关键词: allergic inflammatory response atopic dermatitis in vitro atopic dermatitis models keratinocyte keratinocyte differentiation pharmacological therapy skin microbiome

Mesh : Alleles Animals Biomarkers Combined Modality Therapy Dermatitis, Atopic / etiology metabolism pathology therapy Disease Management Disease Progression Disease Susceptibility / immunology Genetic Predisposition to Disease Host Microbial Interactions Humans Immunity, Innate Keratinocytes / immunology metabolism Microbiota Skin / immunology metabolism pathology Skin Physiological Phenomena

来  源:   DOI:10.3390/ijms221910661   PDF(Pubmed)

Abstract:
The keratinocyte (KC) is the main functional and structural component of the epidermis, the most external layer of the skin that is highly specialized in defense against external agents, prevention of leakage of body fluids and retention of internal water within the cells. Altered epidermal barrier and aberrant KC differentiation are involved in the pathophysiology of several skin diseases, such as atopic dermatitis (AD). AD is a chronic inflammatory disease characterized by cutaneous and systemic immune dysregulation and skin microbiota dysbiosis. Nevertheless, the pathological mechanisms of this complex disease remain largely unknown. In this review, we summarize current knowledge about the participation of the KC in different aspects of the AD. We provide an overview of the genetic predisposing and environmental factors, inflammatory molecules and signaling pathways of the KC that participate in the physiopathology of the AD. We also analyze the link among the KC, the microbiota and the inflammatory response underlying acute and chronic skin AD lesions.
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