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Published on: September 16, 2020
Periostin in the pathogenesis of skin diseases
Hiroyuki Murota1, Yang Lingli2, Ichiro Katayama2
1Department of Dermatology, Course of Integrated Medicine, Graduate School of Medicine, Osaka University, 2-2 Yamadaoka, Suita, Osaka, 5650871, Japan. h-murota@derma.med.osaka-u.ac.jp.
Abstract:
Skin is an organ that is susceptible to damage by external injury, chronic inflammation, and autoimmunity. Tissue damage causes alterations in both the configuration and type of cells in lesional skin. This phenomenon, called tissue remodeling, is a universal biological response elicited by programmed cell death, inflammation, immune disorders, and tumorigenic, tumor proliferative, and cytoreductive activity. In this process, changes in the components of the extracellular matrix are required to provide an environment that facilitates tissue remodeling. Among these extracellular matrix components, periostin, a glycoprotein that is predominantly secreted from dermal fibroblasts, has attracted attention. Periostin localizes in the papillary dermis of normal skin, and is aberrantly expressed in the dermis of lesional skin in atopic dermatitis, scar, systemic/limited scleroderma, melanoma, cutaneous T cell lymphoma, and skin damage caused by allergic/autoimmune responses. Periostin induces processes that result in the development of dermal fibrosis, and activate or protract the immune response. The aim of this review was to summarize recent knowledge of the role of periostin in the pathogenesis of dermatoses, and to explore whether periostin is a potential therapeutic target for skin diseases.
Insights
Periostin, a skin glycoprotein, is abnormally expressed in various skin diseases and contributes to fibrosis and immune responses. Targeting periostin may offer new therapeutic strategies for dermatoses.
Area of Science:
- Dermatology
- Immunology
- Biochemistry
Background:
- Skin damage from injury, inflammation, and autoimmunity triggers tissue remodeling.
- Extracellular matrix components are crucial for facilitating tissue remodeling.
- Periostin, a glycoprotein from dermal fibroblasts, is a key component of the extracellular matrix.
Purpose of the Study:
- To review current knowledge on periostin's role in skin disease pathogenesis.
- To investigate periostin as a potential therapeutic target for dermatoses.
Main Methods:
- Literature review of studies on periostin in skin conditions.
- Analysis of periostin expression patterns in normal and lesional skin.
- Examination of periostin's functional roles in fibrosis and immune responses.
Main Results:
- Periostin is aberrantly expressed in various lesional skin conditions, including atopic dermatitis, scars, scleroderma, melanoma, and cutaneous T cell lymphoma.
- Periostin promotes dermal fibrosis and modulates immune responses.
- Aberrant periostin expression is linked to skin damage from allergic and autoimmune reactions.
Conclusions:
- Periostin plays a significant role in the pathogenesis of numerous dermatoses.
- Periostin represents a promising therapeutic target for treating various skin diseases.
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