Chinese Journal of Dermatology ›› 2026, Vol. 59 ›› Issue (9): 905-910.doi: 10.35541/cjd.20220865
• Reviews • Previous Articles Next Articles
Chen Xingyu, Yao Xu
Received:2022-12-05
Revised:2023-12-22
Online:2026-09-15
Published:2026-09-03
Contact:
Yao Xu
E-mail:dryao_xu@126.com
Supported by:Chen Xingyu, Yao Xu. Role of neutrophils in inflammatory dermatoses[J]. Chinese Journal of Dermatology, 2026, 59(9): 905-910.doi:10.35541/cjd.20220865
| [1] | Burn GL, Foti A, Marsman G, et al. The neutrophil[J]. Immunity, 2021,54(7):1377⁃1391. doi: 10.1016/j.immuni.2021.06.006. |
| [2] | Stark MA, Huo Y, Burcin TL, et al. Phagocytosis of apoptotic neutrophils regulates granulopoiesis via IL⁃23 and IL⁃17[J]. Immunity, 2005,22(3):285⁃294. doi: 10.1016/j.immuni.2005.01. 011. |
| [3] | Nakabo S, Romo⁃Tena J, Kaplan MJ. Neutrophils as drivers of immune dysregulation in autoimmune diseases with skin manifestations[J]. J Invest Dermatol, 2022,142(3 Pt B):823⁃833. doi: 10.1016/j.jid.2021.04.014. |
| [4] | Caielli S, Athale S, Domic B, et al. Oxidized mitochondrial nucleoids released by neutrophils drive type I interferon production in human lupus[J]. J Exp Med, 2016,213(5):697⁃713. doi: 10.1084/jem.20151876. |
| [5] | Papayannopoulos V. Neutrophil extracellular traps in immunity and disease[J]. Nat Rev Immunol, 2018,18(2):134⁃147. doi: 10.1038/nri.2017.105. |
| [6] | Eash KJ, Greenbaum AM, Gopalan PK, et al. CXCR2 and CXCR4 antagonistically regulate neutrophil trafficking from murine bone marrow[J]. J Clin Invest, 2010,120(7):2423⁃2431. doi: 10.1172/JCI41649. |
| [7] | Pérez⁃Figueroa E, Álvarez⁃Carrasco P, Ortega E, et al. Neutrophils: many ways to die[J]. Front Immunol, 2021,12:631821. doi: 10.3389/fimmu.2021.631821. |
| [8] | Pires RH, Felix SB, Delcea M. The architecture of neutrophil extracellular traps investigated by atomic force microscopy[J]. Nanoscale, 2016,8(29):14193⁃14202. doi: 10.1039/c6nr03416k. |
| [9] | Brinkmann V, Reichard U, Goosmann C, et al. Neutrophil extracellular traps kill bacteria[J]. Science, 2004,303(5663):1532⁃1535. doi: 10.1126/science.1092385. |
| [10] | Garcia⁃Romo GS, Caielli S, Vega B, et al. Netting neutrophils are major inducers of type I IFN production in pediatric systemic lupus erythematosus[J]. Sci Transl Med, 2011,3(73):73ra20. doi: 10.1126/scitranslmed.3001201. |
| [11] | Kienhöfer D, Hahn J, Stoof J, et al. Experimental lupus is aggravated in mouse strains with impaired induction of neutrophil extracellular traps[J]. JCI Insight, 2017,2(10):e92920. doi: 10.1172/jci.insight.92920. |
| [12] | van der Linden M, van den Hoogen LL, Westerlaken G, et al. Neutrophil extracellular trap release is associated with antinuclear antibodies in systemic lupus erythematosus and anti⁃phospholipid syndrome[J]. Rheumatology (Oxford), 2018,57(7):1228⁃1234. doi: 10.1093/rheumatology/key067. |
| [13] | Carmona⁃Rivera C, Zhao W, Yalavarthi S, et al. Neutrophil extracellular traps induce endothelial dysfunction in systemic lupus erythematosus through the activation of matrix metalloproteinase⁃2[J]. Ann Rheum Dis, 2015,74(7):1417⁃1424. doi: 10.1136/annrheumdis⁃2013⁃204837. |
