Modelling epidermis homoeostasis and psoriasis pathogenesis
Authored by Hong Zhang, Wenhong Hou, Laurence Henrot, Sylvianne Schnebert, Marc Dumas, Catherine Heusele, Jin Yang
Date Published: 2015
DOI: 10.1098/rsif.2014.1071
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Mathematical description
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Abstract
We present a computational model to study the spatio-temporal dynamics
of epidermis homoeostasis under normal and pathological conditions. The
model consists of a population kinetics model of the central transition
pathway of keratinocyte proliferation, differentiation and loss and an
agent-based model that propagates cell movements and generates the
stratified epidermis. The model recapitulates observed homoeostatic cell
density distribution, the epidermal turnover time and the multilayered
tissue structure. We extend the model to study the onset, recurrence and
phototherapy-induced remission of psoriasis. The model considers
psoriasis as a parallel homoeostasis of normal and psoriatic
keratinocytes originated from a shared stem cell (SC) niche environment
and predicts two homoeostatic modes of psoriasis: a disease mode and a
quiescent mode. Interconversion between the two modes can be controlled
by interactions between psoriatic SCs and the immune system and by
normal and psoriatic SCs competing for growth niches. The prediction of
a quiescent state potentially explains the efficacy of multi-episode UVB
irradiation therapy and recurrence of psoriasis plaques, which can
further guide designs of therapeutics that specifically target the
immune system and/or the keratinocytes.
Tags
progenitor cells
Transit-amplifying cells
Human stratum corneum
Normal human-skin
Stem-cells
Multicellular systems
Regional differences
Clinical-features
Uvb phototherapy
Self-renewal