PMID- 21311769 OWN - NLM STAT- MEDLINE DCOM- 20110901 LR - 20211020 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 6 IP - 2 DP - 2011 Feb 2 TI - Plasmin plays an essential role in amplification of psoriasiform skin inflammation in mice. PG - e16483 LID - 10.1371/journal.pone.0016483 [doi] LID - e16483 AB - BACKGROUND: Although increased levels of plasminogen activators have been found in psoriatic lesions, the role of plasmin converted from plasminogen by plasminogen activators in pathogenesis of psoriasis has not been investigated. METHODOLOGY/PRINCIPAL FINDINGS: Here we examined the contribution of plasmin to amplification of inflammation in patients with psoriasis. We found that plasminogen was diminished, but that the amount and activity of its converted product plasmin were markedly increased in psoriasis. Moreover, annexin II, a receptor for plasmin was dramatically increased in both dermis and epidermis in psoriasis. Plasmin at sites of inflammation was pro-inflammatory, eliciting production of inflammatory factors, including CC chemokine ligand 20 (CCL20) and interleukin-23 (IL-23), that was mediated by the nuclear factor-kappaB (NF-kappaB) signaling pathway and that had an essential role in the recruitment and activation of pathogenic C-C chemokine receptor type 6 (CCR6)+ T cells. Moreover, intradermal injection of plasmin or plasmin together with recombinant monocyte/macrophage chemotactic protein-1 (MCP-1) resulted in induction of psoriasiform skin inflammation around the injection sites with several aspects of human psoriasis in mice. CONCLUSIONS/SIGNIFICANCE: Plasmin converted from plasminogen by plasminogen activators plays an essential role in amplification of psoriasiform skin inflammation in mice, and targeting plasmin receptor--annexin II--may harbor therapeutic potential for the treatment of human psoriasis. FAU - Li, Qun AU - Li Q AD - Department of Hypertension of Shanghai Ruijin Hospital, Shanghai Institute of Hypertension and Institute of Health Sciences, Shanghai Jiao Tong University School of Medicine and Shanghai Institutes for Biological Sciences, Chinese Academy of Sciences, Shanghai, China. FAU - Ke, Fang AU - Ke F FAU - Zhang, Weiwei AU - Zhang W FAU - Shen, Xiaoyan AU - Shen X FAU - Xu, Qiannan AU - Xu Q FAU - Wang, Hong AU - Wang H FAU - Yu, Xue-Zhong AU - Yu XZ FAU - Leng, Qibin AU - Leng Q FAU - Wang, Honglin AU - Wang H LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20110202 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (CCR6 protein, mouse) RN - 0 (Chemokine CCL20) RN - 0 (Interleukin-23) RN - 0 (NF-kappa B) RN - 0 (Receptors, CCR6) RN - 9001-91-6 (Plasminogen) RN - EC 3.4.21.7 (Fibrinolysin) SB - IM MH - Animals MH - Case-Control Studies MH - Cells, Cultured MH - Chemokine CCL20/genetics/metabolism MH - Disease Progression MH - Ear/pathology MH - Female MH - Fibrinolysin/genetics/metabolism/*physiology MH - Humans MH - Inflammation/complications/genetics/immunology/*pathology MH - Interleukin-23/genetics/metabolism MH - Male MH - Mice MH - Mice, Inbred BALB C MH - Mice, Inbred C57BL MH - Mice, Knockout MH - NF-kappa B/metabolism/physiology MH - Plasminogen/genetics/metabolism MH - Psoriasis/complications/genetics/immunology/*pathology MH - Receptors, CCR6/genetics/metabolism MH - Skin Diseases/complications/genetics/immunology/*pathology MH - T-Lymphocytes/immunology/metabolism PMC - PMC3032787 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2011/02/12 06:00 MHDA- 2011/09/02 06:00 PMCR- 2011/02/02 CRDT- 2011/02/12 06:00 PHST- 2010/10/04 00:00 [received] PHST- 2010/12/22 00:00 [accepted] PHST- 2011/02/12 06:00 [entrez] PHST- 2011/02/12 06:00 [pubmed] PHST- 2011/09/02 06:00 [medline] PHST- 2011/02/02 00:00 [pmc-release] AID - PONE-D-10-02924 [pii] AID - 10.1371/journal.pone.0016483 [doi] PST - epublish SO - PLoS One. 2011 Feb 2;6(2):e16483. doi: 10.1371/journal.pone.0016483.