The role of PI3K/AKT/FOXO signaling in psoriasis

Miao Zhang1, Xiaoyan Zhang2

  • 1Graduate School, Beijing University of Chinese Medicine, Beijing, 100029, China.

Insights

The Phosphatidylinositol 3-kinase (PI3K)/protein kinase B (AKT) pathway and its downstream target, forkhead box O (FOXO) transcription factors, are crucial in keratinocyte proliferation and psoriasis. Dysregulation of this axis presents therapeutic targets for psoriasis.

Area of Science:

  • Dermatology
  • Molecular Biology
  • Cell Signaling

Background:

  • The Phosphatidylinositol 3-kinase (PI3K)/protein kinase B (AKT) pathway regulates cell proliferation and survival.
  • Forkhead box O (FOXO) transcription factors inhibit cell proliferation and are negatively regulated by PI3K/AKT signaling.
  • Psoriasis is a skin disease characterized by keratinocyte hyperproliferation, linked to PI3K/AKT pathway dysregulation and FOXO downregulation.

Purpose of the Study:

  • To review the roles and mechanisms of PI3K and AKT in keratinocyte hyperproliferation.
  • To examine the involvement of FOXO transcription factors in psoriasis.
  • To identify PI3K/AKT/FOXO signaling and associated molecules as potential therapeutic targets for psoriasis.

Main Methods:

  • Literature review of recent studies on PI3K/AKT/FOXO signaling in keratinocytes and psoriasis.
  • Analysis of molecular mechanisms regulating keratinocyte proliferation in psoriasis.
  • Investigation of upstream (e.g., PTEN) and downstream (e.g., mTOR) molecules in the PI3K/AKT pathway in psoriasis.

Main Results:

  • PI3K/AKT signaling promotes keratinocyte proliferation by activating AKT and downregulating FOXO.
  • Amplification of PI3K/AKT and loss of FOXO are observed in psoriatic lesions.
  • Alterations in upstream (PTEN) and downstream (mTOR) regulators of PI3K/AKT signaling are common in psoriasis.

Conclusions:

  • The PI3K/AKT/FOXO signaling axis plays a critical role in keratinocyte hyperproliferation in psoriasis.
  • Dysregulation of this pathway, including upstream and downstream molecules, contributes to psoriasis pathogenesis.
  • Targeting the PI3K/AKT/FOXO pathway offers a promising therapeutic strategy for psoriasis.

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