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Interleukin-17A and Keratinocytes in Psoriasis.

Abstract
The excellent clinical efficacy of anti-interleukin 17A (IL-17A) biologics on psoriasis indicates a crucial pathogenic role of IL-17A in this autoinflammatory skin disease. IL-17A accelerates the proliferation of epidermal keratinocytes. Keratinocytes produce a myriad of antimicrobial peptides and chemokines, such as CXCL1, CXCL2, CXCL8, and CCL20. Antimicrobial peptides enhance skin inflammation. IL-17A is capable of upregulating the production of these chemokines and antimicrobial peptides in keratinocytes. CXCL1, CXCL2, and CXCL8 recruit neutrophils and CCL20 chemoattracts IL-17A-producing CCR6+ immune cells, which further contributes to forming an IL-17A-rich milieu. This feed-forward pathogenic process results in characteristic histopathological features, such as epidermal hyperproliferation, intraepidermal neutrophilic microabscess, and dermal CCR6+ cell infiltration. In this review, we focus on IL-17A and keratinocyte interaction regarding psoriasis pathogenesis.
AuthorsMasutaka Furue, Kazuhisa Furue, Gaku Tsuji, Takeshi Nakahara
JournalInternational journal of molecular sciences (Int J Mol Sci) Vol. 21 Issue 4 (Feb 13 2020) ISSN: 1422-0067 [Electronic] Switzerland
PMID32070069 (Publication Type: Journal Article, Review)
Chemical References
  • CCL20 protein, human
  • CXCL1 protein, human
  • CXCL2 protein, human
  • CXCL8 protein, human
  • Chemokine CCL20
  • Chemokine CXCL1
  • Chemokine CXCL2
  • IL17A protein, human
  • Interleukin-17
  • Interleukin-8
Topics
  • Cell Proliferation (genetics)
  • Chemokine CCL20 (genetics)
  • Chemokine CXCL1 (genetics)
  • Chemokine CXCL2 (genetics)
  • Epidermis (metabolism, pathology)
  • Humans
  • Interleukin-17 (genetics)
  • Interleukin-8 (genetics)
  • Keratinocytes (metabolism, pathology)
  • Neutrophils (metabolism, pathology)
  • Psoriasis (genetics, pathology)

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