Kastelan Marija, Massari Larisa Prpić, Brajac Ines
Klinika za kozne i spolne bolesti Medieinskog fakulteta u Rijeci, KBC Rijeka.
Lijec Vjesn. 2010 Jan-Feb;132(1-2):31-3.
Apoptosis is a physiological process of programmed cell death responsible for homeostasis in the body. In skin, apoptotic process regulates keratinocyte proliferation and differentiation in that way maintaining homeostasis of epidermal compartment. The process of apoptosis is controlled by proteins of the Bcl-2 family, several proapoptotic (Bax, Bak, Bad) and antiapoptotic (Bcl-2, Bcl-x(L)) proteins. Nowadays, it seems that dysfunctional apoptosis has an important role in the pathogenesis of several skin diseases. Psoriasis is a chronic hypeproliferative inflammatory skin disease characterized by abnormal keratinocyte hyperproliferation and differentiation as well as by decreased keratinocyte apoptosis. Based on recent studies, it is likely that apoptosis has an important role in epidermal hyperproliferation of psoriatic lesion. Having in mind the significance of Bcl-2 family proteins in apoptosis, it is important to elucidate their role in psoriasis pathogenesis. Observed upregulation of antiapoptotic and downregulation of proapoptotic Bcl-2 family molecules in psoriatic skin implies their significance in psoriasis development.
细胞凋亡是一种程序性细胞死亡的生理过程,负责维持体内的稳态。在皮肤中,凋亡过程通过调节角质形成细胞的增殖和分化来维持表皮层的稳态。凋亡过程由Bcl-2家族的蛋白质控制,包括几种促凋亡蛋白(Bax、Bak、Bad)和抗凋亡蛋白(Bcl-2、Bcl-x(L))。如今,功能失调的细胞凋亡似乎在几种皮肤病的发病机制中起着重要作用。银屑病是一种慢性增殖性炎症性皮肤病,其特征是角质形成细胞异常增殖和分化以及角质形成细胞凋亡减少。基于最近的研究,细胞凋亡可能在银屑病皮损的表皮过度增殖中起重要作用。考虑到Bcl-2家族蛋白在细胞凋亡中的重要性,阐明它们在银屑病发病机制中的作用很重要。在银屑病皮肤中观察到抗凋亡的Bcl-2家族分子上调和促凋亡的Bcl-2家族分子下调,这意味着它们在银屑病发展中的重要性。