Molluscum contagiosum, a condition characterized by benign viral tumou
rs, occasionally becomes inflamed and regresses spontaneously, an even
t probably initiated by a host cell-mediated immune rejection against
the lesion, but it inevitably involves the disruption of the epidermal
tissue to expose the molluscum bodies to the tissue fluids of the der
mis. It has been suggested that the molluscum bodies induce inflammati
on by a mechanism similar to that involved in ruptured epidermal cysts
or in acne. Despite the occasional development of inflammation in mol
luscum contagiosum, the proinflammatory properties of molluscum bodies
have never been studied in vitro. Thus, in the present study we sough
t to determine whether molluscum bodies exert a proinflammatory effect
by inducing neutrophil chemotaxis. When exposed to fresh serum in vit
ro, water-insoluble components of molluscum bodies activated the alter
native complement pathway to produce chemotactic C5a/C5a des Arg. We a
lso found that an aqueous extract of molluscum bodies exerted potent c
hemotactic activity for neutrophils. Remarkably high amounts of the im
munoreactive proinflammatory cytokines IL-8 and GRO alpha were present
in the extract even when compared with psoriatic scale extracts. Gel
filtration HPLC of the extract demonstrated the presence of neutrophil
chemotactic activity over a wide range of molecular mass. These data
suggest that disruption of the epidermal wall of molluscum bodies indu
ces acute inflammatory changes by activation of the alternative comple
ment pathway on exposure to the tissue fluids, and that the molluscum
bodies themselves release proinflammatory cytokines and other neutroph
il chemotactic factors on decomposition.