Frontiers in Immunology (Jan 2024)

Immune cells in the epithelial immune microenvironment of psoriasis: emerging therapeutic targets

  • Lisha Li,
  • Lisha Li,
  • Lisha Li,
  • Jiaye Lu,
  • Jiaye Lu,
  • Jiaye Lu,
  • Jun Liu,
  • Jun Liu,
  • Junchao Wu,
  • Junchao Wu,
  • Junchao Wu,
  • Xinyue Zhang,
  • Xinyue Zhang,
  • Yu Meng,
  • Yu Meng,
  • Xiying Wu,
  • Xiying Wu,
  • Zongguang Tai,
  • Zongguang Tai,
  • Quangang Zhu,
  • Quangang Zhu,
  • Quangang Zhu,
  • Zhongjian Chen,
  • Zhongjian Chen,
  • Zhongjian Chen

DOI
https://doi.org/10.3389/fimmu.2023.1340677
Journal volume & issue
Vol. 14

Abstract

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Psoriasis is a chronic autoimmune inflammatory disease characterized by erroneous metabolism of keratinocytes. The development of psoriasis is closely related to abnormal activation and disorders of the immune system. Dysregulated skin protective mechanisms can activate inflammatory pathways within the epithelial immune microenvironment (EIME), leading to the development of autoimmune-related and inflammatory skin diseases. In this review, we initially emphasized the pathogenesis of psoriasis, paying particular attention to the interactions between the abnormal activation of immune cells and the production of cytokines in psoriasis. Subsequently, we delved into the significance of the interactions between EIME and immune cells in the emergence of psoriasis. A thorough understanding of these immune processes is crucial to the development of targeted therapies for psoriasis. Finally, we discussed the potential novel targeted therapies aimed at modulating the EIME in psoriasis. This comprehensive examination sheds light on the intricate underlying immune mechanisms and provides insights into potential therapeutic avenues of immune-mediated inflammatory diseases.

Keywords