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Genetic polymorphisms altering microRNA activity in psoriasis--a key to solve the puzzle of missing heritability?
Andor Pivarcsi1, Mona Ståhle, Enikő Sonkoly
1Unit of Dermatology and Venerology, Department of Medicine, Karolinska Institutet, Stockholm, Sweden.
Abstract:
Psoriasis is a chronic immune-mediated skin disease in which the balance in the interplay of immune cells and keratinocytes is disturbed. MicroRNAs (miRNAs) are endogenous small regulatory RNAs that stabilize cellular phenotypes and fine-tune signal transduction feedback loops through the regulation of gene networks. Through the regulation of their multiple target genes, miRNAs regulate the development of inflammatory cell subsets and have a significant impact on the magnitude of inflammatory responses. Since the discovery of deregulated miRNA expression in psoriasis, we have learned that they can regulate differentiation, proliferation and cytokine response of keratinocytes, activation and survival of T cells and the crosstalk between immunocytes and keratinocytes through the regulation of chemokine production. In recent years, it became apparent that genetic polymorphisms in miRNA genes and/or in miRNA binding sites of target genes can affect miRNA activity and contribute to disease susceptibility. Psoriasis has a strong genetic background; however, the contribution of genetic variants involving miRNAs is largely unexplored in psoriasis. We propose that changes in miRNA-mediated gene regulation may be a major contributor to the disturbed balance in immune regulation that results in chronic skin inflammation. In this viewpoint essay, we focus on the emerging new aspects of the role of miRNAs in psoriasis and propose that genetic polymorphisms that affect miRNA activity might be important in the pathogenesis of psoriasis.
Insights
MicroRNAs (miRNAs) are key regulators of gene expression involved in psoriasis pathogenesis. Genetic variations in miRNAs may significantly contribute to this chronic immune-mediated skin disease.
Area of Science:
- Immunodermatology
- Molecular Biology
- Genetics
Background:
- Psoriasis is a chronic immune-mediated skin disease characterized by an imbalance between immune cells and keratinocytes.
- MicroRNAs (miRNAs) are small regulatory RNAs that control gene expression and cellular functions, impacting inflammatory responses.
- Dysregulated miRNA expression is observed in psoriasis, affecting keratinocyte and T-cell functions and immune cell crosstalk.
Purpose of the Study:
- To explore the emerging roles of miRNAs in psoriasis.
- To investigate the potential contribution of genetic polymorphisms in miRNAs to psoriasis susceptibility and pathogenesis.
Main Methods:
- This viewpoint essay synthesizes current research on miRNA function in psoriasis.
- It discusses the impact of genetic variants in miRNA genes and their target binding sites on miRNA activity.
- The essay reviews the role of miRNAs in regulating immune cell differentiation, proliferation, survival, and keratinocyte crosstalk.
Main Results:
- miRNAs regulate critical cellular processes in psoriasis, including keratinocyte differentiation and proliferation, T-cell activation, and immune cell communication.
- Genetic polymorphisms within miRNA genes or their target sites can alter miRNA activity.
- These genetic variations may influence an individual's susceptibility to developing psoriasis.
Conclusions:
- Changes in miRNA-mediated gene regulation are likely major contributors to the immune dysregulation seen in psoriasis.
- Genetic polymorphisms affecting miRNA activity represent a significant, yet largely unexplored, factor in psoriasis pathogenesis.
- Further research into miRNA genetics is crucial for understanding psoriasis development and potentially identifying new therapeutic targets.
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