Kimak Agnieszka, Woźniacka Anna
Department of Dermatology and Venereology, Medical University of Lodz, Hallera 1, 90-647 Lodz, Poland.
J Clin Med. 2024 Jan 23;13(3):655. doi: 10.3390/jcm13030655.
Psoriasis is a chronic systemic disease with an immunological basis and a complex pathophysiology. The chronic inflammatory status of psoriasis is associated with several comorbidities, such as metabolic syndrome, obesity, and cardiovascular disease. The development of psoriasis is influenced by osteopontin, a glycoprotein that influences physiological and pathological reactions by modulating Th1 and Th17 cellular responses, stimulating keratinocyte proliferation, regulating cellular apoptosis, and promoting angiogenesis. The recent identification of immune pathways involved in psoriasis development has facilitated the development of biological treatments; however, a better understanding of the intricate relationship between underlying inflammatory processes, psoriasis development, and accompanying comorbidities is needed for improved disease management.
银屑病是一种具有免疫学基础和复杂病理生理学的慢性全身性疾病。银屑病的慢性炎症状态与多种合并症相关,如代谢综合征、肥胖症和心血管疾病。骨桥蛋白会影响银屑病的发展,它是一种糖蛋白,通过调节Th1和Th17细胞反应、刺激角质形成细胞增殖、调节细胞凋亡以及促进血管生成来影响生理和病理反应。最近对参与银屑病发展的免疫途径的鉴定促进了生物治疗的发展;然而,为了改善疾病管理,需要更好地理解潜在炎症过程、银屑病发展和伴随合并症之间的复杂关系。