Psoriasis: Treatment and Pathogenesis
Psoriasis is a chronic inflammatory skin disease driven by a dysregulated immune response in which a specialized subset of T cells, known as TH17 cells, produce high levels of interleukin-17 and fuel persistent tissue damage. The balance between these pathogenic TH17 cells and the regulatory T cells that normally suppress excessive inflammation is shaped by cytokines including interleukin-23 and TGF-β, and understanding how that balance tips toward disease has transformed treatment—targeted biologics that block IL-17 or IL-23 signaling now offer substantial relief for many patients. Key open questions concern why this regulatory breakdown occurs selectively in certain tissues and individuals, and how genetic background interacts with environmental triggers to initiate and sustain the inflammatory cycle. Researchers are also working to clarify whether restoring functional regulatory T cells, rather than simply blocking downstream cytokines, could offer more durable remission.
- Works
- 77,317
- Total citations
- 1,326,881
- Keywords
- IL-17TH17 CellsInterleukin-23Autoimmune InflammationPsoriasisTGF-ß
Top papers in Psoriasis: Treatment and Pathogenesis
Ordered by total citation count.
- Reciprocal developmental pathways for the generation of pathogenic effector TH17 and regulatory T cells↗ 6,981
- Dermatology Life Quality Index (DLQI)-a simple practical measure for routine clinical use↗ 5,578
- The Orphan Nuclear Receptor RORγt Directs the Differentiation Program of Proinflammatory IL-17+ T Helper Cells↗ 5,116OA
- IL-17 and Th17 Cells↗ 4,820
- Interleukin 17–producing CD4+ effector T cells develop via a lineage distinct from the T helper type 1 and 2 lineages↗ 4,711
- A distinct lineage of CD4 T cells regulates tissue inflammation by producing interleukin 17↗ 4,248OA
- IL-23 drives a pathogenic T cell population that induces autoimmune inflammation↗ 4,078OA
- Classification criteria for psoriatic arthritis: Development of new criteria from a large international study↗ 3,754
- Measurement of Cutaneous Inflammation: Estimation of Neutrophil Content with an Enzyme Marker↗ 3,629OA
- TGFβ in the Context of an Inflammatory Cytokine Milieu Supports De Novo Differentiation of IL-17-Producing T Cells↗ 3,579OA
- The Validity and Practicality of Sun-Reactive Skin Types I Through VI↗ 3,364
- The validity and practicality of sun-reactive skin types I through VI↗ 3,189
Active researchers
Top authors in this area, ranked by h-index.