FoxO1 在痤疮中的作用以及异维A酸对 FoxO1 表达的影响。

IF 1.9 Q3 DERMATOLOGY Indian Dermatology Online Journal Pub Date : 2024-02-28 eCollection Date: 2024-03-01 DOI:10.4103/idoj.idoj_455_23
Parul Kamboj, Geeti Khullar, Sanjeev Handa, Arnab Pal, Uma Nahar Saikia, Dipankar De
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引用次数: 0

摘要

背景:结节囊肿性痤疮是一种严重的痤疮类型,已知在使用异维A酸治疗后会有所改善。梅尔尼克就痤疮发病机制提出了一个统一的概念,即叉头盒O转录因子(FoxO1)表达的改变以及异维A酸通过调节这一途径改善痤疮的作用。目的:通过分析痤疮患者和非痤疮对照组之间FoxO1、过氧化物酶体增殖激活受体(PPARγ)和雄激素受体(AR)表达的差异,以及异维A酸治疗对痤疮患者这些基因表达变化的影响,评估梅尔尼克提出的痤疮发病途径:结果:与对照组相比,痤疮患者的FoxO1基因表达量没有明显增加。使用异维A酸治疗后,痤疮患者的 FoxO1 表达在 mRNA 水平上明显下降(P = 0.05)。在蛋白质水平上,FoxO1 的 3 级阳性率明显下降(P = 0.0009)。在蛋白质水平上,也观察到雄激素受体阳性率下降(P = 0.055):结论:减少 FoxO1 的表达似乎是异维A酸治疗痤疮的一个重要作用机制。
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Role of FoxO1 in Acne and Effect of Isotretinoin on FoxO1 Expression.

Background: Nodulocystic acne is a severe type of acne that is known to improve after treatment with isotretinoin. Melnik has hypothesized a unifying concept on the mechanism of acne pathogenesis involving altered expression of Forkhead box O transcription factor (FoxO1) and role of isotretinoin in improving acne via modulating this pathway.

Aim: To evaluate the pathway proposed by Melnik in acne pathogenesis by analysing the difference in the expression of FoxO1, peroxisome proliferator-activated receptor (PPARγ), and androgen receptor (AR) between acne patients and non-acne controls and the effect of treatment with isotretinoin on change in expression of these genes in acne patients.

Results: The gene expression of FoxO1 was non significantly higher in acne patients as compared to controls. After treatment with isotretinoin, a significant decrease in FoxO1 expression in acne patients at mRNA (P = 0.05) level was observed. There was a significant decrease in grade 3 positivity of FoxO1 at protein level (P = 0.0009). A decrease in androgen receptor positivity (P = 0.055) at protein level was also observed.

Conclusion: Reduction in FoxO1 expression appears to be an important mechanism of action of isotretinoin in acne.

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来源期刊
CiteScore
2.00
自引率
11.80%
发文量
201
审稿时长
49 weeks
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