Department of Dermatology, University of Michigan, Ann Arbor, MI, USA.
Department of Computational Medicine and Bioinformatics and Department of Biostatistics, University of Michigan Medical School, Ann Arbor, MI, USA.
Exp Dermatol. 2021 Aug;30(8):1156-1166. doi: 10.1111/exd.14332. Epub 2021 Apr 5.
The observed incidence of psoriasis has been gradually increasing over time (J Am Acad Dermatol, 03, 2009, 394), but the underlying pathogenic factors have remained unclear. Recent studies suggest the importance of epigenetic modification in the pathogenesis of psoriasis. Aberrant epigenetic patterns including changes in DNA methylation, histone modifications and non-coding RNA expression are observed in psoriatic skin. Reversing these epigenetic mechanisms has showed improvement in psoriatic phenotypes, making epigenetic therapy a potential avenue for psoriasis treatment. Here, we summarize relevant evidence for epigenetic dysregulation contributing to psoriasis susceptibility and pathogenesis, and the factors responsible for epigenetic modifications, providing directions for potential future clinical avenues.
随着时间的推移,观察到银屑病的发病率一直在逐渐增加(J Am Acad Dermatol,03,2009,394),但潜在的发病因素仍不清楚。最近的研究表明,表观遗传修饰在银屑病的发病机制中很重要。在银屑病皮肤中观察到异常的表观遗传模式,包括 DNA 甲基化、组蛋白修饰和非编码 RNA 表达的改变。逆转这些表观遗传机制显示出对银屑病表型的改善,使表观遗传治疗成为银屑病治疗的一种潜在途径。在这里,我们总结了导致银屑病易感性和发病机制的表观遗传失调的相关证据,以及导致表观遗传修饰的因素,为潜在的未来临床途径提供了方向。