In involved psoriatic tissue, which is characterized by chronic inflam
mation in both epidermis and dermis, elevated levels of arachidonic ac
id and eicosanoids have been measured. This implies that a phospholipa
se A(2) (PLA(2)) may be involved in the pathogenesis of psoriasis. The
PLA(2)'s are a group of enzymes that release unsaturated fatty acids
from the sn2-position of membrane phospholipids. Once released, the fa
tty acids are converted by various enzymes into biologically very impo
rtant signaling molecules. Release of arachidonate initiates the arach
idonate cascade, leading to the synthesis of eicosanoids such as prost
aglandins, thromboxanes, leukotrienes, and lipoxines. Eicosanoids are
important in a variety of physiological processes and play a central r
ole in inflammatory reactions and in intracellular signal transduction
processes. Other important inflammatory mediators, such as lyso-PAF (
a precursor for PAF) and other lysophospholipids, may also be formed t
hrough the action of a PLA(2). We report for the first time the detect
ion of transcripts of nonpancreatic phospholipase A(2) (npPLA(2), type
II) and cytosolic (c) PLA(2) in human skin, and overexpression of npP
LA(2) in involved skin from patients with psoriasis (plaque psoriasis
and pustular psoriasis). Limited amounts of npPLA(2) enzyme are detect
ed immunologically in the uppermost layers of epidermis from healthy p
ersons. Both involved and uninvolved psoriatic epidermis contain highe
r levels of npPLA(2) than normal skin. Positive cells in dermis showed
significantly higher levels of npPLA(2) than epidermal cells. In derm
is from healthy persons, only weak staining of a few cells could be de
tected. The two PLA(2) enzymes detected in psoriatic skin (cytosolic a
nd nonpancreatic) may both be involved in eicosanoid overproduction in
psoriatic tissue, and the npPLA(2) may also be involved in potentiati
ng cell activation, especially T cells.