Cutaneous Glucocorticoidogenesis and Cortisol Signaling Are Defective in Psoriasis

J Invest Dermatol. 2017 Aug;137(8):1609-1611. doi: 10.1016/j.jid.2017.04.004.

Abstract

Hannen et al. report that cutaneous glucocorticoidogenesis and expression of glucocorticoid receptors are inhibited in psoriatic skin. These findings substantiate the previous concept that deficient feedback of local proopiomelanocortin and glucocorticoids on cutaneous immunity contributes to inflammatory and autoimmune dermatoses. Restoration of efficient endogenous glucocorticoid signaling represents a realistic goal in treating psoriasis.

Publication types

  • Review
  • Research Support, N.I.H., Extramural
  • Comment

MeSH terms

  • Administration, Cutaneous
  • Anti-Inflammatory Agents / administration & dosage
  • Anti-Inflammatory Agents / pharmacokinetics
  • Humans
  • Hydrocortisone / administration & dosage
  • Hydrocortisone / pharmacokinetics*
  • Psoriasis* / drug therapy
  • Psoriasis* / metabolism
  • Psoriasis* / pathology
  • Receptors, Glucocorticoid / metabolism*
  • Signal Transduction
  • Skin / drug effects
  • Skin / metabolism*
  • Skin / pathology

Substances

  • Anti-Inflammatory Agents
  • Receptors, Glucocorticoid
  • Hydrocortisone