Differences in oxidative damage, as measured by an increase in the carbonyl
ation of macromolecules, were determined in situ with skin biopsies from ps
oriatic patients and controls. High levels of carbonyl residues were consis
tently detected in the dermis and never in the epidermis of sections of the
se skin biopsy samples. The dermis of psoriatic skin without lesions had a
higher level of carbonylation than the dermis of normal skin. In this study
, we found that there was more oxidative damage in cultured fibroblasts pre
pared from skin with and without lesions from psoriasis patients than in no
rmal fibroblasts from the skin of age-matched controls. The extent of prote
in carbonylation in cell extracts was determined by immunoblotting, using a
n antidinitrophenylhydrazone antibody, and in intact cells was determined b
y immunocytochemical analysis with the same antibody. The higher level of c
arbonylation detected was used here as a measure of oxidative stress, and s
howed that some oxidative damage occurred before the appearance of typical
psoriatic plaques. These results suggest that fibroblasts are affected befo
re the onset of psoriasis and that this damage is independent of any inflam
matory infiltrate.