Shandong University of Traditional Chinese Medicine, Jinan, Shandong, China.
Chief Physician, Doctoral Supervisor, Department of Dermatology & Laboratory of Medical Mycology, Jining No. 1 People's Hospital, Jining, Shandong Province, China.
Skin Res Technol. 2023 Jul;29(7):e13404. doi: 10.1111/srt.13404.
Psoriasis is an immune-mediated chronic inflammatory disease, and currently it is widely believed that the IL-23/IL-17 axis and Th17 cells play a critical and central role. However, increasing evidence suggests that neutrophils may interact with a variety of immune cells to play an indispensable role in psoriasis.
We searched the recent literature on psoriasis and neutrophils through databases such as PubMed and CNKI, and summarized the findings to draw conclusions.
Neutrophils can promote the development of psoriasis by secreting IL-23, IL-17, and cytokines with TH17 cell chemotaxis. Activated keratinocytes (KCs) can attract and activate neutrophils, induce the formation of neutrophil extracellular traps (NETs). KCs can also expose self-antigens which lead to strong autoimmune reactions. The granule proteins secreted by activated neutrophils can activate IL-36, which converts vulgaris psoriasis to generalized pustular psoriasis (GPP).
The function of neutrophils components and the interaction between neutrophils and immune cells play an essential role in the pathogenesis of psoriasis. The aim is to provide a theoretical basis for the exploration of targeted clinical treatments and fundamental research on the pathogenesis of psoriasis.
银屑病是一种免疫介导的慢性炎症性疾病,目前普遍认为 IL-23/IL-17 轴和 Th17 细胞在其中起着关键和核心作用。然而,越来越多的证据表明,中性粒细胞可能与多种免疫细胞相互作用,在银屑病中发挥不可或缺的作用。
我们通过 PubMed 和 CNKI 等数据库检索了关于银屑病和中性粒细胞的最新文献,并对这些发现进行了总结,以得出结论。
中性粒细胞通过分泌 IL-23、IL-17 和具有 TH17 细胞趋化性的细胞因子,促进银屑病的发展。活化的角质形成细胞(KCs)可以吸引并激活中性粒细胞,诱导中性粒细胞细胞外陷阱(NETs)的形成。KCs 还可以暴露自身抗原,从而引发强烈的自身免疫反应。活化的中性粒细胞分泌的颗粒蛋白可以激活 IL-36,将寻常型银屑病转化为泛发性脓疱型银屑病(GPP)。
中性粒细胞成分的功能及其与免疫细胞的相互作用在银屑病的发病机制中起着重要作用。目的是为探索针对银屑病发病机制的靶向临床治疗和基础研究提供理论依据。