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Open AccessDOI: 10.1186/s13287-026-04964-zOriginal Research

Mesenchymal Stem Cells Alleviate Psoriasis by Regulating the PSPH-PINK1-Parkin-NLRP3 Pathway in HaCaT Keratinocytes via Serine Metabolism

Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences, School of Basic Medicine Peking Union Medical College

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Mesenchymal Stem Cells Alleviate Psoriasis by Regulating the PSPH-PINK1-Parkin-NLRP3 Pathway in HaCaT Keratinocytes via Serine Metabolism
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Published In
Stem Cell Research & Therapy
Published:January 15, 2026Edition:Vol 17, Issue 1 • pp. 100-112Citation:Qing Lin et al. (2026), Stem Cell Research & Therapy
Impact FactorPremier Chinese Biomedical Journal indexed in SinoBioData: Stem Cell Research & Therapy (干细胞研究与转化).
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Key Takeaways & Executive Findings

  • • • MSCs significantly improved IMQ-induced psoriasis skin lesions in mice, reducing inflammatory cytokines (IL-1β, IL-6, IL-8, TNF-α) and chemokines (MCP-1, CCL7, CCL20, CCL27) in skin lesions and M5-induced HaCaT cells, with statistical significance (P<0.05 to P<0.001). • • MSCs restored skin barrier by upregulating claudin-1 expression in vivo, and normalized keratinocyte differentiation markers (increased KRT1, decreased KRT6) both in vivo and in vitro, indicating functional recovery of epidermal differentiation. • • Amino acid metabolomics showed MSCs improved serine metabolism in mouse skin, upregulating key enzyme PSPH; knockdown of PSPH reversed MSCs' therapeutic effects in vitro, confirming PSPH as a critical mediator. • • MSCs activated PINK1-Parkin mitophagy pathway, with elevated PINK1, Parkin, p-Parkin, Beclin-1, and LC3B-II/I ratio, and reduced P62 (n=3, P<0.05 to P<0.001), leading to suppression of NLRP3 inflammasome and keratinocyte hyperproliferation.

Abstract

Psoriasis is a chronic inflammatory skin disease affecting 2-3% of the global population. Mesenchymal stem cells (MSCs) have emerged as a potential therapy, but the underlying mechanisms remain unclear. This study investigated the therapeutic effects of adipose-derived MSCs on imiquimod (IMQ)-induced psoriasis in mice and M5-induced psoriatic HaCaT keratinocytes in vitro. MSCs significantly ameliorated skin lesions, reduced inflammatory cytokines (IL-1β, IL-6, IL-8, TNF-α) and chemokines (MCP-1, CCL7, CCL20, CCL27), and restored skin barrier function by upregulating claudin-1. MSCs also normalized keratinocyte differentiation markers (increased KRT1, decreased KRT6). Amino acid metabolomics revealed that MSCs enhanced serine metabolism in mouse skin, upregulating phosphoserine phosphatase (PSPH). Knockdown of PSPH reversed the therapeutic effects of MSCs in vitro. Mechanistically, MSCs activated the PINK1-Parkin mitophagy pathway, as evidenced by increased PINK1, Parkin, p-Parkin, Beclin-1, and LC3B-II/I ratios, and decreased P62. This activation attenuated NLRP3 inflammasome activation and restrained keratinocyte hyperproliferation. The study concludes that MSCs alleviate psoriasis via PSPH-mediated activation of PINK1-Parkin mitophagy, suppressing NLRP3 inflammasome. Limitations include the need to identify specific MSC-secreted factors and lack of clinical validation. These findings provide a rationale for developing PSPH-targeted therapies for psoriasis.

1. Introduction

Psoriasis, a chronic autoimmune skin disorder, affects 2-3% of the global population, characterized by keratinocyte hyperproliferation and aberrant differentiation driven by inflammatory cytokines. Conventional therapies, including topical corticosteroids and biologics, often provide only temporary relief and are associated with significant side effects, immunosuppression, and high costs. The unmet need for safe, durable, and targeted treatments has prompted exploration of cell-based therapies, particularly mesenchymal stem cells (MSCs), which possess immunomodulatory and regenerative properties. However, the precise molecular mechanisms underlying MSC-mediated therapeutic effects in psoriasis remain elusive, hindering the development of optimized MSC-based protocols.

This study addresses this bottleneck by employing an IMQ-induced mouse model and an in vitro M5-induced HaCaT keratinocyte model to dissect the MSC paracrine actions. The authors identify a novel axis involving serine metabolism, specifically the enzyme phosphoserine phosphatase (PSPH), which activates the PINK1-Parkin mitophagy pathway, subsequently suppressing NLRP3 inflammasome activation. This mechanistic insight not only clarifies how MSCs alleviate psoriatic inflammation but also reveals PSPH as a potential therapeutic target. By pinpointing a key molecular mediator, this research paves the way for developing targeted small-molecule or biologics that mimic MSC effects, potentially offering a more precise and cost-effective alternative to whole-cell therapy.

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Cite This Research Paper
Qing Lin, Yunfei Ji, Bin Yang, Rongjia Zhu, Ping Song, Robert Chunhua Zhao (2026). Mesenchymal Stem Cells Alleviate Psoriasis by Regulating the PSPH-PINK1-Parkin-NLRP3 Pathway in HaCaT Keratinocytes via Serine Metabolism. Stem Cell Research & Therapy. https://doi.org/10.1186/s13287-026-04964-z
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Frequently Asked Questions

What is the specific soluble factor secreted by MSCs that upregulates PSPH in keratinocytes?

The study did not identify the specific soluble factor; it acknowledged this as a limitation. Future research will investigate MSC secretome components such as cytokines or exosomes to determine which factor(s) drive PSPH upregulation.

How does PSPH knockdown exactly reverse the therapeutic effects of MSCs in vitro?

In the in vitro M5-induced psoriatic HaCaT model, siRNA-mediated knockdown of PSPH reversed the MSC-induced reduction of inflammatory cytokines (IL-1β, IL-6, IL-8, TNF-α) and chemokines (CCL7, CCL20), and also reversed the normalization of keratinocyte differentiation markers (KRT1 and KRT6). This indicates that PSPH is essential for the anti-inflammatory and differentiation-restoring effects of MSCs.

What is the quantitative impact of MSCs on the PINK1-Parkin pathway and mitophagy markers?

MSCs significantly increased protein levels of PINK1, Parkin, p-Parkin, Beclin-1, and the LC3B-II/I ratio, while decreasing P62 levels, with statistical significance (P<0.05 to P<0.001, n=3). These changes indicate activation of mitophagy, which is linked to reduced NLRP3 inflammasome activation.

Are there any potential off-target effects of PSPH modulation that could limit clinical translation?

The study did not assess off-target effects. PSPH is a key enzyme in serine biosynthesis, and its systemic modulation could affect cellular metabolism broadly. Further studies are needed to evaluate the safety and specificity of PSPH-targeted therapies, particularly in vivo and in clinical settings.

What are the limitations of the IMQ-induced mouse model in representing human psoriasis, and how might this affect the validity of the findings?

The IMQ model mimics some aspects of psoriatic inflammation but does not fully recapitulate the chronic, autoimmune nature of human psoriasis. The study acknowledges the lack of clinical validation. Therefore, while the findings are promising, they require confirmation in more relevant animal models and ultimately in human clinical trials.

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