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Published in: Clinical Reviews in Allergy & Immunology 3/2018

Open Access 01-12-2018

The Immunologic Role of IL-17 in Psoriasis and Psoriatic Arthritis Pathogenesis

Authors: Andrew Blauvelt, Andrea Chiricozzi

Published in: Clinical Reviews in Allergy & Immunology | Issue 3/2018

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Abstract

Psoriasis is a chronic, immune-mediated, inflammatory disease that is pathogenically driven by proinflammatory cytokines. This article reviews the immunologic role of interleukin (IL)-17, the major effector cytokine in the pathogenesis of psoriatic disease, along with the rationale for targeting the IL-17 cytokine family (IL-17A, IL-17F, and IL-17 receptor A) in the treatment of psoriasis and psoriatic arthritis. Emerging evidence indicates that major sources of IL-17A in patients with psoriatic disease are mast cells, γδ T cells, αβ T cells, and innate lymphoid cells in lesional skin and synovial fluid. Within the skin and joints, IL-17A acts on cellular targets, including keratinocytes, neutrophils, endothelial cells, fibroblasts, osteoclasts, chondrocytes, and osteoblasts, to stimulate production of various antimicrobial peptides, chemokines, and proinflammatory and proliferative cytokines, which, in turn, promote tissue inflammation and bone remodeling. The critical importance of the IL-23/IL-17A axis to the pathogenesis of psoriatic disease has resulted in many new biologic treatments targeting these cytokines. These biologics dramatically improve skin and joint symptoms in patients with moderate-to-severe psoriasis and psoriatic arthritis.
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Metadata
Title
The Immunologic Role of IL-17 in Psoriasis and Psoriatic Arthritis Pathogenesis
Authors
Andrew Blauvelt
Andrea Chiricozzi
Publication date
01-12-2018
Publisher
Springer US
Published in
Clinical Reviews in Allergy & Immunology / Issue 3/2018
Print ISSN: 1080-0549
Electronic ISSN: 1559-0267
DOI
https://doi.org/10.1007/s12016-018-8702-3

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