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Related Experiment Videos

Decrease in enkephalin levels in psoriatic lesions after calcipotriol and mometasone furoate treatment.

J B Nissen1, W W Avrach, E S Hansen

  • 1Department of Dermatology, Marselisborg Hospital, Copenhagen, Denmark.

Dermatology (Basel, Switzerland)
|February 23, 1999
PubMed
Summary

Topical calcipotriol and mometasone furoate reduced methionine-enkephalin (enk) levels in psoriasis lesions, correlating with clinical improvement. These findings suggest enkephalins play a role in psoriasis pathogenesis.

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Area of Science:

  • Dermatology
  • Immunology
  • Biochemistry

Background:

  • Enkephalins, opioid peptides, modulate immune responses and inhibit keratinocyte proliferation.
  • Elevated enkephalin levels are observed in psoriatic lesions.
  • Psoriasis involves complex immune and epidermal processes.

Purpose of the Study:

  • To investigate the impact of topical calcipotriol and mometasone furoate on methionine-enkephalin (enk) levels in psoriatic lesions.
  • To correlate treatment-induced changes in enk levels with clinical and histological outcomes.

Main Methods:

  • Twelve psoriasis patients received 14-day topical treatment with calcipotriol and mometasone furoate, with or without hydrocolloid occlusion.
  • Keratome biopsies were analyzed for enk quantification via radioimmunoassay.

Related Experiment Videos

  • Punch biopsies facilitated immunohistochemical analysis of immune cells.
  • Main Results:

    • Both calcipotriol and mometasone furoate demonstrated comparable clinical improvement, enhanced by occlusion.
    • Enkephalin levels decreased significantly with both treatments, with greater reduction under occlusion (26-86% for calcipotriol, 16-63% for mometasone furoate).
    • Decreased enk levels correlated with clinical improvement but not directly with all histological changes.

    Conclusions:

    • Topical calcipotriol and mometasone furoate effectively reduce elevated enkephalin levels in psoriatic lesions.
    • The reduction in enkephalins parallels clinical symptom improvement in psoriasis.
    • Enkephalins may be implicated in the pathogenesis of psoriasis, influencing epidermal differentiation and inflammation.