The Interplay Between Keratinocytes and Immune Cells in the Pathogenesis of Psoriasis

Psoriasis is a chronic inflammatory skin disease resulting from genetic, epigenetic, environmental, and lifestyle factors. To date, several immunopathogenic mechanisms of psoriasis have been elucidated, and, in the current model, the cross talk between autoreactive T cells and resident keratinocytes...

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Main Authors: Cristina Albanesi, Stefania Madonna, Paolo Gisondi, Giampiero Girolomoni
Format: Article
Language:English
Published: Frontiers Media S.A. 2018-07-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fimmu.2018.01549/full
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author Cristina Albanesi
Stefania Madonna
Paolo Gisondi
Giampiero Girolomoni
author_facet Cristina Albanesi
Stefania Madonna
Paolo Gisondi
Giampiero Girolomoni
author_sort Cristina Albanesi
collection DOAJ
description Psoriasis is a chronic inflammatory skin disease resulting from genetic, epigenetic, environmental, and lifestyle factors. To date, several immunopathogenic mechanisms of psoriasis have been elucidated, and, in the current model, the cross talk between autoreactive T cells and resident keratinocytes generates inflammatory and immune circuits responsible for the initiation, progression, and persistence of the disease. Several autoantigens derived from keratinocytes (i.e., LL37 cathelecidin/nucleic acid complexes, newly generated lipid antigens) have been identified, which may trigger initial activation of T cells, particularly IL-17-producing T cells, T helper (Th)1 and Th22 cells. Hence, lymphokines released in skin lesions are pivotal for keratinocyte activation and production of inflammatory molecules, which in turn lead to amplification of the local immune responses. Intrinsic genetic alterations of keratinocytes in the activation of signal transduction pathways dependent on T-cell-derived cytokines are also fundamental. The current review emphasizes the aberrant interplay of immune cells and skin-resident keratinocytes in establishing and sustaining inflammatory and immune responses in psoriasis.
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spelling doaj.art-dc71b21f132a47eab223f3f860f7b6db2022-12-21T18:30:32ZengFrontiers Media S.A.Frontiers in Immunology1664-32242018-07-01910.3389/fimmu.2018.01549386664The Interplay Between Keratinocytes and Immune Cells in the Pathogenesis of PsoriasisCristina Albanesi0Stefania Madonna1Paolo Gisondi2Giampiero Girolomoni3Laboratory of Experimental Immunology, Istituto Dermopatico dell’Immacolata (IDI), IRCCS, Rome, ItalyLaboratory of Experimental Immunology, Istituto Dermopatico dell’Immacolata (IDI), IRCCS, Rome, ItalySection of Dermatology, Department of Medicine, University of Verona, Verona, ItalySection of Dermatology, Department of Medicine, University of Verona, Verona, ItalyPsoriasis is a chronic inflammatory skin disease resulting from genetic, epigenetic, environmental, and lifestyle factors. To date, several immunopathogenic mechanisms of psoriasis have been elucidated, and, in the current model, the cross talk between autoreactive T cells and resident keratinocytes generates inflammatory and immune circuits responsible for the initiation, progression, and persistence of the disease. Several autoantigens derived from keratinocytes (i.e., LL37 cathelecidin/nucleic acid complexes, newly generated lipid antigens) have been identified, which may trigger initial activation of T cells, particularly IL-17-producing T cells, T helper (Th)1 and Th22 cells. Hence, lymphokines released in skin lesions are pivotal for keratinocyte activation and production of inflammatory molecules, which in turn lead to amplification of the local immune responses. Intrinsic genetic alterations of keratinocytes in the activation of signal transduction pathways dependent on T-cell-derived cytokines are also fundamental. The current review emphasizes the aberrant interplay of immune cells and skin-resident keratinocytes in establishing and sustaining inflammatory and immune responses in psoriasis.https://www.frontiersin.org/article/10.3389/fimmu.2018.01549/fullpsoriasiskeratinocytesimmune cellsskin inflammationinnate immunityadaptive immunity
spellingShingle Cristina Albanesi
Stefania Madonna
Paolo Gisondi
Giampiero Girolomoni
The Interplay Between Keratinocytes and Immune Cells in the Pathogenesis of Psoriasis
Frontiers in Immunology
psoriasis
keratinocytes
immune cells
skin inflammation
innate immunity
adaptive immunity
title The Interplay Between Keratinocytes and Immune Cells in the Pathogenesis of Psoriasis
title_full The Interplay Between Keratinocytes and Immune Cells in the Pathogenesis of Psoriasis
title_fullStr The Interplay Between Keratinocytes and Immune Cells in the Pathogenesis of Psoriasis
title_full_unstemmed The Interplay Between Keratinocytes and Immune Cells in the Pathogenesis of Psoriasis
title_short The Interplay Between Keratinocytes and Immune Cells in the Pathogenesis of Psoriasis
title_sort interplay between keratinocytes and immune cells in the pathogenesis of psoriasis
topic psoriasis
keratinocytes
immune cells
skin inflammation
innate immunity
adaptive immunity
url https://www.frontiersin.org/article/10.3389/fimmu.2018.01549/full
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