Effects of adalimumab, etanercept and ustekinumab on the expression of psoriasin (S100A7) in psoriatic skin

J Dermatol Sci. 2015 Oct;80(1):38-44. doi: 10.1016/j.jdermsci.2015.07.009. Epub 2015 Jul 26.

Abstract

Background: Psoriasis is a chronic inflammatory skin disease. It is characterized by immune cell activation and altered epidermal differentiation. S100A7 (psoriasin) is overexpressed in psoriasis, suggesting a determinant role of this protein in inflammation and keratinocyte differentiation.

Objective: The purpose of this study was to investigate the expression of S100A7 in the skin from psoriatic patients undergoing biological therapy with adalimumab, etanercept or ustekinumab.

Methods: S100A7 expression and distribution were analyzed by immunohistochemistry.

Results: S100A7, overexpressed in epidermal keratinocytes of psoriatic lesions, was downregulated, under the biological therapy with adalimumab, etanercept or ustekinumab, only in patients achieving a PASI score<15.

Conclusions: Dysregulation of S100A7 may represent a non-negligible player in the maintenance of psoriasis and the relative epidermal changes. Blockage of S100A7 may represent an additional therapeutic approach in the treatment of psoriasis.

Keywords: Biological therapy; IL-12/-23p40; Psoriasin; Psoriasis; S100A7; TNF.

Publication types

  • Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adalimumab / pharmacology
  • Adalimumab / therapeutic use*
  • Adult
  • Aged
  • Etanercept / pharmacology
  • Etanercept / therapeutic use*
  • Female
  • Humans
  • Immunohistochemistry
  • Male
  • Middle Aged
  • Psoriasis / drug therapy*
  • Psoriasis / metabolism
  • S100 Calcium Binding Protein A7
  • S100 Proteins / metabolism*
  • Skin / drug effects
  • Skin / metabolism
  • Ustekinumab / pharmacology
  • Ustekinumab / therapeutic use*
  • Young Adult

Substances

  • S100 Calcium Binding Protein A7
  • S100 Proteins
  • S100A7 protein, human
  • Ustekinumab
  • Adalimumab
  • Etanercept