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STAT 3  Protein &  Immuno Competent Cells Cross Talks in Psoriasis M.YOUSRY ABDEL-MAWLA,MD Zagazig  Faculty of  Medicine,Egypt .
Signal   transducers   and   activators   of   transcription )  Stat) Family ,[object Object],[object Object],[object Object]
Cytokines and growth factors that activate STAT proteins
 
Structure of STAT3 protein.   ,[object Object]
STAT3 Activation ,[object Object],[object Object],[object Object]
Mechanism of Stat3 signaling ,[object Object]
Regulation of the STAT3 signal transduction pathway   ,[object Object],[object Object],[object Object],[object Object]
Regulation of the STAT3 signal transduction pathway
Regulation of intracellular Stat3 signalling .
JAK/Stat pathway activation and inhibition. ,[object Object],[object Object],[object Object]
Small Molecule Inhibitors of Stat3 Signaling Pathway ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Effects of STAT3 Deficiency on Cellular Function Stuart  et  al.T he Journal of Immunology,  2009, 182: 21–28
Psoriasis ,[object Object],[object Object]
Psoriasis
Combined data on psoriasis susceptibility loci ,[object Object]
Psoriasis Clinical Presentation
Clinical  Manifestations of Psoriasis
Histopathology of Psoriasis ,[object Object]
Immunopathology  of  Psoriasis ,[object Object],[object Object],[object Object],[object Object],[object Object]
Immunopathology  of  Psoriasis ,[object Object],[object Object],[object Object],[object Object],[object Object]
Immunopathology  of  Psoriasis ,[object Object],[object Object],[object Object],[object Object],[object Object]
Immunopathology  of  Psoriasis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
Immunopathology of Psoriasis ( ( Nickoloff & Nestle : J Clin Invest 2004; 113: 1664–1675.).
Plasmacytoid predendritic cells (PDCs) & Psoriasis  Pathogenesis ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
STAT3  &  Develoment  of  Dendritic Cells  (DC) ,[object Object],[object Object]
Bidirectional flow of ‘information’ and cells in a mature psoriasis lesion ,[object Object],[object Object],[object Object]
Bidirectional flow of ‘information’ and cells in a mature psoriasis lesion ,[object Object],[object Object],[object Object]
 
Keratinocytes cross  talks  among immune  cells   in psoriasis
Psoriasis: Evidence of  T-Cell Mediation ,[object Object],[object Object],[object Object],[object Object],[object Object]
T-Cell in Psoriasis ,[object Object],[object Object],[object Object]
T-Cell in Psoriasis ,[object Object],[object Object],[object Object],[object Object]
[object Object]
[object Object]
[object Object]
Serum  IL17 &  IL22  in psoriasis  Inas Almakhzangy & A. Gaballa Egyptian Dermatology Online Journal 5 (1): 4,  2009
T  Helper  1  versus 2  in psoriasis ,[object Object],[object Object],[object Object],[object Object],[object Object]
PSORIASIS IS a TH17  DISEASE  :A  Hypothesis ,[object Object],[object Object],[object Object]
PSORIASIS IS a TH17  DISEASE  :A  Hypothesis ,[object Object],[object Object],[object Object]
PSORIASIS IS a TH17  DISEASE  :A  Hypothesis ,[object Object],[object Object],[object Object]
PSORIASIS IS a TH17  DISEASE  :A  Hypothesis ,[object Object],[object Object],[object Object]
STAT3  REGULATION  of CYTOKINE-MEDIATED GENERATION of TH  17 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Keratinocytes cross  talks  with immune  cells   in psoriasis
T  Helper  17  Activation  Mechanisms in Psoriasis ,[object Object]
TH17 cells: effector cytokines and their function. ,[object Object],[object Object],[object Object]
Proinflammatory  Effects  of  IL17
Roles  of  IL-23 on  T  Helper 17  cells in Chronic  Inflammation  in  Psoriasis Adapted from Iwakura & Ishigame, J Clin Invest 116:1218-1222 (2006) Dendritic   cell Macrophage IL-23 IL-12 Th1 Th17 IFN  IL-1, IL-6 TNF Inflammatory  response Endothelial cells Stromal cells Epithelial cells Fibroblasts Macrophage IL-17, IL-6 IL-1 IL-6 IL-8 TNF IL-12R IL-23R IL-23R
Roles  of  IL-23 on  T  Helper 17  cells in Chronic  Inflammation  in  Psoriasis ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
Toll like Receptor (TLR) in  Th17 -mediated Autoimmune Inflammation  ( Goriely S, Neurath M, Goldman M, Nature Rev Immunol 2007 )   IL-23 IL-12 IL-27 TLR3 TLR2 Th1 Th1 Th17 IFN-  Autoimmune Inflammation polyI : C PGN IFN- 
The IL23 – IL17 axis: a critical role in autoimmune inflammation ,[object Object],[object Object],Cua et al., Nature 421:744, 2003 Weaver et al., Immunity 24:677, 2006 Mensah-Brown et al., Eur J Immunol 36:216, 2006 S Hue et al. J Exp Med 11:2473, 2006
Genetic  Polymorphism ,[object Object],[object Object],[object Object]
[object Object]
Stat3 links activated keratinocytes and immunocytes required for development of psoriasis   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Experimental  Models  of  Psoriasis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Experimental  Models  of  Psoriasis ,[object Object],[object Object],[object Object],[object Object]
Experimental  Models  of  Psoriasis ,[object Object]
Up-regulated molecules in keratinocytes of  K5.Stat3C  mice ,[object Object]
[object Object],[object Object],[object Object],[object Object]
Development of psoriasis following wound healing . ,[object Object]
Psoriatic lesions of K5.Stat3C mice ,[object Object]
A Tender  Piece of Information
Do Other Therapies Work Within This Framework? ,[object Object],[object Object]
Studies on Stat 3 in Psoriasis
Stat 3 in Psoriasis
 
 
 
Manipulation of Psorasis
Psoriasis:  New Immunologic Approaches to Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Therapeutic Targets in Psoriasis  As a  T  Helper 17  Cell-Mediated Disease
Anti TNF approved for psoriasis treatment JEADV 2010, 24 (Suppl. 5), 2–24
 
 
 
IL-12/IL-23 Inhibitors in Psoriasis ,[object Object],[object Object],[object Object]
IL-12/IL-23 as Therapeutic Targets  in Psoriasis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Reviewed in  Torti et al., J Am Acad Dermatol, 2007 doi: 10.1016/j.jaad.2007.07.016 
Effect of a single 5 mg/kg dose of anti-p40 mAb in psoriasis ,[object Object]
Current Rheumatology Reports   2007 ,  9:461–467
Topical Macrolactam Ascomycin Analog(  ABT-281 )  in Psoriasis   ,[object Object],[object Object]
A  NEW  CONCEPT ,[object Object]
Future  Psoriasis  Therapy ( Wippel-Slupetzky&Stingl  Curr Probl Dermatol., 2009, 38, : 172–189 )
Future  Psoriasis  Therapy ( Wippel-Slupetzky&Stingl  Curr Probl Dermatol., 2009, 38, : 172–189 )
IL-17A blocker & early promise for psoriasis   ,[object Object],[object Object],[object Object],[object Object]
Message Home
Message Home ,[object Object],[object Object],[object Object],[object Object],[object Object]
Message Home ,[object Object],[object Object],[object Object]
THANK  YOU

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