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.
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Authors | Masutaka Furue, Kazuhisa Furue, Gaku Tsuji, Takeshi Nakahara |
Journal | International journal of molecular sciences
(Int J Mol Sci)
Vol. 21
Issue 4
(Feb 13 2020)
ISSN: 1422-0067 [Electronic] Switzerland |
PMID | 32070069
(Publication Type: Journal Article, Review)
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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
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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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