Your new experience awaits. Try the new design now and help us make it even better

ORIGINAL RESEARCH article

Front. Immunol.

Sec. Autoimmune and Autoinflammatory Disorders : Autoimmune Disorders

Volume 16 - 2025 | doi: 10.3389/fimmu.2025.1620027

This article is part of the Research TopicNew Insights into Inflammation Driven Autoimmune Skin Disorders: Trends and ChallengesView all 4 articles

Accelerated biological aging as a potential mediator mediates the relationship between metabolic syndrome and the risk of psoriasis: A prospective analysis from the UK biobank

Provisionally accepted
Rongqian  TianRongqian Tian1Shaona  QiuShaona Qiu1Jinrong  ZhangJinrong Zhang1Ming  ChenMing Chen1Hai  YuHai Yu1Jun  LyuJun Lyu1,2Waichi  LauWaichi Lau2Liehua  DengLiehua Deng1*
  • 1The First Affiliated Hospital of Jinan University, Guangzhou, China
  • 2jinan university, Guangzhou, China

The final, formatted version of the article will be published soon.

Background: Increasing evidence suggests that metabolic syndrome (MetS) may contribute to the development of psoriasis. However, the mediating role of accelerated aging in this association remains unclear.Methods: This study utilized data from 319,263 participants in the UK Biobank. Cox proportional hazards models were used to assess the associations between MetS, genetic predisposition, and psoriasis risk. Mediation analysis examined the role of accelerated aging (PhenoAgeAccel) in the relationship between MetS, its components, and psoriasis.Results: MetS was associated with a 30% increased risk of psoriasis (HR: 1.30; 95% CI: 1.20-1.40). Among its components, abdominal obesity, low HDL cholesterol, high triglycerides, and hyperglycemia were each independently linked to higher risk. Individuals with both MetS and high genetic susceptibility had a substantially increased risk (HR: 2.93; 95% CI: 2.51-3.43). PhenoAgeAccel significantly mediated 28.8% of the MetS-psoriasis association.: MetS and its components play a key role in psoriasis development, especially in genetically susceptible individuals. Accelerated aging may partially explain this link, suggesting a potential biological pathway and underscoring the importance of early MetS identification.

Keywords: metabolic syndrome, Psoriasis, Genetic Susceptibility, 50 Biological aging, Mediation analysis

Received: 29 Apr 2025; Accepted: 16 Jul 2025.

Copyright: © 2025 Tian, Qiu, Zhang, Chen, Yu, Lyu, Lau and Deng. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Liehua Deng, The First Affiliated Hospital of Jinan University, Guangzhou, China

Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.