Molecular and cellular regulation of psoriatic inflammation

Author:

Macleod Tom1,Bridgewood Charles1,Hyde Isabel1,Heague Megan1,Helliwell Philip12,Stacey Martin3,Wittmann Miriam24ORCID

Affiliation:

1. 1Leeds Institute of Rheumatic and Musculoskeletal Medicine (LIRMM), University of Leeds, Leeds, United Kingdom

2. 2National Institute for Health Research (NIHR) Leeds Biomedical Research Centre (BRC), The Leeds Teaching Hospitals, Leeds, United Kingdom

3. 3School of Molecular and Cellular Biology, University of Leeds, Leeds, United Kingdom

4. 4Department of Dermatology, University Medical Center of the Johannes Gutenberg University, Mainz, Germany

Abstract

Abstract This review highlights the molecular and cellular mechanisms underlying psoriatic inflammation with an emphasis on recent developments which may impact on treatment approaches for this chronic disease. We consider both the skin and the musculoskeletal compartment and how different manifestations of psoriatic inflammation are linked. This review brings a focus to the importance of inflammatory feedback loops that exist in the initiation and chronic stages of the condition, and how close interaction between the epidermis and both innate and adaptive immune compartments drives psoriatic inflammation. Furthermore, we highlight work done on biomarkers to predict the outcome of therapy as well as the transition from psoriasis to psoriatic arthritis.

Publisher

Portland Press Ltd.

Subject

General Medicine

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