Pan Jing, Chen Siji, Chen Xianzhen, Song Yinjing, Cheng Hao
Department of Dermatology and Venereology, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Clin Rev Allergy Immunol. 2025 Jan 27;68(1):6. doi: 10.1007/s12016-024-09014-1.
In recent years, epigenetic modifications have attracted significant attention due to their unique regulatory mechanisms and profound biological implications. Acting as a bridge between environmental stimuli and changes in gene activity, they reshape gene expression patterns, providing organisms with regulatory mechanisms to respond to environmental changes. A growing body of evidence indicates that epigenetic regulation plays a crucial role in the pathogenesis and progression of psoriasis. A deeper understanding of these epigenetic mechanisms not only helps unveil the molecular mechanisms underlying the initiation and progression of psoriasis but may also provide new insights into diagnostic and therapeutic strategies. Given the unique roles and significant contributions of various cell types involved in the process of psoriasis, a thorough analysis of specific epigenetic patterns in different cell types becomes a key entry point for elucidating the mechanisms of disease development. Although epigenetic modifications encompass multiple complex layers, this review will focus on histone modifications and DNA methylation, describing how they function in different cell types and subsequently impact the pathophysiological processes of psoriasis. Finally, we will summarize the current problems in research concerning histone modifications and DNA methylation in psoriasis and discuss the clinical application prospects and challenges of targeting epigenetic modifications as therapeutic strategies for psoriasis.
近年来,表观遗传修饰因其独特的调控机制和深远的生物学意义而备受关注。它们作为环境刺激与基因活性变化之间的桥梁,重塑基因表达模式,为生物体提供应对环境变化的调控机制。越来越多的证据表明,表观遗传调控在银屑病的发病机制和进展中起着关键作用。深入了解这些表观遗传机制不仅有助于揭示银屑病发生和发展的分子机制,还可能为诊断和治疗策略提供新的见解。鉴于参与银屑病过程的各种细胞类型具有独特作用和重大贡献,全面分析不同细胞类型中的特定表观遗传模式成为阐明疾病发展机制的关键切入点。尽管表观遗传修饰包含多个复杂层面,但本综述将聚焦于组蛋白修饰和DNA甲基化,描述它们在不同细胞类型中的作用方式以及随后如何影响银屑病的病理生理过程。最后,我们将总结目前银屑病中组蛋白修饰和DNA甲基化研究存在的问题,并讨论将表观遗传修饰作为银屑病治疗策略的临床应用前景和挑战。