{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T10:17:05Z","timestamp":1789208225099,"version":"build-2803163510"},"reference-count":49,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2013,11,16]],"date-time":"2013-11-16T00:00:00Z","timestamp":1384560000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100003549","name":"OTKA","doi-asserted-by":"crossref","award":["K81847"],"award-info":[{"award-number":["K81847"]}],"id":[{"id":"10.13039\/501100003549","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100003549","name":"OTKA","doi-asserted-by":"crossref","award":["PD101557"],"award-info":[{"award-number":["PD101557"]}],"id":[{"id":"10.13039\/501100003549","id-type":"DOI","asserted-by":"crossref"}]},{"name":"T\u00c1MOP"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acad Dermatol Venereol"],"published-print":{"date-parts":[[2014,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Factor <jats:styled-content style=\"fixed-case\">XIII<\/jats:styled-content> subunit A (<jats:styled-content style=\"fixed-case\">FXIII<\/jats:styled-content>\u2010A) is used as a diagnostic marker in a wide range of dermatological diseases ranging from inflammatory lesions to malignancies, although neither the cell types responsible for its expression nor the mechanism(s) resulting in its local accumulation in pathological conditions have been characterized.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>In this study, we aimed to gain information on the cells showing an immunohistochemical reaction for <jats:styled-content style=\"fixed-case\">FXIII<\/jats:styled-content>\u2010A and answer the question whether macrophages and\/or dendritic cells are labelled for <jats:styled-content style=\"fixed-case\">FXIII<\/jats:styled-content>\u2010A.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We carried out our studies on samples of granuloma annulare (<jats:styled-content style=\"fixed-case\">GA<\/jats:styled-content>) and necrobiosis lipoidica (<jats:styled-content style=\"fixed-case\">NL<\/jats:styled-content>), the prime examples for granulomatous skin lesions with a non\u2010infectious background in which extracellular matrix remodelling is a key feature without any sign of malignant transformation. We used markers for macrophages and dendritic cells in combination with the detection of <jats:styled-content style=\"fixed-case\">FXIII<\/jats:styled-content>\u2010A in double labelling immunohistochemical reactions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We demonstrated that <jats:styled-content style=\"fixed-case\">FXIII<\/jats:styled-content>\u2010A positivity clearly distinguishes macrophages (<jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content>163+\/<jats:styled-content style=\"fixed-case\">FXIII<\/jats:styled-content>\u2010A+) from dendritic cells (<jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content>11c+\/<jats:styled-content style=\"fixed-case\">FXIII<\/jats:styled-content>\u2010A\u2212) not only in the normal dermis as previously described by Zaba <jats:italic>et\u00a0al<\/jats:italic>. (<jats:italic>J Clin Invest<\/jats:italic> 2007; <jats:bold>117:<\/jats:bold> 2517\u20132525) but also in the pathological conditions of <jats:styled-content style=\"fixed-case\">GA<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">NL<\/jats:styled-content>. Detecting the expression of <jats:styled-content style=\"fixed-case\">DC<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">SIGN<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content>209 and mannose receptor molecules on <jats:styled-content style=\"fixed-case\">FXIII<\/jats:styled-content>\u2010A+ macrophages we confirmed that <jats:styled-content style=\"fixed-case\">FXIII<\/jats:styled-content>\u2010A is expressed in the alternatively activated macrophages. However, while <jats:styled-content style=\"fixed-case\">DC<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">SIGN<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content>209 was invariably expressed on <jats:styled-content style=\"fixed-case\">FXIII<\/jats:styled-content>\u2010A+ cells both in normal and pathological conditions of <jats:styled-content style=\"fixed-case\">GA<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">NL<\/jats:styled-content> (98.7% vs. 93.5\/96%), mannose receptor was only partially coexpressed with <jats:styled-content style=\"fixed-case\">FXIII<\/jats:styled-content>\u2010A (94.8% vs. 74.7\/52.2%), suggesting that <jats:styled-content style=\"fixed-case\">FXIII<\/jats:styled-content>\u2010A+ macrophages do not represent a homogenous population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>FXIII\u2010A selectively marks macrophages and distinguishes them from dendritic cells. The presence of <jats:styled-content style=\"fixed-case\">FXIII<\/jats:styled-content>\u2010A is not a disease\u2010specific marker but indicates a possible common mechanism of macrophage activation in various dermatological diseases.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jdv.12290","type":"journal-article","created":{"date-parts":[[2013,11,16]],"date-time":"2013-11-16T10:01:13Z","timestamp":1384596073000},"page":"1087-1096","source":"Crossref","is-referenced-by-count":14,"title":["Detection of factor <scp>XIII<\/scp>\u2010A is a valuable tool for distinguishing dendritic cells and tissue macrophages in granuloma annulare and necrobiosis lipoidica"],"prefix":"10.1111","volume":"28","author":[{"given":"D.","family":"T\u00f6r\u00f6csik","sequence":"first","affiliation":[{"name":"Department of Dermatology Faculty of Medicine Medical and Health Science Centre University of Debrecen Debrecen 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Medical and Health Science Centre University of Debrecen Debrecen Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"Paragh","sequence":"additional","affiliation":[{"name":"Department of Dermatology Faculty of Medicine Medical and Health Science Centre University of Debrecen Debrecen Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Z.","family":"P\u00e9ter","sequence":"additional","affiliation":[{"name":"Department of Dermatology Faculty of Medicine Medical and Health Science Centre University of Debrecen Debrecen Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Bal\u00e1zs","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine Faculty of Public Health Medical and Health Science Centre University of Debrecen Debrecen 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