中华皮肤科杂志 ›› 2021, Vol. 54 ›› Issue (9): 830-834.doi: 10.35541/cjd.20191104

• 综述 • 上一篇    下一篇

寻常型银屑病皮损部位主要免疫相关细胞的研究进展

林路洋1,2    陈政良2    张锡宝1   

  1. 1广州医科大学皮肤病研究所  广州市皮肤病防治所  510095;2南方医科大学基础医学院免疫学教研室,广州  510000
  • 收稿日期:2019-11-21 修回日期:2020-07-12 发布日期:2021-09-02
  • 通讯作者: 张锡宝;陈政良 E-mail:zxibao@126.com; zhlchen@smu.edu.cn
  • 基金资助:
    皮肤病学教育部重点实验室开放课题基金(201702005、201702027)

Major immune-related cells in psoriasis vulgaris lesions

Lin Luyang1,2, Chen Zhengliang2, Zhang Xibao1   

  1. 1Guangzhou Institute of Dermatology, Institute of Dermatology, Guangzhou Medical University, Guangzhou 510095, China; 2Department of Immunology, School of Basic Medical Science, Southern Medical University, Guangzhou 510000, China
  • Received:2019-11-21 Revised:2020-07-12 Published:2021-09-02
  • Contact: Zhang Xibao; Chen Zhengliang E-mail:zxibao@126.com; zhlchen@smu.edu.cn
  • Supported by:
    Open Foundation of Key Laboratory of Dermatology, Ministry of Education, China(201702005、201702027)

摘要: 【摘要】 寻常型银屑病是一种反复发作的炎症性皮肤病,多种因素,如外伤、感染等,可以破坏皮肤屏障功能,进而打破免疫自稳和免疫耐受平衡,使皮肤局部多种免疫相关细胞的功能和/或数量异常,引起皮损部位角质形成细胞异常增生及过度的炎症反应等银屑病性损害。皮损部位各种免疫细胞通过表面分子感受周围环境变化(自分泌或旁分泌)后,表达并分泌多种炎症相关因子,如果免疫自稳和免疫耐受的维持机制失效,则在局部形成由炎症相关因子介导的炎症正反馈网络,从而引发寻常型银屑病。本文从皮损部位免疫相关细胞的角度,特别是固有免疫细胞如γδT细胞等,综述寻常型银屑病的免疫病理机制研究进展。

关键词: 银屑病, 炎症, 角质形成细胞, 树突细胞, 固有免疫, T淋巴细胞, γδT细胞

Abstract: 【Abstract】 Psoriasis vulgaris is a recurrent inflammatory skin disease. A variety of factors, such as trauma and infection, can destroy the skin barrier function, thereby breaking the balance of immune homeostasis and tolerance, causing abnormal function and/or number of various immune-related cells in local skin, resulting in psoriasis-like skin changes such as abnormal proliferation of keratinocytes and excessive inflammatory reactions in skin lesions. Various immune cells in skin lesions can sense changes in the surrounding environment (autocrine or paracrine) through surface molecules, and then express and secrete a variety of inflammation-related factors; if maintenance mechanisms for immune homeostasis and tolerance become invalid, the positive feedback network of inflammation mediated by inflammation-related factors will be formed locally, leading to the occurrence of psoriasis vulgaris. This review summarizes research progress in the role of immune-related cells in skin lesions in the immunopathological mechanism of psoriasis vulgaris, especially innate immune cells such as γδT cells.

Key words: Psoriasis, Inflammation, Keratinocytes, Dendritic cells, Innate immunity, T-lymphocytes, γδT cell