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Publication : Stress aggravates imiquimod-induced psoriasiform inflammation by promoting M1 macrophage polarization.

First Author  Ge H Year  2023
Journal  Int Immunopharmacol Volume  124
Issue  Pt A Pages  110899
PubMed ID  37688915 Mgi Jnum  J:340827
Mgi Id  MGI:7530532 Doi  10.1016/j.intimp.2023.110899
Citation  Ge H, et al. (2023) Stress aggravates imiquimod-induced psoriasiform inflammation by promoting M1 macrophage polarization. Int Immunopharmacol 124(Pt A):110899
abstractText  Psychological stress has long been considered to cause the aggravation and recurrence of psoriasis, but the underlying mechanism remains largely unknown. Here, we used a mouse model of restraint-induced stress and imiquimod (IMQ)-induced psoriasiform inflammation to investigate the crosstalk between stress and the skin immune system and their functions in the pathogenesis of psoriasis. We found that stress aggravated skin inflammation and elevated serum corticosterone (CORT) levels in mice. Stress also increased the number of macrophages and glucocorticoid receptor (GR) expression in IMQ-treated mouse skin. GR agonist CORT upregulated the phosphorylation of STAT1 to promote M1 macrophage polarization in vitro. Additionally, GR deletion in macrophages and pharmacologic inhibition of GR improved skin inflammation and reduced M1 macrophage polarization under stress. Taken together, these results indicate that stress aggravates psoriasiform inflammation by promoting CORT/GR signaling-induced M1 macrophage polarization, suggesting that blocking the GR signaling has great potential as an adjuvant treatment for psoriasis patients with chronic stress.
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