乾癬の治療法:皮膚の鉄ホルモンの異常が鍵になるか?(A cure for psoriasis: could a faulty iron hormone in the skin be the key?)

ad

2024-09-26 バース大学

新しい研究により、ホルモン「ヘプシジン」が乾癬(かんせん)の原因である可能性が示唆されました。ヘプシジンは通常肝臓で生成され、鉄の調整を担いますが、乾癬患者では皮膚でも生成されることが確認されました。過剰なヘプシジンは皮膚細胞に鉄を過剰に蓄積させ、細胞の異常増殖と炎症を引き起こします。この発見により、ヘプシジンを標的にした新たな治療薬が開発される可能性が期待されています。

<関連情報>

皮膚ヘプシジンは、鉄主導の過剰増殖と好中球の動員を介して乾癬様皮膚炎症を引き起こす Skin hepcidin initiates psoriasiform skin inflammation via Fe-driven hyperproliferation and neutrophil recruitment

Elise Abboud,Doha Chrayteh,Nadia Boussetta,Héloise Dalle,Mariangela Malerba,Ting-Di Wu,Morgane Le Gall,Olivier Reelfs,Charareh Pourzand,Mark Mellett,Florence Assan,Hervé Bachelez,Joël Poupon,Selim Aractingi,Sophie Vaulont,Pierre Sohier,Bénédicte Oules,Zoubida Karim &Carole Peyssonnaux
Nature Communications  Published:07 August 2024
DOI:https://doi.org/10.1038/s41467-024-50993-8

乾癬の治療法:皮膚の鉄ホルモンの異常が鍵になるか?(A cure for psoriasis: could a faulty iron hormone in the skin be the key?)

Abstract

Psoriasis is a multifactorial, chronic inflammatory skin disease with unresolved questions on its primary events. Iron overload has been described in the epidermis of psoriasis patients, but its relevance remains unknown. We found that the key iron regulatory hormone hepcidin was highly expressed in the epidermis of psoriasis patients, especially the pustular variants resistant to treatments. In a murine model of acute skin inflammation, keratinocyte-derived hepcidin was required for iron retention in keratinocytes, leading to hyperproliferation of the epidermal layer and neutrophil recruitment, two main features of psoriatic skin lesions. Keratinocytes overexpressing hepcidin were sufficient to elicit these psoriasiform features in a transgenic mouse model. Furthermore, transcriptome analysis of these keratinocytes revealed canonical pathways found in human psoriasis, pointing to a causal role for hepcidin in the pathogenesis of the disease. Altogether, our data suggest that hepcidin could be an actionable target for skin psoriasis treatment, in addition to current therapeutics, or targeted as maintenance therapy during remission to prevent recurrence.

医療・健康
ad
ad
Follow
ad
タイトルとURLをコピーしました