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The role of PI3K/AKT/FOXO signaling in psoriasis
1Graduate School, Beijing University of Chinese Medicine, Beijing, 100029, China.
Abstract:
Phosphatidylinositol 3-kinase (PI3K) and protein kinase B (AKT) signaling pathway play a central role in multiple cellular functions such as cell proliferation and survival. The forkhead box O (FOXO) transcription factors are negatively regulated by the PI3K/AKT signaling pathway and considered to have inhibitory effect on cell proliferation. Psoriasis is a multifactorial disease with a strong genetic background and characterized by hyperproliferative keratinocyte. PI3K signaling regulates proliferation of keratinocyte by activating AKT and other targets, and by inducing FOXO downregulation. The amplification of PI3K and AKT and the loss of the FOXO are gradually being recognized in psoriatic lesions. The upstream and downstream of PI3K/AKT signaling molecules such as tumor suppressor phosphatase and tensin homolog (PTEN) and mammalian target of Rapamycin (mTOR), respectively, are also frequently altered in psoriasis. In this review, we highlight the recent studies on the roles and mechanisms of PI3K and AKT in regulating hyperproliferation of keratinocyte, and the roles of the downstream targets FOXO in psoriasis. Finally, we summarized that PI3K/AKT/FOXO signaling and its upstream and downstream molecule which could be underlying therapeutic target for psoriasis. This article is part of a special issue entitled: PI3K-AKT-FOXO axis in psoriasis.
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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