Monis Mohd, Mathur Pooja, Mishra Ashwini Kumar, Rani Laxmi
Department of Pharmacy, School of Healthcare and Allied Sciences, GD Goenka University, Sohna, Gurugram, Haryana, 122103, India.
Department of Pharmaceutics, Delhi Institute of Pharmaceutical Science and Research, DPSR University, Sector-3, MB Road Pushp Vihar, New Delhi, 110017, India.
Recent Adv Inflamm Allergy Drug Discov. 2025;19(2):158-172. doi: 10.2174/0127722708300943240724051518.
Psoriasis, a chronic inflammatory skin disorder affecting approximately 2% of the global population, is characterized by a complex interplay of immunological dysregulation, genetic predisposition, and environmental factors. This review explores the dynamic mechanisms underlying psoriasis, highlighting the role of T lymphocytes in targeting healthy skin cells, leading to inflammation and the formation of characteristic white scaly patches on various body parts. Over the past 15 years, significant strides in unraveling the origins of psoriasis have paved the way for the development of precise and highly effective treatments. Key insights into the pathogenesis, particularly the dominance of interleukin-17 (IL-17) and interleukin-23 (IL-23), have shaped therapeutic strategies to mitigate chronic inflammatory disorders. Notably, various therapies employing different mechanisms of action, including interleukin blockers and tumor necrosis factor-alpha (TNF- α) inhibitors, have emerged as valuable options for psoriasis management. This review provides a comprehensive overview of the current understanding of psoriasis pathophysiology and highlights advanced therapeutic approaches that are widely accessible. The focus extends to emerging targeted drugs, such as netakimab, which functions as an interleukin-17 blocker, currently undergoing clinical trials for psoriasis treatment. By synthesizing the latest research findings, this article aims to contribute to the knowledge base surrounding psoriasis, offering clinicians and researchers valuable insights into the evolving landscape of psoriasis treatment modalities.
银屑病是一种慢性炎症性皮肤病,影响着全球约2%的人口,其特征是免疫失调、遗传易感性和环境因素之间复杂的相互作用。本综述探讨了银屑病背后的动态机制,强调了T淋巴细胞在靶向健康皮肤细胞方面的作用,导致炎症以及身体各部位出现特征性的白色鳞屑斑块。在过去15年里,在揭示银屑病起源方面取得的重大进展为开发精确且高效的治疗方法铺平了道路。对发病机制的关键见解,特别是白细胞介素-17(IL-17)和白细胞介素-23(IL-23)的主导作用,塑造了减轻慢性炎症性疾病的治疗策略。值得注意的是,各种采用不同作用机制的疗法,包括白细胞介素阻滞剂和肿瘤坏死因子-α(TNF-α)抑制剂,已成为银屑病治疗的有价值选择。本综述全面概述了目前对银屑病病理生理学的理解,并强调了广泛可用的先进治疗方法。重点延伸到新兴的靶向药物,如奈他珠单抗,它作为一种白细胞介素-17阻滞剂,目前正在进行银屑病治疗的临床试验。通过综合最新研究结果,本文旨在为围绕银屑病的知识库做出贡献,为临床医生和研究人员提供有关银屑病治疗方式不断演变的宝贵见解。