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Autoantibodies in Psoriatic Disease
John Koussiouris1,2, Vinod Chandran1,2,3,4,5
1Schroeder Arthritis Institute, Krembil Research Institute, University Health Network, Toronto, Ontario, Canada.
Psoriatic disease, including psoriasis and psoriatic arthritis, involves an autoimmune component, as evidenced by elevated autoantibodies in patients. These autoantibodies correlate with disease activity and treatment response.
Area of Science:
- Immunology
- Dermatology
- Rheumatology
Background:
- Psoriasis (Ps) affects millions, with psoriatic arthritis (PsA) impacting a quarter of patients.
- Psoriatic disease is an immune-mediated inflammatory condition with autoimmune and autoinflammatory characteristics.
- Inflammation in psoriatic disease is driven by innate immune cells, with a lymphocytic infiltrate.
Purpose of the Study:
- To review the literature on autoantibodies in psoriatic disease.
- To examine the clinical significance of identified autoantibodies.
- To assess associations with diagnosis, disease activity, and treatment.
Main Methods:
- Narrative review of existing scientific literature.
- Analysis of studies reporting autoantibody presence in psoriasis and psoriatic arthritis.
- Evaluation of data on autoantibody frequency and clinical correlations.
Main Results:
- Numerous autoantibodies have been identified in psoriatic disease patients.
- Many autoantibodies are elevated and linked to disease activity and treatment response.
- Associations with cardiovascular disease risk were also noted.
Conclusions:
- Autoantibodies suggest an autoimmune component in psoriatic disease.
- Further research is needed to clarify the clinical utility and pathogenic role of these autoantibodies.
- The findings highlight the complexity of psoriatic disease pathogenesis.
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