Calcium signaling in psoriasis: from pathogenesis to therapeutic opportunities - Summary - MDSpire

Calcium signaling in psoriasis: from pathogenesis to therapeutic opportunities

  • By

  • Y. X. Chen

  • D. X. Zhuo

  • F. F. Wang

  • July 15, 2026

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Objective:

To summarize the mechanistic roles of calcium signaling dysregulation in psoriatic keratinocytes and immune effector cells.

Approach:
  • Pathological Features of Psoriasis: Describes the interplay between keratinocyte proliferation, differentiation, and immune dysregulation, highlighting the IL-23/IL-17 inflammatory axis as a key driver of the disease.
  • Calcium Signaling in Psoriasis: Explains the dual regulatory roles of calcium ions in keratinocyte differentiation and immune cell activation, emphasizing the context-dependent outcomes of calcium signaling.
  • SOCE Pathway: Details the significance of store-operated calcium entry (SOCE) in the psoriatic immune microenvironment, governing effector functions across various immune cells.
  • Core Thesis: Proposes the concept of compartment-specific bidirectional calcium dysregulation, where impaired calcium signaling in keratinocytes coexists with hyperactive signaling in immune cells.
Key Findings:
  • Calcium signaling is critical for keratinocyte differentiation and immune cell activation.
  • Dysregulation of calcium signaling contributes to the pathogenesis of psoriasis.
  • SOCE is a central mechanism for calcium influx in immune cells, influencing their functions.
  • A bidirectional calcium dysregulation pattern exists in psoriasis, affecting both keratinocytes and immune cells.
Interpretation:

Understanding calcium signaling dynamics may provide insights into psoriasis pathogenesis.

Limitations:
  • The review may not cover all aspects of calcium signaling in psoriasis.
  • Further research is needed to fully elucidate the therapeutic potential of targeting calcium signaling.
Conclusion:

This review reappraises the pathogenesis of psoriasis from the perspective of calcium signaling.

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