2017
DOI: 10.1371/journal.pone.0181486
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Interleukin-17A-induced production of acute serum amyloid A by keratinocytes contributes to psoriasis pathogenesis

Abstract: BackgroundAcute-serum Amyloid A (A-SAA), one of the major acute-phase proteins, is mainly produced in the liver but extra-hepatic synthesis involving the skin has been reported. Its expression is regulated by the transcription factors NF-κB, C/EBPβ, STAT3 activated by proinflammatory cytokines.ObjectivesWe investigated A-SAA synthesis by resting and cytokine-activated Normal Human Epidermal Keratinocytes (NHEK), and their inflammatory response to A-SAA stimulation. A-SAA expression was also studied in mouse sk… Show more

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Cited by 22 publications
(18 citation statements)
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“…Activated cells produce a vast number of pro-inflammatory cyto-and chemokines (such as interleukins, interferons -INF, etc.). The connection between psoriasis and at least IL-4, 17, 23 has been established [44,45,46]. Those are also a grip point for modern, biological treatment options, which inhibit the exaggerated immune reaction which is usually not present without a triggering factor.…”
Section: State Of Knowledgementioning
confidence: 99%
“…Activated cells produce a vast number of pro-inflammatory cyto-and chemokines (such as interleukins, interferons -INF, etc.). The connection between psoriasis and at least IL-4, 17, 23 has been established [44,45,46]. Those are also a grip point for modern, biological treatment options, which inhibit the exaggerated immune reaction which is usually not present without a triggering factor.…”
Section: State Of Knowledgementioning
confidence: 99%
“…SAA is a major serum acute-phase protein which impacts 1% of patients with chronic inflammation such as rheumatoid arthritis and neoplastic diseases [ 14 ]. It is mainly produced in the liver but extra-hepatic synthesis involving the skin and adipose tissue has been reported [ 15 ]. In the clinical field, SAA is an important biomarker for inflammatory diseases [ 15 , 16 , 17 ].…”
Section: Introductionmentioning
confidence: 99%
“…It is mainly produced in the liver but extra-hepatic synthesis involving the skin and adipose tissue has been reported [ 15 ]. In the clinical field, SAA is an important biomarker for inflammatory diseases [ 15 , 16 , 17 ]. The N-terminal of SAA is the most hydrophobic and amyloidogenic segment of the protein sequence and a driver of AA amyloidosis.…”
Section: Introductionmentioning
confidence: 99%
“…Moreover, pathogenic Th17-secreted IL-17 induces proliferation of keratinocytes and secretion of antimicrobial peptides, cytokines, and chemokines, which in turn recruit more immune cells to inflamed tissue. This positive feedback loop between Th17 cells and keratinocytes has been proved to contribute to the chronic inflammatory phase of psoriasis ( 43 , 49 , 50 ). Other proinflammatory factors released by pathogenic Th17 cells, such as IL-22, TNF-α, and granulocyte-macrophage colony-stimulating factor (GM-CSF), stimulate keratinocytes to release chemokines, further sustaining the inflammatory cycle to promote the development of psoriasis ( 51 , 52 ).…”
Section: The Main Role Of Pathogenic Th17 Cells In Psoriasismentioning
confidence: 98%
“…In addition, IL-23, which is produced by activated mDCs, drives naïve T cells to develop into pathogenic Th17 cells ( 42 ). IL-17, which is predominantly produced by pathogenic Th17 ( 43 ), is significantly elevated in patients with psoriasis compared with healthy subjects. Upregulated IL-17 has potent ability to recruit neutrophils ( 44 , 45 ), to activate T cells, to stimulate fibroblasts ( 46 ), and to promote development of multiple lineages of macrophages ( 47 , 48 ).…”
Section: The Main Role Of Pathogenic Th17 Cells In Psoriasismentioning
confidence: 99%