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Editorial
. 2018 Jun;70(6):801-804.
doi: 10.1002/art.40445. Epub 2018 May 2.

Editorial: STATus of STAT3 in Psoriatic Arthritis

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Editorial

Editorial: STATus of STAT3 in Psoriatic Arthritis

John D Mountz. Arthritis Rheumatol. 2018 Jun.
No abstract available

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Figures

Figure 1
Figure 1. STAT3 in CD4 T cells promote psoriasis and psoriatic arthritis
The article by Ding and colleagues in the current issue shows that constitutive hyperexpression of STAT3 in mouse CD4+ T cells is sufficient to promote psoriasis-like skin disease, psoriasis-like arthritis and enthesopathy. Taken together with other data, the results suggest a model in which constitutive expression of STAT3, with or without IL-6 signaling, promotes an inflammatory environment including IL-1, TGFβ and IL-23 that promotes development and differentiation of Th17 cells (upper pathway). The same conditions in the presence of TNFα and IL-23 lead to the sustained development of Th22 T cells (lower pathway). Th17 cells express characteristic transcription factors, STAT3 and RORᵧt; chemokine receptors, CCR4 and CCR6; and cytokines IL-17a, IL-17f, IL-22 and IL-21. Collectively, these promote development of a psoriasis-like arthritis and individuals with higher STAT3 transcriptional activity are more susceptible to joint disease (upper pathway). Th22 cells express canonical transcription factors, STAT3, NF-kB and aryl hydrocarbon receptor (AhR); chemokine receptors, CCR4, CCR6 and CCR10; and cytokines, IL-22, TNF, IL-13 and IL-26. Collectively, these promote development of skin psoriasis and individuals with high STAT3 transcriptional activity are more likely to develop skin disease (lower pathway).

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References

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