# The Role of Elafin in the Pathogenesis of Psoriasis

**Authors:** Mateusz Matwiejuk, Agnieszka Kulczyńska-Przybik, Bartłomiej Łukaszuk, Hanna Myśliwiec, Piotr Myśliwiec, Adrian Chabowski, Barbara Mroczko, Iwona Flisiak

PMC · DOI: 10.3390/ijms27041767 · International Journal of Molecular Sciences · 2026-02-12

## TL;DR

This study found that psoriasis patients have higher levels of a protein called elafin, which may be linked to the severity of the disease.

## Contribution

The study identifies elafin as a potential biomarker for psoriasis severity.

## Key findings

- Psoriasis patients had significantly higher serum elafin levels than healthy controls.
- Elafin levels were positively correlated with PASI scores, indicating disease severity.

## Abstract

Psoriasis is a chronic, immune-mediated inflammatory disease that affects the skin, nails, joints, and cardiovascular system. In this study, involving 50 psoriatic patients and 28 healthy controls (patients with inguinal hernia), serum elafin levels were measured using enzyme-linked immunosorbent assay (ELISA). The results revealed significantly higher serum elafin levels in the psoriatic group compared to healthy individuals. Moreover, we observed a statistically significant positive correlation between serum elafin levels and the Psoriasis Area and Severity Index (PASI) scores. These findings indicate that elafin—a protein involved in psoriasis pathogenesis—is significantly altered in the serum of psoriatic patients and may be associated with disease severity.

## Linked entities

- **Proteins:** PI3 (peptidase inhibitor 3, skin-derived (SKALP))
- **Diseases:** psoriasis (MONDO:0005083)

## Full-text entities

- **Genes:** IL1B (interleukin 1 beta) [NCBI Gene 3553] {aka IL-1, IL1-BETA, IL1F2, IL1beta}, TNF (tumor necrosis factor) [NCBI Gene 7124] {aka DIF, IMD127, TNF-alpha, TNFA, TNFSF2, TNLG1F}, IL22 (interleukin 22) [NCBI Gene 50616] {aka IL-21, IL-22, IL-D110, IL-TIF, ILTIF, TIFIL-23}, NFKB1 (nuclear factor kappa B subunit 1) [NCBI Gene 4790] {aka CVID12, EBP-1, KBF1, NF-kB, NF-kB1, NF-kappa-B1}, ELN (elastin) [NCBI Gene 2006] {aka ADCL1, SVAS, WBS, WS}, SLC17A5 (solute carrier family 17 member 5) [NCBI Gene 26503] {aka AST, ISSD, NSD, SD, SIALIN, SIASD}, PDLIM1 (PDZ and LIM domain 1) [NCBI Gene 9124] {aka CLIM1, CLP-36, CLP36, HEL-S-112, hCLIM1}, CRP (C-reactive protein) [NCBI Gene 1401] {aka PTX1}, IL17A (interleukin 17A) [NCBI Gene 3605] {aka CTLA-8, CTLA8, IL-17, IL-17A, IL17, ILA17}, IL23A (interleukin 23 subunit alpha) [NCBI Gene 51561] {aka IL-23, IL-23A, IL23P19, P19, SGRF}, IFNG (interferon gamma) [NCBI Gene 3458] {aka IFG, IFI, IMD69}, PI3 (peptidase inhibitor 3) [NCBI Gene 5266] {aka ESI, SKALP, WAP3, WFDC14, cementoin}, ELANE (elastase, neutrophil expressed) [NCBI Gene 1991] {aka ELA2, GE, HLE, HNE, NE, PMN-E}
- **Diseases:** anxiety (MESH:D001007), malignancies (MESH:D009369), water (MESH:D000069578), diabetes mellitus (MESH:D003920), non-alcoholic fatty liver disease (MESH:D065626), psychiatric disorders (MESH:D001523), dermatoses (MESH:D012871), diabetes:10 (MESH:C566602), dyslipidemia (MESH:D050171), hidradenitis suppurativa (MESH:D017497), inguinal hernia (MESH:D006552), cutaneous T-cell lymphoma (MESH:D016410), metabolic syndrome (MESH:D024821), hyperlipidemia (MESH:D006949), chronic inflammation (MESH:D007249), liver disease (MESH:D008107), injury to (MESH:D014947), systemic diseases (MESH:D034721), squamous cell carcinoma (MESH:D002294), Plaque psoriasis (MESH:D011565), psoriatic (MESH:D015535), actinic elastosis (MESH:D005148), immune-mediated disease (MESH:C567355), overweight (MESH:D050177), desquamation (MESH:D017490), induration (MESH:D010411), NMSCs (MESH:D012878), streptococcal (MESH:D013290), Obesity (MESH:D009765), mental health disorders (OMIM:603663), dermatological (MESH:D000168), cardiovascular disease (MESH:D002318), hypertension (MESH:D006973), PASI (MESH:D045169), atopic dermatitis (MESH:D003876), erythema (MESH:D004890), human immunodeficiency virus infections (MESH:D015658), hyperlipidemia:13 (MESH:D018344), inflammatory bowel disease (MESH:D015212), depression (MESH:D003866)
- **Chemicals:** lipoteichoic acid (MESH:C009900), triacylglycerol (MESH:D014280), lithium (MESH:D008094), water (MESH:D014867), cyclosporine A. (MESH:D016572), TG (MESH:D013866), chelonianin (-), alcohol (MESH:D000438), lipopolysaccharide (MESH:D008070)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

_Full body text omitted from this summary view._ Fetch the complete paper as Markdown: https://tomesphere.com/paper/PMC12940578/full.md

## Figures

4 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12940578/full.md

## References

41 references — full list in the complete paper: https://tomesphere.com/paper/PMC12940578/full.md

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Source: https://tomesphere.com/paper/PMC12940578