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. 2023 Aug 15;14:1238647. doi: 10.3389/fimmu.2023.1238647

Figure 1.

Figure 1

Role of platelet activation in psoriasis and cardiovascular disease. (i) Activated platelets interact with leukocytes through CD40-CD40L or P-selectin-PSGL-1 cross-talk and facilitate leukocyte migration, leading to skin infiltration and thromboinflammatory injury. (ii) Platelets contribute to activation of immune cells and increased release of NETs from PMNs, cytokines from DCs, Th17 cells and neutrophils, and MMPs from macrophages, further promoting thrombosis and plaque rupture. (iii) Platelet activation induces secretion of cytokines and adhesion molecules by endothelial cells, resulting in endothelial dysfunction. In summary, activated platelets work as promoters for psoriasis and psoriasis-associated CVD. CD40L, CD40 ligand; PSGL-1, P-selectin glycoprotein ligand-1; NET, neutrophil extracellular trap; PMN, polymorphonuclear neutrophil; DC, dendritic cell; EC, endothelial cell; MΦ, macrophage.