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[The biochemistry of psoriasis]
Summary
Psoriasis disrupts general metabolism, increasing risks for diabetes and lipid issues. Skin cells exhibit altered glucose metabolism, increased DNA synthesis, and abnormal lipid processing.
Area of Science:
- Biochemistry
- Dermatology
- Metabolic Disorders
Context:
- Psoriasis is a chronic inflammatory skin condition associated with systemic metabolic disturbances.
- Previous research indicates links between psoriasis and conditions like diabetes mellitus, hyperuricemia, and lipid abnormalities.
Purpose:
- To investigate the specific alterations in cutaneous and general metabolism associated with psoriasis.
- To identify key metabolic pathways and molecules affected in psoriatic lesions and surrounding skin.
Summary:
- Psoriasis is linked to widespread metabolic dysregulation, including increased incidence of diabetes mellitus, hyperuricemia, and lipid disturbances.
- Cutaneous metabolism is significantly altered, with excessive glucose metabolism leading to increased production of amino acids, fatty acids, sterols, lactic acid, ribose, ribulose, and uronic acids.
- Abnormalities include glycogen accumulation, increased lipogenesis and lipolysis, decreased cholesterol esterification, diminished ATP utilization, increased collagen renewal, and elevated DNA synthesis in psoriatic lesions.
Impact:
- Understanding these metabolic changes can provide insights into the pathogenesis of psoriasis and its comorbidities.
- Identifies potential therapeutic targets for managing psoriasis and its associated metabolic complications.
- Highlights the systemic nature of psoriasis, extending beyond the skin to affect overall metabolic health.