In the active stage of the disease (W0) and compared with healthy control, patients PD0332991 in vivo with psoriasis had higher percentage of circulating CLA+ T cells expressing CD103 (median 5.7 versus 1.5%; P < 0.05), CCR10 (median 5, 1 versus 1.7%; P < 0.05) and co-expressing CD103/CCR4 (median 11.4 versus 0.8%; P < 0.05) and CCR4/CCR10 (median 3.7 versus 1.2%; P < 0.05) (Fig. 3A). In addition, a positive correlation between PASI and circulating CD103+ T cells (r = 0.6036; P < 0.05)

and CLA+ T cells expressing CCR10 (r = 0.7360; P < 0.01) was similarly observed. No therapeutic changes were found regarding the expression of ICAM-1, CD62E, CD11c and other activation markers, such as CD25 and HLA-DR (data not shown). In addition, patients receiving combined treatment had a significant reduction in CLA+ T cells expressing CCR4 or CD103 (68–74% reduction at W3, P < 0.001), while patients treated with NB-UVB alone did not (Fig. 3A). Furthermore, this reduction in CLA+CCR4+ T cells was predominantly confined to those who also expressed the CD103 integrin. Thus, no CLA+ T cells that co-expressed

CD103 and CCR4 were detected in the circulation after 3 weeks (W3) in Mitomycin C ic50 patients receiving combined treatment (P < 0.05; Fig. 3A). Both treatment groups achieved a significant reduction in CLA+ T cells that expressed CCR10 (71% reduction versus 44% reduction at W3; P < 0.001 versus P < 0.05; Fig. 3A). A marked reduction was also observed of circulating CLA+ T cells that co-expressed CCR4 and CCR10 in the combined treatment group (3.5% before treatment and 0.7% at W3; 80% reduction; P < 0.01; Fig. 3A). Thus, the increased proportion of skin-homing T cells expressing CD103 and the chemokine

receptors CCR4 and CCR10 was significantly reduced following clinical and histological improvements of psoriasis. To investigate the expression profile of circulating Th1/Tc1 and Th17/Tc17 cells in patients with psoriasis and its clinical correlation, their phenotypes were investigated amongst both CD4+/CD45RO+ and CD8+/CD45RO+ T cells. As expected in the active stage of the disease, patients with psoriasis had higher percentage of circulating CD4+ T cells expressing IFN-γ, TNF-α, IL-22 and IL-17 as compared Teicoplanin with healthy controls (median 5.93 versus 2.06%, 9.08 versus 0.73%, 3.19 versus 0.33% and 4.78 versus 0.42%, respectively, P < 0.05 for all four subsets; Fig. 4A). Furthermore, this was also observed for the CD8+ phenotype expressing IFN-γ, IL-22 and IL-17 (median 6.93 versus 2.37%, 2.39 versus 0.81% and 2.22 versus 0.89%, respectively, P < 0.05 for all three subsets; Fig. 5A). When evaluating the clinical efficacy with its corresponding immunological profile, patients receiving combined treatment showed a marked reduction (81%) in circulating Th17 (IL-23R+CD4+ T cells) after only one week of treatment (Fig. 4A). This was also reflected by a 53% reduction in the amount of IL-23R expressed (MFI) by these cells (P < 0.