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On the Immunopathogenesis of Psoriasis
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In an interesting article "Response of Murine and Normal Human Skin to Injection of Allogeneic Blood-Derived Psoriatic Immunocytes," Nickoloff et al1 present an innovative idea that immunocytes expressing receptors of natural killer (NK) cells play a possible role in the pathogenesis of psoriasis. The authors suggest that the inhibitory receptors on NK cells (killer cell inhibitory receptors [KIRs]) may prevent NK T-cellinduced lysis of self major histocompatibility complex (MHC) class Ibearing target cells while killer cell activatingreceptors (KARs) may activate NK T-cell cytotoxicity and probably contribute to the damage of the epidermal basement membrane in the early stages of disease.
The recognition of a possible involvement of KIRs and KARs in the immune pathogenesis of psoriasis is of great interest. Inhibitory receptors, always predominating over the activating ones,2 inhibit T-cellmediated functions, thus reducing T-cell responses. Importantly, some inhibitory receptors (eg, p58) are specific for HLA-C, and HLA-Cw6 is believed to . . . [Full Text of this Article]
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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
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Psoriasis and the new biologic agents: interrupting a T-AP dance
Walsh and Shear
CMAJ 2004;170:1933-1941.
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