| [14] | Radermecker C, Sabatel C, Vanwinge C, et al. Locally instructed CXCR4hi neutrophils trigger environment⁃driven allergic asthma through the release of neutrophil extracellular traps[J]. Nat Immunol, 2019,20(11):1444⁃1455. doi: 10.1038/s41590⁃019⁃0496⁃9. |
| [15] | Guo Y, Kasahara S, Jhingran A, et al. During Aspergillus infection, monocyte⁃derived DCs, neutrophils, and plasmacytoid DCs enhance innate immune defense through CXCR3⁃dependent crosstalk[J]. Cell Host Microbe, 2020,28(1):104⁃116.e4. doi: 10.1016/j.chom.2020.05.002. |
| [16] | Funch AB, Mraz V, Gadsbøll AØ, et al. CD8+ tissue⁃resident memory T cells recruit neutrophils that are essential for flare⁃ups in contact dermatitis[J]. Allergy, 2022,77(2):513⁃524. doi: 10. 1111/all.14986. |
| [17] | Wang J, Wang J. Neutrophils, functions beyond host defense[J]. Cell Immunol, 2022,379:104579. doi: 10.1016/j.cellimm.2022. 104579. |
| [18] | Özcan A, Collado⁃Diaz V, Egholm C, et al. CCR7⁃guided neutrophil redirection to skin⁃draining lymph nodes regulates cutaneous inflammation and infection[J]. Sci Immunol, 2022,7(68):eabi9126. doi: 10.1126/sciimmunol.abi9126. |
| [19] | Rodriguez⁃Rosales YA, Langereis JD, Gorris M, et al. Immunomodulatory aged neutrophils are augmented in blood and skin of psoriasis patients[J]. J Allergy Clin Immunol, 2021,148(4):1030⁃1040. doi: 10.1016/j.jaci.2021.02.041. |
| [20] | Czerwińska J, Owczarczyk⁃Saczonek A. The role of the neutrophilic network in the pathogenesis of psoriasis[J]. Int J Mol Sci, 2022,23(3):1840. doi: 10.3390/ijms23031840. |
| [21] | Dragan M, Sun P, Chen Z, et al. Epidermis⁃intrinsic transcription factor Ovol1 coordinately regulates barrier maintenance and neutrophil accumulation in psoriasis⁃like inflammation[J]. J Invest Dermatol, 2022,142(3 Pt A):583⁃593.e5. doi: 10.1016/j.jid.2021.08.397. |
| [22] | Skrzeczynska⁃Moncznik J, Zabieglo K, Osiecka O, et al. Differences in staining for neutrophil elastase and its controlling inhibitor SLPI reveal heterogeneity among neutrophils in psoriasis[J]. J Invest Dermatol, 2020,140(7):1371⁃1378.e3. doi: 10.1016/j.jid.2019.12.015. |
| [23] | Kim HJ, Roh JY, Jung Y. Eosinophils accelerate pathogenesis of psoriasis by supporting an inflammatory milieu that promotes neutrophil infiltration[J]. J Invest Dermatol, 2018,138(10):2185⁃2194. doi: 10.1016/j.jid.2018.03.1509. |
| [24] | Metzemaekers M, Gouwy M, Proost P. Neutrophil chemoattractant receptors in health and disease: double⁃edged swords[J]. Cell Mol Immunol, 2020,17(5):433⁃450. doi: 10.1038/s41423⁃020⁃0412⁃0. |
| [25] | Liu XT, Shi ZR, Lu SY, et al. Enhanced migratory ability of neutrophils toward epidermis contributes to the development of psoriasis via crosstalk with keratinocytes by releasing IL⁃17A[J]. Front Immunol, 2022,13:817040. doi: 10.3389/fimmu.2022. 817040. |
| [26] | Chen J, Zhu Z, Li Q, et al. Neutrophils enhance cutaneous vascular dilation and permeability to aggravate psoriasis by releasing matrix metallopeptidase 9[J]. J Invest Dermatol, 2021,141(4):787⁃799. doi: 10.1016/j.jid.2020.07.028. |
| [27] | Chiang CC, Cheng WJ, Korinek M, et al. Neutrophils in psoriasis[J]. Front Immunol, 2019,10:2376. doi: 10.3389/fimmu.2019. 02376. |
| [28] | Lande R, Botti E, Jandus C, et al. The antimicrobial peptide LL37 is a T⁃cell autoantigen in psoriasis[J]. Nat Commun, 2014,5:5621. doi: 10.1038/ncomms6621. |
