Homocysteine, vitamin B12 and folic acid levels in psoriasis patients

S K Cakmak1, U Gül, C Kiliç

  • 12nd Dermatology Clinic, Ankara Numune Education and Research Hospital, Ministry of Health, Ankara, Turkey. seraycakmak@gmail.com

Insights

Serum homocysteine levels correlate with psoriasis severity, suggesting a link between elevated homocysteine and increased cardiovascular risk in psoriasis patients. Further research is warranted to explore this association.

Area of Science:

  • Dermatology
  • Cardiovascular Medicine
  • Nutritional Biochemistry

Background:

  • Hyperhomocysteinemia is a known risk factor for various cardiovascular and thrombotic diseases.
  • Previous studies suggest a potential association between psoriasis and cardiovascular diseases.

Purpose of the Study:

  • To investigate serum homocysteine, folic acid, and vitamin B12 levels in patients with chronic plaque psoriasis.
  • To explore the relationship between these biochemical markers and psoriasis severity.

Main Methods:

  • A cross-sectional study involving 70 outpatients with chronic plaque psoriasis and 70 matched controls.
  • Measurement of serum homocysteine, folic acid, and vitamin B12 levels in both groups.

Main Results:

  • No significant differences in serum homocysteine, folic acid, or vitamin B12 levels were observed between psoriasis patients and controls.
  • In psoriasis patients, serum homocysteine levels showed a direct correlation with disease severity (Psoriasis Area and Severity Index).
  • A significant inverse correlation was found between serum homocysteine and serum folic acid levels within the psoriasis patient group.

Conclusions:

  • Serum homocysteine levels are associated with the severity of psoriasis.
  • The observed correlation suggests that elevated homocysteine may contribute to the increased cardiovascular risk associated with more severe psoriasis.
Abstract

Related Concept Videos

Vitamins01:30

Vitamins

Vitamins, derived from the Latin word for life, are essential organic substances required in small quantities for optimal growth and overall well-being. Unlike other organic nutrients, vitamins don't act as sources of energy or building materials but rather facilitate these nutrients' utilization by the body. Vitamins are predominantly coenzymes, assisting enzymes in specific chemical actions, like the oxidation of glucose for energy involving B vitamins. Most vitamins are not produced in our...
Blood Studies for Cardiovascular System II: CRP, Hcy, and Cardiac Natriuretic Peptide Markers01:19

Blood Studies for Cardiovascular System II: CRP, Hcy, and Cardiac Natriuretic Peptide Markers

Cardiac biomarkers are critical in diagnosing, prognosing, and managing cardiovascular diseases. Routine measurement of specific biomarkers such as B-type natriuretic peptide (BNP), C-reactive protein (CRP), and homocysteine (Hcy) is common practice in clinical settings to evaluate heart function and predict cardiovascular events.
These markers indicate stress or strain on the heart muscle:
Natriuretic Peptides (BNP)
Cardiac myocytes produce these hormones in response to ventricular stretching...
Sulfur Assimilation01:20

Sulfur Assimilation

Sulfur is an essential element in biological systems, contributing to synthesizing key biomolecules, including amino acids such as cysteine and methionine, and cofactors such as coenzyme A and biotin. Microorganisms primarily assimilate sulfur as sulfate (SO₄²⁻) from the environment, which must undergo a series of biochemical transformations before it can be incorporated into cellular components. As sulfate is highly oxidized, it must undergo assimilatory sulfate reduction to become...
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy01:30

Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy

Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the colonic...
Role of Vitamins in Maintaining Bone Health01:25

Role of Vitamins in Maintaining Bone Health

The growth and maintenance of bone are regulated by a combination of nutritional factors, including vitamins, such as vitamin A, B12, C, D, and K.
Vitamin A
Vitamin A is involved in the process of bone remodeling. Retinoic acid, the active metabolite of Vitamin A, has nuclear receptors in osteoblasts and osteoclasts, which are involved in bone remodeling.
Vitamin B12
Vitamin B12 acts as a cofactor during the formation of osteoblast-related proteins, such as osteocalcin. Vitamin B12 plays a role...
Role of Skin in Vitamin D Synthesis01:23

Role of Skin in Vitamin D Synthesis

The skin plays a crucial role in the synthesis of vitamin D, a vital nutrient for various physiological processes in the body. Vitamin D is unique because it can be synthesized in the skin through a series of chemical reactions triggered by exposure to ultraviolet B (UVB) radiation from sunlight.
The solar UV B rays (290-315 nm) are absorbed by the skin, and 7-dehydrocholesterol (provitamin D3) photolyzes it to previtamin D3, which undergoes a rapid transformation to vitamin D3(cholecalciferol).