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Interplay Between Skin Microbiota Dysbiosis and the Host Immune System in Psoriasis: Potential Pathogenesis
Xiaoqian Liang1, Caixin Ou1, Jiayi Zhuang1
1Department of Dermatology, Dermatology Hospital of Southern Medical University, Guangzhou, China.
Abstract:
Psoriasis is a multifactorial immune-mediated disease. The highly effective and eligible treatment for psoriasis is limited, for its specific pathogenesis is incompletely elucidated. Skin microbiota is a research hotspot in the pathogenesis of immune-mediated inflammatory skin diseases nowadays, and it may have significant involvement in the provocation or exacerbation of psoriasis with broadly applicable prospects. It is postulated that skin microbiota alternation may interplay with innate immunity such as antimicrobial peptides and Toll-like receptors to stimulate T-cell populations, resulting in immune cascade responses and ultimately psoriasis. Achieving a thorough understanding of its underlying pathogenesis is crucial. Herein, we discuss the potential immunopathogenesis of psoriasis from the aspect of skin microbiota in an attempt to yield insights for novel therapeutic and preventive modalities for psoriasis.
Insights
Altered skin microbiota may trigger psoriasis by interacting with innate immunity, leading to immune responses. Understanding this link offers new treatment avenues for this immune-mediated skin disease.
Area of Science:
- Dermatology
- Immunology
- Microbiology
Background:
- Psoriasis is a complex immune-mediated skin condition with limited treatment options due to incomplete understanding of its pathogenesis.
- The role of skin microbiota in immune-mediated inflammatory skin diseases is a growing area of research.
Purpose of the Study:
- To explore the potential role of skin microbiota in the immunopathogenesis of psoriasis.
- To provide insights into novel therapeutic and preventive strategies for psoriasis.
Main Methods:
- Literature review and discussion of current research on skin microbiota and psoriasis.
- Postulation of mechanisms involving skin microbiota, innate immunity (antimicrobial peptides, Toll-like receptors), and T-cell activation.
Main Results:
- Skin microbiota alterations may contribute to psoriasis development and exacerbation.
- A proposed interplay between skin microbiota and innate immunity can stimulate T-cell responses, driving psoriatic inflammation.
Conclusions:
- Understanding the skin microbiota's role in psoriasis pathogenesis is crucial for developing new treatments.
- Targeting skin microbiota presents a promising avenue for future psoriasis therapies and prevention.
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