“…82 Other experiments also downplay the role of natural killer and lymphokine-activated killer cells in the pathogenesis. 173 These include a decrease in T-helper cells, [174][175][176] an increase in natural killer cells, 175,177 circulating antibodies to surface antigens on melanocytes [178][179][180][181] and to certain melanoma cell lines, 182,183 aberrant expression of complement regulatory proteins, 184 an increase in met-enkephalin secretion, 185 a decrease in the expression of c-kit protein by melanocytes adjacent to lesional skin, 186,187 abnormal expression of MHC class II molecules and ICAM-1 by perilesional melanocytes, 188 and possible functional impairment of Langerhans cells. 173 These include a decrease in T-helper cells, [174][175][176] an increase in natural killer cells, 175,177 circulating antibodies to surface antigens on melanocytes [178][179][180][181] and to certain melanoma cell lines, 182,183 aberrant expression of complement regulatory proteins, 184 an increase in met-enkephalin secretion, 185 a decrease in the expression of c-kit protein by melanocytes adjacent to lesional skin, 186,187 abnormal expression of MHC class II molecules and ICAM-1 by perilesional melanocytes, 188 and possible functional impairment of Langerhans cells.…”