4.3 Review

Soluble biomarkers for diagnosis, monitoring, and therapeutic response assessment in psoriasis

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JOURNAL OF DERMATOLOGICAL TREATMENT
卷 33, 期 4, 页码 1967-1974

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TAYLOR & FRANCIS LTD
DOI: 10.1080/09546634.2021.1966357

关键词

Arthritis; biomarker; comorbidity; genetic; inflammation; psoriasis; treatment; review

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This review evaluated potential biomarkers for the diagnosis of psoriasis, its associated comorbidities, and response to treatment, including risk prediction, disease activity, psoriatic arthritis, and monitoring therapy. While a wide range of markers have been investigated, most are not used in routine clinical practice, highlighting the importance of thorough physical examinations and clinical scoring systems like the Psoriasis Area and Severity Index score.
Background Psoriasis is an inflammatory disease associated with multiple comorbidities. Biomarkers for the assessment of psoriasis, its associated comorbidities, and the therapeutic response are not well characterized. A number of possible biomarkers for the diagnosis and monitoring of psoriasis have been proposed. Purpose To assess potential biomarkers for diagnosis of psoriasis, its associated comorbidities and response to treatment. Methods We investigated medical databases from 2000 to 2021 and assessed relevant research. In this review, we evaluated the important biomarkers to help predict potential risk of psoriasis and disease activity (Beta-defensin-2, VEGF, Lipocalin-2, and YKL-40) and its possible inflammatory-related comorbidities like cardiovascular diseases (hs-CRP, GlycA, Psoriasin, IL-18, NT-proBNP, and Adipokines). In addition, we described the potential biomarkers for psoriatic arthritis (CXCL10, S100A8 and S100A9, and MicroRNA) and related manifestations such as enthesitis. Finally, we discussed novel markers for monitoring the response to specific treatments (HLA-C 06, PLC, TARC, NLR, and PLR) as well as potentially useful biomarkers for evaluation of therapy-associated adverse events (liver fibrosis-related markers). Conclusion A wide range of genetic, tissue, and serum markers have been investigated in psoriasis; however, most of them are not used in routine clinical practice; and thorough physical examination along with the appropriate application of clinical scoring systems like Psoriasis Area and Severity Index score are still of particular importance.

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