ABSTRACT
With their dendrites, LCs form a close network inside the upper epidermis, which may be regarded as the first barrier of the
immune system
toward the environment. All
antigens
that penetrate into the human body through the
epidermal barrier
have to pass this first immunological wall of defense. Routine light microscopic examination (formaline fixation, paraffin embedding, HE staining) shows the LC as a clear cell, which can be separated from surrounding
keratinocytes
due to a fixation artifact. These clear nonkeratinocytes include melanocytes (mostly basal), Merkel cells (very rare), but mostly LCs. LCs can also be directly identified by immunohistological staining of their
surface molecules
HLA
-
DR
and
CD1
a.