Table 1.
AMP | Charge | Antimicrobial activity | Expression in normal skin | Expression in HS | Methods of detection in HS | Chemokinetic activity | Ref. |
---|---|---|---|---|---|---|---|
LL-37 | Cationic | Broad spectrum | Constitutive low levels in keratinocytes and mast cells | Induced in follicular keratinocytes and neutrophils | qPCR, IHC, ELISA, microarray | Neutrophils, dendritic, mast and T cells | (10, 37–45) |
Defensins | Cationic | hBD-1 and -2 mainly Gram-negative bacteria, hBD-3 broad spectrum | hBD-1 constitutive low expression; hBD-2 and hBD-3 low expression in keratinocytes |
hBD-1 suppressed/not regulated in keratinocytes; hBD-2 induced in keratinocytes and dermal macrophages; hBD-3 induced/not regulated in keratinocytes |
qPCR, IHC, ELISA | Dendritic and T cells, promotes histamine release from mast cells | (44, 46–63) |
DCD | Anionic | Mainly Gram-negative bacteria | Constitutive expression in eccrine sweat glands | Suppressed in eccrine sweat glands | qPCR, IHC, ELISA | N/A | (9, 59, 60, 64–68) |
S100 | Cationic | Broad spectrum | Rarely detected in healthy skin | Induced in epidermal keratinocytes | qPCR, IHC, ELISA, proteomics | Neutrophils and macrophages | (46, 51, 52, 54, 59, 60, 69–76) |
Rnase7 | Cationic | Broad spectrum | Constitutive expression in keratinocytes | Repressed/Induced/not regulated in keratinocytes | qPCR, IHC, ELISA | N/A | (44, 46, 59, 77) |
The main AMPs with altered expression in HS include LL-37, hBD-1, hBD-2, hBD-3, DCD, S100s proteins, and RNAse 7. Multiple different methods have been utilized to assess their expression, including quantitative PCR (qPCR), immunohistochemistry (IHC), enzyme-linked immunoassay (ELISA) and proteomics. Some AMPs are consistently found deregulated including LL-37, hBD-2, DCD, and S100s proteins. However, the deregulation and directionality were not consistent for hBD-1, hBD-3, and RNAse 7 across studies. Ref.=references.