| [29] | Ganguly D, Chamilos G, Lande R, et al. Self⁃RNA⁃antimicrobial peptide complexes activate human dendritic cells through TLR7 and TLR8[J]. J Exp Med, 2009,206(9):1983⁃1994. doi: 10. 1084/jem.20090480. |
| [30] | Xhindoli D, Pacor S, Benincasa M, et al. The human cathelicidin LL⁃37⁃⁃a pore⁃forming antibacterial peptide and host⁃cell modulator[J]. Biochim Biophys Acta, 2016,1858(3):546⁃566. doi: 10.1016/j.bbamem.2015.11.003. |
| [31] | Herster F, Bittner Z, Archer NK, et al. Neutrophil extracellular trap⁃associated RNA and LL37 enable self⁃amplifying inflammation in psoriasis[J]. Nat Commun, 2020,11(1):105. doi: 10.1038/s41467⁃019⁃13756⁃4. |
| [32] | Lambert S, Hambro CA, Johnston A, et al. Neutrophil extracellular traps induce human Th17 cells: effect of psoriasis⁃associated TRAF3IP2 genotype[J]. J Invest Dermatol, 2019,139(6):1245⁃1253. doi: 10.1016/j.jid.2018.11.021. |
| [33] | Skrzeczynska⁃Moncznik J, Zabieglo K, Bossowski JP, et al. Eosinophils regulate interferon alpha production in plasmacytoid dendritic cells stimulated with components of neutrophil extracellular traps[J]. J Interferon Cytokine Res, 2017,37(3):119⁃128. doi: 10.1089/jir.2016.0036. |
| [34] | Carmona⁃Rivera C, Kaplan MJ. Low⁃density granulocytes: a distinct class of neutrophils in systemic autoimmunity[J]. Semin Immunopathol, 2013,35(4):455⁃463. doi: 10.1007/s00281⁃013⁃0375⁃7. |
| [35] | Fresneda Alarcon M, McLaren Z, Wright HL. Neutrophils in the pathogenesis of rheumatoid arthritis and systemic lupus erythematosus: same foe different M.O[J]. Front Immunol, 2021,12:649693. doi: 10.3389/fimmu.2021.649693. |
| [36] | Rahman S, Sagar D, Hanna RN, et al. Low⁃density granulocytes activate T cells and demonstrate a non⁃suppressive role in systemic lupus erythematosus[J]. Ann Rheum Dis, 2019,78(7):957⁃966. doi: 10.1136/annrheumdis⁃2018⁃214620. |
| [37] | Mistry P, Nakabo S, O′Neil L, et al. Transcriptomic, epigenetic, and functional analyses implicate neutrophil diversity in the pathogenesis of systemic lupus erythematosus[J]. Proc Natl Acad Sci U S A, 2019,116(50):25222⁃25228. doi: 10.1073/pnas.1908576116. |
| [38] | Kahlenberg JM, Carmona⁃Rivera C, Smith CK, et al. Neutrophil extracellular trap⁃associated protein activation of the NLRP3 inflammasome is enhanced in lupus macrophages[J]. J Immunol, 2013,190(3):1217⁃1226. doi: 10.4049/jimmunol.1202388. |
| [39] | Bauernfeind FG, Horvath G, Stutz A, et al. Cutting edge: NF⁃kappaB activating pattern recognition and cytokine receptors license NLRP3 inflammasome activation by regulating NLRP3 expression[J]. J Immunol, 2009,183(2):787⁃791. doi: 10.4049/jimmunol.0901363. |
| [40] | Gestermann N, Di Domizio J, Lande R, et al. Netting neutrophils activate autoreactive B cells in lupus[J]. J Immunol, 2018,200(10):3364⁃3371. doi: 10.4049/jimmunol.1700778. |
| [41] | Lande R, Ganguly D, Facchinetti V, et al. Neutrophils activate plasmacytoid dendritic cells by releasing self⁃DNA⁃peptide complexes in systemic lupus erythematosus[J]. Sci Transl Med, 2011,3(73):73ra19. doi: 10.1126/scitranslmed.3001180. |
| [42] | Diaz⁃Perez JA, Killeen ME, Yang Y, et al. Extracellular ATP and IL⁃23 form a local inflammatory circuit leading to the development of a neutrophil⁃dependent psoriasiform dermatitis[J]. J Invest Dermatol, 2018,138(12):2595⁃2605. doi: 10.1016/j.jid.2018.05.018. |
