The term "peripheral node addressins" describes a set of several endothelia
l adhesion molecules, which collectively bind to L-selectin and react with
monoclonal antibody MECA-79. They regulate lymphocyte recirculation through
peripheral nodes, Their expression is thought to be restricted to a specia
lized vascular segment within the node, called the high endothelial venule.
In certain chronic skin diseases, however, postcapillary venules of the sk
in may also acquire a high endothelial venule-like morphology, Employing im
munohistochemistry on cryostat sections, we found these skin endothelial ce
lls - like peripheral node high endothelial venules - to be reactive with m
onoclonal antibody MECA-79. Tissue lysates fi om the same specimens were th
en analyzed by immunoprecipitation using recombinant human L-selectin Fc-ch
imeras followed by immunoblotting using monoclonal antibody MECA-79. In con
trast to peripheral node endothelium, which mainly expressed peripheral nod
e addressin moieties of molecular sizes 90-110 kDa and 160 kDa, endothelial
cells in cutaneous T cell lymphoma skin lesions expressed an additional an
d not yet defined 220 kDa peripheral node addressin-like molecule. Most sur
prisingly, even in normal skin specimens, we found a distinct subset of end
othelial cells located around hair follicles constitutively expressing 90-1
10 kDa peripheral node addressin-like moieties. It is intriguing to specula
te that - in analogy to the role of peripheral node addressins in periphera
l nodes - the induced expression of peripheral node addressins in chronic T
cell mediated skin diseases is responsible for a sustained lymphocyte recr
uitment. The constitutive expression of peripheral node addressins on perif
ollicular endothelium may serve for a continuo us lymphocyte recirculation
through normal skin.