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Comprehensive Analysis of Procoagulant Platelets Exhibiting Features of Necrosis, Apoptosis and Platelet Activation
Published on: May 23, 2025
Platelet activation: a promoter for psoriasis and its comorbidity, cardiovascular disease
Ziqi Jiang1, Xiaoran Jiang2, Aijun Chen1
1Department of Dermatology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Insights
Platelet activation contributes to psoriasis and its associated cardiovascular disease (CVD). Understanding these mechanisms may improve CVD risk prediction and treatment for psoriasis patients.
Area of Science:
- Dermatology
- Immunology
- Cardiology
Background:
- Psoriasis is a chronic inflammatory skin disease linked to immune system dysregulation.
- Psoriasis patients have a higher risk of developing cardiovascular disease (CVD).
- Platelets are key in hemostasis and thromboinflammation, but their role in psoriasis and associated CVD is unclear.
Purpose of the Study:
- To review evidence on platelet activation biomarkers and mechanisms in psoriasis.
- To explore the role of platelet activation in psoriasis-associated CVD.
- To discuss antiplatelet therapy implications for psoriasis and CVD prevention.
Main Methods:
- Literature review of existing studies on platelet activation in psoriasis and CVD.
- Analysis of biomarkers and pathophysiological mechanisms.
- Discussion of therapeutic strategies involving antiplatelet agents.
Main Results:
- Platelet activation is implicated in the pathophysiology of psoriasis.
- Platelet activation contributes to the development of cardiovascular disease in psoriasis patients.
- Antiplatelet therapies show potential for managing psoriasis and preventing associated CVD.
Conclusions:
- Platelet activation is a significant factor in psoriasis and its cardiovascular complications.
- Targeting platelet activation may offer novel therapeutic avenues.
- Further research is needed to fully elucidate the role of platelets and optimize antiplatelet treatments.
Abstract:
Psoriasis is a chronic inflammatory skin disease with a prevalence of 0.14% to 1.99%. The underlying pathology is mainly driven by the abnormal immune responses including activation of Th1, Th17, Th22 cells and secretion of cytokines. Patients with psoriasis are more likely to develop cardiovascular disease (CVD) which has been well recognized as a comorbidity of psoriasis. As mediators of hemostasis and thromboinflammation, platelets play an important part in CVD. However, less is known about their pathophysiological contribution to psoriasis and psoriasis-associated CVD. A comprehensive understanding of the role of platelet activation in psoriasis might pave the path for more accurate prediction of cardiovascular (CV) risk and provide new strategies for psoriasis management, which alleviates the increased CV burden associated with psoriasis. Here we review the available evidence about the biomarkers and mechanisms of platelet activation in psoriasis and the role of platelet activation in intriguing the common comorbidity, CVD. We further discussed the implications and efficacy of antiplatelet therapies in the treatment of psoriasis and prevention of psoriasis-associated CVD.
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