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The Expression and Role of Krüppel-Like Factor 4 in Psoriasis

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초록

Background: Krüppel-like factor 4 (KLF4) is a transcriptionfactor that regulates a diverse array of cellular processes,including development, differentiation, proliferation, andapoptosis. Although its function in keratinocytes has beenwidely studied, its exact role in psoriasis has not beenelucidated. Objective: We designed this study to investigateepidermal expression levels of KLF4 and the change in KLF4expression after treatment in patients with psoriasis. Methods: We compared the expression levels of KLF4 in thebasal, suprabasal, and superficial epidermal layers, inpsoriatic lesional, non-lesional, and normal skin, using animmunoreactivity intensity distribution index (IRIDI). Inaddition, we measured the change in KLF4 expression on thebasis of the IRIDI and by reverse transcription polymerasechain reaction (RT-PCR) analysis after treatment. Results: Thecombined IRIDI scores in psoriatic lesional skin weresignificantly higher than the scores in both non-lesional andnormal skin. The psoriatic epidermis, particularly thesuprabasal layer, showed a significantly increased IRIDIscore compared to that of non-lesional and normal skin,which was significantly decreased after treatment. RT-PCRanalysis exhibited a slight increase in KLF4 mRNA expressionlevel after treatment; however, this increase was notsignificant. Conclusion: These data indicate that KLF4 couldregulate epidermal proliferation and differentiation. Moreover,we believe that KLF4 may play an important role in thephysiological reaction to counteract abnormal differentiationand proliferation of keratinocytes.

Abstract

Background: Krüppel-like factor 4 (KLF4) is a transcriptionfactor that regulates a diverse array of cellular processes,including development, differentiation, proliferation, andapoptosis. Although its function in keratinocytes has beenwidely studied, its exact role in psoriasis has not beenelucidated. Objective: We designed this study to investigateepidermal expression levels of KLF4 and the change in KLF4expression after treatment in patients with psoriasis. Methods: We compared the expression levels of KLF4 in thebasal, suprabasal, and superficial epidermal layers, inpsoriatic lesional, non-lesional, and normal skin, using animmunoreactivity intensity distribution index (IRIDI). Inaddition, we measured the change in KLF4 expression on thebasis of the IRIDI and by reverse transcription polymerasechain reaction (RT-PCR) analysis after treatment. Results: Thecombined IRIDI scores in psoriatic lesional skin weresignificantly higher than the scores in both non-lesional andnormal skin. The psoriatic epidermis, particularly thesuprabasal layer, showed a significantly increased IRIDIscore compared to that of non-lesional and normal skin,which was significantly decreased after treatment. RT-PCRanalysis exhibited a slight increase in KLF4 mRNA expressionlevel after treatment; however, this increase was notsignificant. Conclusion: These data indicate that KLF4 couldregulate epidermal proliferation and differentiation. Moreover,we believe that KLF4 may play an important role in thephysiological reaction to counteract abnormal differentiationand proliferation of keratinocytes.

참고문헌 (16)

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