2012
DOI: 10.1155/2012/539683
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The Th17/IL-23 Axis and Natural Immunity in Psoriatic Arthritis

Abstract: Psoriatic arthritis (PsA) is a chronic inflammatory skin disease that causes enthesitis and destructive arthritis and significantly lowers patient quality of life. Recognition of the two target organs (the skin and joints) involved in the immunopathophysiology of PsA helped in elucidating the pathology of various systemic autoimmune diseases targeting multiple organs. Recent advances in immunology and genetics have made it clear that acquired immunity, especially that mediated by the Th17/IL-23 axis, plays an … Show more

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Cited by 43 publications
(40 citation statements)
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References 72 publications
(77 reference statements)
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“…Based on the large number of IFN-γ-producing cells found in cutaneous eruptions, Ps and PsA were earlier classified as Th1 cell-mediated diseases, but recent studies suggested a crucial role for Th17 cells (11). Clearly, an immune response to yeast is dependent on Th17 (IL-23/IL-17A) pathway (24).…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Based on the large number of IFN-γ-producing cells found in cutaneous eruptions, Ps and PsA were earlier classified as Th1 cell-mediated diseases, but recent studies suggested a crucial role for Th17 cells (11). Clearly, an immune response to yeast is dependent on Th17 (IL-23/IL-17A) pathway (24).…”
Section: Discussionmentioning
confidence: 99%
“…Although Ps and PsA were earlier categorized as T helper (Th) 1 cell-mediated diseases, later studies demonstrated the significance of Th17 cells in disease pathology (11,12). Nishimoto et al (13) proposed that Th17 cells carrying T-cell receptor (TCR) recognizing epidermal autoantigen could induce IL-17-dependent Ps-like skin inflammation in mice.…”
mentioning
confidence: 99%
“…Th17 cells are a distinct T cell subset involved in autoimmune disease (32,33,(35)(36)(37). IL-17 enhances production of inflammatory cytokines and chemokines from RA synoviocytes (38).…”
Section: Discussionmentioning
confidence: 99%
“…PsA has long been considered as a Th1-mediated disease, with interferon (IFN)-g and IL-12 as signature cytokines [43]. Recently, however, it has been shown that both innate and adaptive immunity, leading to the activation of the IL-23/Th17 axis, may contribute to the initiation of tissue inflammation [44][45][46]. More recently, IL-9 has been also demonstrated to be involved in the pathogenesis of psoriasis [47].…”
Section: Il-9 and Th9 Cells In Psoriatic Arthritismentioning
confidence: 99%