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Review
. 2020 Jun;37(3):283-298.
doi: 10.5114/ada.2020.96243. Epub 2020 Jul 14.

Pathogenesis of psoriasis in the "omic" era. Part II. Genetic, genomic and epigenetic changes in psoriasis

Affiliations
Review

Pathogenesis of psoriasis in the "omic" era. Part II. Genetic, genomic and epigenetic changes in psoriasis

Bogusław Nedoszytko et al. Postepy Dermatol Alergol. 2020 Jun.

Abstract

Psoriasis is a multifactorial disease in which genetic, environmental and epigenetic factors regulating gene expression play a key role. In the "genomic era", genome-wide association studies together with target genotyping platforms performed in different ethnic populations have found more than 50 genetic susceptible markers associated with the risk of psoriasis which have been identified so far. Up till now, the strongest association with the risk of the disease has been proved for HLA-C*06 gene. The majority of other psoriasis risk SNPs are situated near the genes encoding molecules involved in adaptive and innate immunity, and skin barrier function. Many contemporary studies indicate that the epigenetic changes: histone modification, promoter methylations, long non-coding and micro-RNA hyperexpression are considered as factors contributing to psoriasis pathogenesis as they regulate abnormal keratinocyte differentiation and proliferation, aberrant keratinocytes - inflammatory cells communication, neoangiogenesis and chronic inflammation. The circulating miRNAs detected in the blood may become specific markers in the diagnosis, prognosis and response to the treatment of the disease. The inhibition of expression in selected miRNAs may be a new promising therapy option for patients with psoriasis.

Keywords: epigenetic changes; genome-wide association studies; miRNA; psoriasis genetics.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Scheme of the gene map of the MHC and the PSORS1 region on chromosome 6p21.3
Figure 2
Figure 2
Epigenetic modifications of DNA and histones in the development of different set of CD4 (+) T cells (from Potaczek et al. 2017 modified [70])
Figure 3
Figure 3
The role of selected mi-RNAs in regulation CD4(+) Th cells differentiation and cytokines synthesis

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