Table 3.
Reference |
Treatment |
Effect on T cells |
[15] |
Systemic cyclosporine A |
Both total CD4 and CD8 counts decreased in skin prior to improvement, but in epidermis it is primarily a decrease in activated (HLADR+CD8+ T cells which correlated with improvement of psoriatic lesions. |
[25] |
Intralesional cyclosporine injection |
Both total CD4 and CD8 counts decreased in skin prior to improvement, but in epidermis it is primarily a decrease in activated (HLADR+CD8+ T cells which correlated with improvement of psoriatic lesions. |
[22] |
DAB389-IL2, fusion protein targeting activated (CD2+) T lymphocytes |
Treatment resulted in remission of psoriasis which correlated with decrease in intraepidermal CD8+ T cells. |
[23]
|
PUVA |
PUVA induces a sustained remission by suppressing both CD4+ and CD8+ activated (CD25+) T cell subsets. Progressive epidermal thinning paralleled a predominant decrease in CD8+ T cells. |
[26] |
PUVA |
Improvement of psoriasis was preceded by clearance of memory T cells during treatment |
[9, 10, 27] |
Alefacept (LFA-3 portion of molecule binds to CD2, which is upregulated on memory (CD45RO+) T cells |
Selective reduction in numbers of circulating CD45RO+ T cells which correlates strongly with the degree of improvement in psoriasis; greatest response rates are associated with greatest decreases in memory T cell populations. Numbers of CD4+ and CD8+ memory T cells are decreased proportionately with Alefacept treatment, while CD45 RA+ (naïve) T cell counts remain unchanged during treatment. |
[24] |
Methotrexate, when tested in mice for treatment of GVHD |
Selective decrease in activated cycling CD8+ T cells
|
Table 3. Summary of data revealing that effective treatments of psoriasis result in decreased epidermal
CD8+ memory cells. (PUVA, Psoralen + Ultraviolet A; GVHD, Graft Versus Host Disease).