Antimicrobial peptides as an argument for the involvement of innate immunity in psoriasis (Review)

Mihail Alecu1,2, Gabriela Coman1, Alina Mușetescu1,2

  • 1Department of Dermatovenereology, 'Dr. Victor Babes' Clinical Hospital for Infectious and Tropical Diseases, 030303 Bucharest, Romania.

Insights

Antimicrobial peptides (AMPs) are key players in innate immunity, crucial for fighting pathogens and regulating inflammation. In psoriasis, AMPs contribute to the autoimmune response and disease persistence.

Area of Science:

  • Immunology
  • Dermatology
  • Biochemistry

Background:

  • Antimicrobial peptides (AMPs) are vital components of the innate immune system, exhibiting broad-spectrum antimicrobial activity.
  • AMPs play a significant role in modulating inflammatory responses, influencing cytokine secretion and immune cell activation.
  • Their involvement extends to cellular processes like differentiation and proliferation, highlighting their complex role in health and disease.

Purpose of the Study:

  • To elucidate the role of antimicrobial peptides (AMPs) in the pathogenesis of psoriasis.
  • To investigate the contribution of AMPs to the innate and adaptive immune responses in psoriasis.
  • To explore the potential of AMPs as therapeutic targets in chronic inflammatory skin diseases.

Main Methods:

  • Review of existing literature on AMPs, innate immunity, and psoriasis pathogenesis.
  • Analysis of the molecular mechanisms by which AMPs exert pro-inflammatory and autoimmune effects.
  • Examination of the role of specific AMPs, such as cathelicidin (LL-37), in psoriasis.

Main Results:

  • AMPs exhibit potent pro-inflammatory and chemotactic activities, contributing to the inflammatory milieu in psoriasis.
  • The cathelicidin (LL-37)/DNA complex acts as an autoantigen, potentially triggering autoimmune responses via T cells.
  • AMPs are implicated in activating the Th17/IL23 axis, a critical pathway in maintaining psoriatic inflammation.

Conclusions:

  • Innate immunity, particularly through AMPs, represents a significant link in the pathogenesis of psoriasis.
  • AMPs are central to both the innate immune defense and the autoimmune aspects of psoriasis.
  • Understanding AMPs' multifaceted roles offers potential for novel therapeutic strategies for psoriasis.

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