PMID- 22427774 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20121002 LR - 20211021 IS - 1896-9151 (Electronic) IS - 1734-1922 (Print) IS - 1734-1922 (Linking) VI - 6 IP - 6 DP - 2010 Dec TI - Interleukin-18 expression and the response to treatment in patients with psoriasis. PG - 964-70 LID - 10.5114/aoms.2010.19309 [doi] AB - INTRODUCTION: The aim of the study was to demonstrate Interleukin-18 (IL-18) expression in keratinocytes from psoriatic lesions in comparison to keratinocytes from uninvolved skin and to study the change of expression after therapeutic interventions. MATERIAL AND METHODS: This study included 16 patients of different clinical subtypes of psoriasis. IL-18 gene expression analysis was performed using real-time quantitative PCR. Three biopsies were obtained from each patient. Two were taken from the lesional psoriatic skin and from uninvolved skin before starting treatment. A third lesional skin biopsy was taken at the end of two months' treatment course. The treatment was in the form of topical steroids or oral systemic methotrexate. RESULTS: Of all 16 studied patients significantly increased IL-18 expression was noted in keratinocytes from psoriatic lesions before and after treatment when compared to keratinocytes from uninvolved skin (P = 0.001 and 0.002 respectively). The IL-18 expression in the skin lesions after treatment was significantly lower than lesional skin before treatment (P = 0.023). In psoriatic skin lesions of all studied patients IL-18 expression was significantly correlated with disease duration (r = 0.40 and P = 0.01) and clinical severity of psoriasis (r = 0.72 and P = 0.001). CONCLUSIONS: Increased IL-18 expression in keratinocytes from psoriatic lesions of our patients and its correlation with disease duration and severity supported the concept which views psoriasis as a T-cell-mediated autoimmune disease. This could establish therapeutic and preventive approaches for psoriasis that ultimately lead to improved outcomes for patients. FAU - Mohamed Attia, Hanaa Rasmy AU - Mohamed Attia HR AD - Clinical and Chemical Pathology Department, National Research Center, Cairo, Egypt. FAU - Mikhael, Nancy AU - Mikhael N FAU - Ismail, Somaia AU - Ismail S LA - eng PT - Journal Article DEP - 20101229 PL - Poland TA - Arch Med Sci JT - Archives of medical science : AMS JID - 101258257 PMC - PMC3302712 OTO - NOTNLM OT - effect of therapy OT - interleukins OT - psoriasis OT - real-time PCR EDAT- 2010/12/01 00:00 MHDA- 2010/12/01 00:01 PMCR- 2010/12/01 CRDT- 2012/03/20 06:00 PHST- 2009/08/18 00:00 [received] PHST- 2009/11/15 00:00 [revised] PHST- 2010/02/22 00:00 [accepted] PHST- 2012/03/20 06:00 [entrez] PHST- 2010/12/01 00:00 [pubmed] PHST- 2010/12/01 00:01 [medline] PHST- 2010/12/01 00:00 [pmc-release] AID - AMS-6-6-964 [pii] AID - 10.5114/aoms.2010.19309 [doi] PST - ppublish SO - Arch Med Sci. 2010 Dec;6(6):964-70. doi: 10.5114/aoms.2010.19309. Epub 2010 Dec 29.