrophages
(vi) Macrophage-derived dendritic cells
[45]

CD54 (ICAM-1)
+
Normal skin
Lichen planus
(i) Type I transmembrane glycoprotein
(ii) Adhesion molecule, ligand for integrin
(i) Monocytes
(ii) Macrophages
(iii) Lymphocytes
(iv) Activated endothelial cells
(v) Granulocytes
(vi) Dendritic cells
[45, 69]

CD163 (M130)+++ (97.8%)Normal skin(i) Single chain transmembrane protein,
hemoglobin/haptoglobin complex scavenger receptor,
(ii) Signal transduction for proinflammatory cytokine production
(i) Mature tissue macrophage
(ii) Blood monocyte
[17, 25, 37]
+++ (77.1%)NL
+++ (85.5%)GA

CD206 (MMR)+++ (94.8%)
++ (52.2%)
++ (74.7%)
Normal skin
NL
GA
(i) Type I membrane protein, macrophage mannose receptor
(ii) Mediating antigen endocytosis/phagocytosis
(i) Macrophages
(ii) Dendritic cells
(iii) Endothelial cells
[25]

S100



+ (?)
LHC/DC histiocytosis
Chromoblastmycosis
DF
DFSP
Neurofibroma
Schwannoma
(i) Ca2+ binding protein regulation of protein phosphorylation, transcription factors
(ii) Ca2+ homeostasis, the dynamics of cytoskeleton constituents, enzyme activities, cell growth and differentiation, and the inflammatory response
(Neural crest cells)
(i) Langerhans cells
(ii) Dendritic cells
(iii) Macrophages
(iv) Keratinocytes
(v) Adipocytes
(vi) Myoepithelial
(vii) Chondrocytes
[48, 49, 54, 56, 68, 74]

NL = necrobiosis lipoidica; GA = granuloma annulare; AD = atopic dermatitis; GVHD = graft versus host disease; DF = dermatofibroma; DFSP = dermatofibrosarcoma protuberans; LCH = Langerhans cells histiocytosis; DC = dendritic cell; JLS = juvenile localized scleroderma; − < 20% expression, 20% < + < 50%, 50% < ++ <75% expression, +++ > 75% expression; ?: possible coexpression.