PT - JOURNAL ARTICLE AU - STEFANIA LOFFREDO AU - FABIO AYALA AU - GIANCARLO MARONE AU - GABRIELE DELFINO AU - SAVERIO STRANGES AU - GIANNI MARONE TI - Immunopathogenesis of Psoriasis and Pharmacological Perspectives AID - 10.3899/jrheum.090210 DP - 2009 Aug 01 TA - The Journal of Rheumatology PG - 9--11 VI - 83 4099 - http://www.jrheum.org/content/83/9.short 4100 - http://www.jrheum.org/content/83/9.full SO - J Rheumatol2009 Aug 01; 83 AB - Psoriasis is a chronic inflammatory disorder resulting from a combination of genetic and environmental factors, although the precise causal agents have not yet been identified. The immune system has a major role in the development of psoriasis, and the possibility exists that self antigens, antigens from microbial agents, or microbial superantigens initiate a vigorous immune response. Different subsets of T lymphocytes and dendritic cells, mast cells, and granulocytes participate in the pathogenesis; and several cytokines and chemokines have been identified in tissue lesions. Tumor necrosis factor–α, interleukin 17 (IL–17), and IL–23 are key cytokines with important pathogenetic roles in psoriasis. Angiogenesis is a prominent early event in lesional psoriatic skin. Potential targets in the treatment of this disorder include biologic agents aimed at blockade of cytokines, chemokines, and angiogenic factors.