| [43] | Toussaint M, Jackson DJ, Swieboda D, et al. Host DNA released by NETosis promotes rhinovirus⁃induced type⁃2 allergic asthma exacerbation[J]. Nat Med, 2017,23(6):681⁃691. doi: 10.1038/nm.4332. |
| [44] | Inokuchi⁃Sakata S, Ishiuji Y, Katsuta M, et al. Role of eosinophil relative count and neutrophil⁃to⁃lymphocyte ratio in the assessment of severity of atopic dermatitis[J]. Acta Derm Venereol, 2021,101(7):adv00491. doi: 10.2340/00015555⁃3838. |
| [45] | Impellizzieri D, Ridder F, Raeber ME, et al. IL⁃4 receptor engagement in human neutrophils impairs their migration and extracellular trap formation[J]. J Allergy Clin Immunol, 2019,144(1):267⁃279.e4. doi: 10.1016/j.jaci.2019.01.042. |
| [46] | Heeb L, Egholm C, Boyman O. Evolution and function of interleukin⁃4 receptor signaling in adaptive immunity and neutrophils[J]. Genes Immun, 2020,21(3):143⁃149. doi: 10. 1038/s41435⁃020⁃0095⁃7. |
| [47] | Woytschak J, Keller N, Krieg C, et al. Type 2 interleukin⁃4 receptor signaling in neutrophils antagonizes their expansion and migration during infection and inflammation[J]. Immunity, 2016,45(1):172⁃184. doi: 10.1016/j.immuni.2016.06.025. |
| [48] | Egholm C, Özcan A, Breu D, et al. Type 2 immune predisposition results in accelerated neutrophil aging causing susceptibility to bacterial infection[J]. Sci Immunol, 2022,7(71):eabi9733. doi: 10.1126/sciimmunol.abi9733. |
| [49] | Dhingra N, Suárez⁃Fariñas M, Fuentes⁃Duculan J, et al. Attenuated neutrophil axis in atopic dermatitis compared to psoriasis reflects TH17 pathway differences between these diseases[J]. J Allergy Clin Immunol, 2013,132(2):498⁃501.e3. doi: 10.1016/j.jaci.2013.04.043. |
| [50] | Bitschar K, Staudenmaier L, Klink L, et al. Staphylococcus aureus skin colonization is enhanced by the interaction of neutrophil extracellular traps with keratinocytes[J]. J Invest Dermatol, 2020,140(5):1054⁃1065.e4. doi: 10.1016/j.jid.2019. 10.017. |
| [51] | Geoghegan JA, Irvine AD, Foster TJ. Staphylococcus aureus and atopic dermatitis: a complex and evolving relationship[J]. Trends Microbiol, 2018,26(6):484⁃497. doi: 10.1016/j.tim.2017.11.008. |
| [52] | Liew FY, Girard JP, Turnquist HR. Interleukin⁃33 in health and disease[J]. Nat Rev Immunol, 2016,16(11):676⁃689. doi: 10. 1038/nri.2016.95. |
| [53] | Wang X, Li X, Chen L, et al. Interleukin⁃33 facilitates cutaneous defense against Staphylococcus aureus by promoting the develop⁃ment of neutrophil extracellular trap[J]. Int Immunopharmacol, 2020,81:106256. doi: 10.1016/j.intimp.2020.106256. |
| [54] | Walsh CM, Hill RZ, Schwendinger⁃Schreck J, et al. Neutrophils promote CXCR3⁃dependent itch in the development of atopic dermatitis[J]. Elife, 2019,8:e48448. doi: 10.7554/eLife.48448. |
| [55] | Strzepa A, Gurski CJ, Dittel LJ, et al. Neutrophil⁃derived myeloperoxidase facilitates both the induction and elicitation phases of contact hypersensitivity[J]. Front Immunol, 2020,11:608871. doi: 10.3389/fimmu.2020.608871. |
| [56] | Weber FC, Németh T, Csepregi JZ, et al. Neutrophils are required for both the sensitization and elicitation phase of contact hypersensitivity[J]. J Exp Med, 2015,212(1):15⁃22. doi: 10.1084/jem.20130062. |
