Elevated Local and Serum CX3CL1(Fractalkine) Expression and Its Association with Disease Severity in Patients with Psoriasis. 2015

Jiang Congjun, and Zhou Yanmei, and Jin Huiling, and Yue Zhen, and Li Shuo
Department of Dermatology, the First Affiliated Hospital of Bengbu Medical College, Bengbu, China jcjmed@yeah.net.

OBJECTIVE Psoriasis is a chronic immune and inflammatory skin disease. Fractalkine (FKN, CX3CL1), a membrane-bound CX3C chemokine, has been identified to play an important role in the pathogenesis of psoriasis. However, whether it is elevated in the tissue or peripheral blood of patients with psoriasis and is associated with disease severity is unclear. This study was carried out to explore local and serum FKN expression in patients with psoriasis and investigate the relationship with the disease severity. METHODS Serum samples were collected from 47 plaque psoriasis patients and 49 healthy individuals. Serum FKN levels were measured by an enzymelinked immunosorbent assay. The PASI scores of patients with psoriasis and their correlation with serum FKN levels were evaluated. 16 cases of local skin tissues were collected from psoriasis patients and controls who underwent traumatic incidents needing autologous skin grafting, respectively. FKN protein and mRNA expression were examined using Western blotting and RT-PCR, respectively. RESULTS Local and serum expression of FKN were significantly higher than the expression in the controls (P<0.05), serum FKN levels were positively associated with Psoriasis Area and Severity Index (PASI) scores, (P<0.001) and levels of IL-22 (P<0.001) and IFN-γ (P<0.001). CONCLUSIONS These results suggest that FKN may play an important role in the pathogenesis of psoriasis and represent a reliable biomarker to reflect disease severity. Therapeutic interventions that target FKN in psoriasis deserve further study.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011565 Psoriasis A common genetically determined, chronic, inflammatory skin disease characterized by rounded erythematous, dry, scaling patches. The lesions have a predilection for nails, scalp, genitalia, extensor surfaces, and the lumbosacral region. Accelerated epidermopoiesis is considered to be the fundamental pathologic feature in psoriasis. Palmoplantaris Pustulosis,Pustular Psoriasis of Palms and Soles,Pustulosis Palmaris et Plantaris,Pustulosis of Palms and Soles,Psoriases
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D012867 Skin The outer covering of the body that protects it from the environment. It is composed of the DERMIS and the EPIDERMIS.
D015603 Keratinocytes Epidermal cells which synthesize keratin and undergo characteristic changes as they move upward from the basal layers of the epidermis to the cornified (horny) layer of the skin. Successive stages of differentiation of the keratinocytes forming the epidermal layers are basal cell, spinous or prickle cell, and the granular cell. Keratinocyte
D016022 Case-Control Studies Comparisons that start with the identification of persons with the disease or outcome of interest and a control (comparison, referent) group without the disease or outcome of interest. The relationship of an attribute is examined by comparing both groups with regard to the frequency or levels of outcome over time. Case-Base Studies,Case-Comparison Studies,Case-Referent Studies,Matched Case-Control Studies,Nested Case-Control Studies,Case Control Studies,Case-Compeer Studies,Case-Referrent Studies,Case Base Studies,Case Comparison Studies,Case Control Study,Case Referent Studies,Case Referrent Studies,Case-Comparison Study,Case-Control Studies, Matched,Case-Control Studies, Nested,Case-Control Study,Case-Control Study, Matched,Case-Control Study, Nested,Case-Referent Study,Case-Referrent Study,Matched Case Control Studies,Matched Case-Control Study,Nested Case Control Studies,Nested Case-Control Study,Studies, Case Control,Studies, Case-Base,Studies, Case-Comparison,Studies, Case-Compeer,Studies, Case-Control,Studies, Case-Referent,Studies, Case-Referrent,Studies, Matched Case-Control,Studies, Nested Case-Control,Study, Case Control,Study, Case-Comparison,Study, Case-Control,Study, Case-Referent,Study, Case-Referrent,Study, Matched Case-Control,Study, Nested Case-Control

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