Department of Microbiology and Immunology, Faculty of Medicine, Cairo University, Cairo, Egypt.
Department of Dermatology, Faculty of Medicine, Cairo University, Cairo, Egypt.
PLoS One. 2019 May 23;14(5):e0217352. doi: 10.1371/journal.pone.0217352. eCollection 2019.
Psoriasis vulgaris is a systemic disorder with an underlying immune dysregulation that predisposes to inflammatory skin lesions. Meanwhile, tumor necrosis factor alpha-induced protein 3 (TNFAIP3) has been described as a protective molecule against the deleterious effects of uncontrolled inflammation. In this study, we compared the expression levels of TNFAIP3 in blood and psoriatic skin biopsies from psoriatic patients versus those in normal individuals. Additionally, the levels of TNFAIP3 protein in psoriatic skin biopsies were compared to those in normal individuals. Thirty psoriatic patients and 30 healthy participants (control group) were enrolled. The expression levels of TNFAIP3 in blood and skin were measured by quantitative reverse transcription PCR, while the skin levels of TNFAIP3 protein were measured by western blot. Psoriatic patients showed significantly lower expression levels of TNFAIP3 in psoriatic skin and blood (P< 0.001) as well as of TNFAIP3 protein in psoriatic skin (P< 0.001) compared to controls. A significant lower expression of TNFAIP3 and TNFAIP3 protein in psoriatic skin was detected in moderate/severe cases compared to mild cases (P = 0.004 and 0.003 respectively). Moreover, a significant negative correlation was found between TNFAIP3 mRNA in psoriatic tissue and psoriasis area severity index values (rs = -0.382, P-value = 0.037). In conclusion, TNFAIP3 may serve as a predictive and prognostic biomarker in psoriatic patients. Enhancing the expression and/or function of TNFAIP3 in the affected cell type may be a promising therapeutic strategy.
寻常型银屑病是一种系统性疾病,其潜在的免疫失调导致炎症性皮肤损伤。同时,肿瘤坏死因子α诱导蛋白 3(TNFAIP3)已被描述为一种对抗失控性炎症的有害影响的保护分子。在这项研究中,我们比较了寻常型银屑病患者血液和皮肤活检组织中 TNFAIP3 的表达水平与正常个体的表达水平。此外,我们还比较了寻常型银屑病患者皮肤活检组织中 TNFAIP3 蛋白的水平。共纳入 30 例寻常型银屑病患者和 30 例健康对照者(对照组)。采用定量逆转录 PCR 检测血液和皮肤中 TNFAIP3 的表达水平,采用 Western blot 检测皮肤中 TNFAIP3 蛋白的水平。与对照组相比,寻常型银屑病患者的皮肤和血液中 TNFAIP3 的表达水平明显降低(P<0.001),皮肤中 TNFAIP3 蛋白的水平也明显降低(P<0.001)。与轻度病例相比,中度/重度病例的皮肤中 TNFAIP3 和 TNFAIP3 蛋白的表达水平明显降低(分别为 P = 0.004 和 0.003)。此外,在寻常型银屑病组织中,TNFAIP3 mRNA 与银屑病面积严重程度指数值之间存在显著的负相关(rs = -0.382,P 值 = 0.037)。总之,TNFAIP3 可能作为寻常型银屑病患者的预测和预后生物标志物。增强受影响的细胞类型中 TNFAIP3 的表达和/或功能可能是一种有前途的治疗策略。