Abstract Lipids play a crucial role in maintaining skin health. Previous studies have indicated that lipid disorders in psoriasis involve not only systemic dyslipidaemia but also alterations in lipid metabolites within skin tissue. Our study aims to investigate the impact of SPRY1-DGAT axis dysregulation on lipid metabolism in psoriasis, focusing on the role of glycerides, which have been less explored compared with phospholipids, fatty acids, and ceramides. Skin samples from healthy individuals and psoriasis patients were collected to measure the levels of DGAT (Diacylglycerol O-Acyltransferase) and glycerides. Primary cultured keratinocytes were used to assess glyceride content, proliferation, and differentiation. Additionally, we utilized SPRY1 (Sprouty1) overexpression in vitro and SPRY1 knockout (KO) transgenic mice models to observe phenotypic changes and metabolic alterations. The glyceride levels were quantified using lipidomic analyses, while DGAT expression was evaluated via immunofluorescence and Western blotting. Keratinocyte proliferation and differentiation were assessed through cell cycle analysis and marker expression studies. Cytokine secretion was measured using ELISA. Our results demonstrate that psoriasis patients exhibit significant abnormalities in glyceride metabolism, characterized by a notable decrease in the enzyme DGAT in their skin tissues. Our previous studies have indicated a close association between SPRY1 and psoriasis. In SPRY1 KO mice, we observed psoriasis-like phenotypes, including epidermal hyperplasia and inflammation, alongside similar glyceride metabolic abnormalities and reduced DGAT levels. The SPRY1-DGAT pathway was found to have a significant influence on glyceride metabolism, affecting keratinocyte proliferation, differentiation, and the secretion of inflammatory cytokines. Specifically, the downregulation of DGAT in psoriasis patients and SPRY1 KO mice correlated with increased keratinocyte proliferation and aberrant differentiation, contributing to the inflammatory environment characteristic of psoriasis. Metabolic abnormalities in psoriasis involve both systemic dyslipidaemia and localized changes within skin tissue. The downregulation of Spry1 and DGAT is intricately associated with abnormal glyceride metabolism in keratinocytes, leading to altered cell proliferation, differentiation, and inflammatory pathways. Our study highlights the importance of the SPRY1-DGAT axis in maintaining normal lipid metabolism and suggests that its dysregulation may play a critical role in the pathogenesis of psoriasis. Therapeutic strategies aimed at restoring normal glyceride metabolism through modulation of the SPRY1-DGAT pathway could potentially ameliorate psoriasis symptoms and improve skin health.
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