| [57] | Helou DG, Noël B, Gaudin F, et al. Cutting edge: Nrf2 regulates neutrophil recruitment and accumulation in skin during contact hypersensitivity[J]. J Immunol, 2019,202(8):2189⁃2194. doi: 10.4049/jimmunol.1801065. |
| [58] | Shibuya R, Ishida Y, Hanakawa S, et al. CCL2⁃CCR2 signaling in the skin drives surfactant⁃induced irritant contact dermatitis through IL⁃1β⁃mediated neutrophil accumulation[J]. J Invest Dermatol, 2022,142(3 Pt A):571⁃582.e9. doi: 10.1016/j.jid. 2021.07.182. |
| [59] | Saika A, Nagatake T, Kishino S, et al. 17(S),18(R)⁃epoxyeicosatetraenoic acid generated by cytochrome P450 BM⁃3 from Bacillus megaterium inhibits the development of contact hypersensitivity via G⁃protein⁃coupled receptor 40⁃mediated neutrophil suppression[J]. FASEB Bioadv, 2020,2(1):59⁃71. doi: 10.1096/fba.2019⁃00061. |
| [60] | Feldmeyer L, Ribero S, Gloor AD, et al. Neutrophilic dermatoses with unusual and atypical presentations[J]. Clin Dermatol, 2021,39(2):261⁃270. doi: 10.1016/j.clindermatol.2020.10.012. |
| [61] | Filosa A, Filosa G. Neutrophilic dermatoses: a broad spectrum of disease[J]. G Ital Dermatol Venereol, 2018,153(2):265⁃272. doi: 10.23736/S0392⁃0488.18.05841⁃8. |
| [62] | Weiss EH, Ko CJ, Leung TH, et al. Neutrophilic dermatoses: a clinical update[J]. Curr Dermatol Rep, 2022,11(2):89⁃102. doi: 10.1007/s13671⁃022⁃00355⁃8. |
| [63] | Heath MS, Ortega⁃Loayza AG. Insights into the pathogenesis of Sweet′s syndrome[J]. Front Immunol, 2019,10:414. doi: 10. 3389/fimmu.2019.00414. |
| [64] | Nelson CA, Stephen S, Ashchyan HJ, et al. Neutrophilic dermatoses: pathogenesis, Sweet syndrome, neutrophilic eccrine hidradenitis, and Behçet disease[J]. J Am Acad Dermatol, 2018,79(6):987⁃1006. doi: 10.1016/j.jaad.2017.11.064. |
| [65] | Maverakis E, Marzano AV, Le ST, et al. Pyoderma gangrenosum[J]. Nat Rev Dis Primers, 2020,6(1):81. doi: 10.1038/s41572⁃020⁃0213⁃x. |
| [66] | Bonnekoh H, Scheffel J, Wu J, et al. Skin and systemic inflammation in Schnitzler′s syndrome are associated with neutrophil extracellular trap formation[J]. Front Immunol, 2019,10:546. doi: 10.3389/fimmu.2019.00546. |
| [67] | Eid E, Safi R, El Hasbani G, et al. Characterizing the presence of neutrophil extracellular traps in neutrophilic dermatoses[J]. Exp Dermatol, 2021,30(7):988⁃994. doi: 10.1111/exd.14360. |
| [68] | Mistry P, Carmona⁃Rivera C, Ombrello AK, et al. Dysregulated neutrophil responses and neutrophil extracellular trap formation and degradation in PAPA syndrome[J]. Ann Rheum Dis, 2018,77(12):1825⁃1833. doi: 10.1136/annrheumdis⁃2018⁃213746. |
| [1] | Ma Jing, Luan Chao, Chen Kun. Lipid metabolism-related proteins in psoriasis [J]. Chinese Journal of Dermatology, 2026, 59(9): 915-918. |
| [2] | China Dermatologist Association, Chinese Society of Dermatology, Dermatology Branch of China International Exchange and Promotive Association for Medical and Health Care, Dermatology Branch of China Alliance for Rare Diseases. Expert consensus on the long-term management of plaque psoriasis with biologic agents (2026 edition) [J]. Chinese Journal of Dermatology, 2026, 59(9): 827-843. |
| [3] | Shi Rongcan¹, ², Yu Zengyang², ³, Luo Qingqiong², Ma Rui¹, ², Jiang Xingyu¹, ², Wang Yuanyuan¹, ², Cai Jiangluyi¹, ², Shi Yuling¹, ². Palmitoyl-proteomic profiles of psoriatic lesions and their role in inflammatory responses: a preliminary study [J]. Chinese Journal of Dermatology, 2026, 59(8): 738-749. |
| [4] | Writing Committee Expert Group on “Diagnosis and treatment of pustular psoriasis: a Chinese expert consensus statement ( edition)”. Diagnosis and treatment of pustular psoriasis: a Chinese expert consensus statement (2026 edition) [J]. Chinese Journal of Dermatology, 2026, 59(8): 717-727. |
| [5] | Wei Jin¹, Yan Huiwen¹, Zhang Jianzhong², Lun Wenhui¹. Efficacy and safety of secukinumab in the treatment of moderate-to-severe plaque psoriasis complicated by HIV infection: a clinical observation of 10 cases [J]. Chinese Journal of Dermatology, 2026, 59(7): 671-674. |
| [6] | Yuwen Tianyi¹, Zhou Zizhen¹, Tian Jingyu¹, Chen Sihan², Li Min², Zhang Fengyuan¹, Gu Heng, ², Chen Xu, ². Expression of the glutaminase 1/ammonia metabolism axis in keratinocytes in ultraviolet B-induced acute skin injury and psoriatic skin inflammation [J]. Chinese Journal of Dermatology, 2026, 59(7): 654-661. |
| [7] | Chinese Association of Rehabilitation Dermatology, Combination of Traditional and Western Medicine Dermatology. Expert consensus on the diagnosis, treatment and rehabilitation of psoriasis in the elderly (2026 edition) [J]. Chinese Journal of Dermatology, 2026, 59(5): 407-418. |
| [8] | Chinese Society of Dermatology, China Dermatologist Association, Dermatology Branch of China International Exchange and Promotive Association for Medical and Health Care, Dermatology Branch of China Alliance for Rare Diseases. Expert consensus on fecal microbiota transplantation in the treatment of psoriasis (2026 edition) [J]. Chinese Journal of Dermatology, 2026, 59(5): 427-435. |
| [9] | Chen Tingnan, Liang Jingyao, Deng Shilin, Shu Zhirong, Zhang Xibao. Immunophenotypic switching between psoriasis and atopic dermatitis after biologic therapy: a systematic review of clinical features, mechanisms and management strategies [J]. Chinese Journal of Dermatology, 2026, 59(5): 474-481. |
| [10] | Zhang Xiaoxu, Luo Suju. Efficacy and safety of upadacitinib in the treatment of six cases of palmoplantar pustulosis [J]. Chinese Journal of Dermatology, 2026, 59(5): 459-463. |
| [11] | Committee on Psoriasis, Chinese Society of Dermatology. Expert consensus on management of psoriasis with comorbidities (2026) [J]. Chinese Journal of Dermatology, 2026, 59(3): 193-207. |
| [12] | Wang Juncheng, Liu Jie. Artificial intelligence in psoriasis: diagnosis, treatment and patient management [J]. Chinese Journal of Dermatology, 2026, 0(3): 20240061-e20240061. |
| [13] | Wang Yongxing, Ding Yuan. Induced psoriasis-like animal models [J]. Chinese Journal of Dermatology, 2026, 0(3): 20250129-e20250129. |
| [14] | Chen Ruolin, Cao Yan. Hypoxia-inducible factor-1α in autoimmune skin diseases [J]. Chinese Journal of Dermatology, 2026, 0(3): 20250202-e20250202. |
| [15] | Zhu Jiayue, Feng Hao, Jin Hongzhong. Artificial intelligence-assisted diagnosis and treatment of psoriasis and its telemedicine applications [J]. Chinese Journal of Dermatology, 2026, 0(3): 20230051-e20230051. |
|