Investigation of oxidant and antioxidant levels in patients with psoriasis
Investigation of oxidant and antioxidant levels in patients with psoriasis
Background/aim: Psoriasis is an immune-mediated chronic inflammatory skin disease that is seen in 1%–3% of the population.It is characterized by symmetrical papulosquamous lesions on the scalp, knees, elbows, sacral region, and extensor surfaces of theextremities. Psoriasis affects both sexes equally. It is thought that reactive oxygen species have an important role in inflammatory skindiseases, especially in psoriasis. There are few studies investigating serum oxidant-antioxidant levels in psoriasis. In this study, we aimedto investigate serum oxidant and antioxidant levels in psoriasis and their effects on its pathogenesis.Materials and methods: Included in this study were 50 patients with psoriasis who had not been treated with any systemic medicationand 45 healthy volunteers (control group). The total oxidant status (TOS), total antioxidant status (TAS), malondialdehyde (MDA), and8-hydroxy 2’-deoxyguanosine (8H2D) were studied via venous blood sampling. The parameters were measured spectrophotometrically.The study was approved by the Local Ethics Committee of the Atatürk University Faculty of Medicine.Results: The mean ages of the patients and control group were 32.48 (±14.45) and 35.64 (±17.40) years, respectively. Of the patients, 23were male and 27 were female. Of the healthy volunteers, 20 were male and 25 were female. The mean disease duration was 8.77 (±6.90)years. The mean Psoriasis Area and Severity Index (PASI) score was 11.41 (±9.62). The mean TOS levels of the patient and controlgroups were 63.12 (±33.23) and 4.50 (±9.74), respectively. This difference was statistically significant (P = 0.00). The mean TAS levels ofthe patient and control groups were 3.15 (±0.70) and 3.16 (±0.44), respectively, without any statistically significant difference. The meanMDA levels in the patient and control groups were 14.84 (±6.66) and 12.77 (±4.87), respectively, without any statistically significantdifference. The mean 8H2D levels of the patient and control groups were 16,781.2 (±5918.95) and 15,276.13 (±6084.95), respectively.This difference was also not statistically significant. There was no correlation between PASI scores and the above-mentioned parameters.Conclusion: In the present study, the TOS levels showed a significant statistical difference between the psoriasis and control groups.This finding supports the effect of the oxidant system in the pathogenesis of psoriasis. This was the first study to investigate MDA,TOS, TAS, and 8H2D levels together in patients with psoriasis. More studies are needed to clearly understand the relationship betweenpsoriasis and the oxidant-antioxidant system.
___
- 1. Schon MP, Boehncke WH. Psoriasis. New England Journal of
Medicine 2005; 352: 1899-1912.
- 2. Krueger G, Ellis CN. Psoriasis recent advances in understanding
its pathogenesis and treatment. Journal of the American
Academy of Dermatology 2005; 53: 94-100.
- 3. Reynoso-von Drateln C, Martinez-Abundis E, BalcazarMunoz BR, Bustos-Saldana R, Gonzalez-Ortiz M. Lipid profile,
insulin secretion, and insulin sensitivity in psoriasis. Journal of
the American Academy of Dermatology 2003; 48: 882-885.
- 4. Baz K, Cimen B, Kokturk A, Yazici AC, Eskandari G et al.
Oxidant/antioxidant status in patients with psoriasis. Yonsei
Medical Journal 2003; 44: 987-990.
- 5. Severin E, Nave B, Stander M, Ott R, Traupe H. Total
antioxidative capacity is normal in sera from psoriasis patients
despite elevated bilirubin, tocopherol, and urate levels.
Dermatology 1999; 198: 336-339.
- 6. Kural BV, Örem A, Çimşit G, Yandı YE, Çalapoğlu M.
Evaluation of atherogenic tendency of lipids and lipoprotein
content and their relationship with oxidant-antioxidant system
in patients with psoriasis. Clinica Chimica Acta 2003; 328: 71-
82.
- 7. Yıldırım M, İnalöz HS, Baysal V, Delibaş N. The role of
oxidants and antioxidants in psoriasis. Journal of the European
Academy of Dermatology and Venereology 2003; 17: 34-36.
- 8. Popov I, Lewin G. A deficient function of the antioxidative
system of the organism as an aetiopathogenetic factor in
psoriasis. Medical Hypotheses 1991; 35: 229-236.
- 9. Ortonne JP. Recent developments in the understanding of the
pathogenesis of psoriasis. British Journal of Dermatology 1999;
14: 1-7.
- 10. Raynaud F, Brion DE, Gerbaud P. Oxidative modulation of
cyclic AMP-dependent protein kinase in human fibroblasts:
possible role in psoriasis. Free Radical Biology & Medicine
1997; 22: 623-632.
- 11. Kökçam I, Naziroğlu M. Antioxidants and lipid peroxidation
status in blood of patients with psoriasis. Clinica Chimica Acta
1999; 289: 23-31.
- 12. Wozniak A, Drewa G, Malinowska EK, Czajkowski R, Drozd
FP et al. Oxidant-antioxidant balance in patients with psoriasis.
Medical Science Monitor 2007; 13: 30-33.
- 13. Emre S, Metin A, Demirseren DD, Kılıç S, Işıkoğlu S et al. The
relationship between oxidative stress, smoking and clinical
severity of psoriasis. Journal of the European Academy of
Dermatology and Venereology 2013; 27: 370-375.
- 14. Kadam DP, Suryakar AN, Ankush RD, Kadam CY, Deshpande
KH. Role of oxidative stress in various stage of psoriasis. Indian
Journal of Clinical Biochemistry 2010; 25: 388-392.
- 15. Gabr SA, Al-Ghadir AH. Role of cellular oxidative stress and
cytochrome c in the pathogenesis of psoriasis. Archives of
Dermatological Research 2012; 304: 451-457.
- 16. Kaur S, Zilmer K, Leping V, Zilmer M. Serum methylglyoxal
level and its association with oxidative stress and disease
severity in patients with psoriasis. Archives of Dermatological
Research 2013; 305: 489-494.
- 17. Usta M, Turan E, Aral H, Inal BB, Gurel MS et al. Serum
paraoxonase-1 activities and oxidative status in patients with
plaque – type psoriasis with/without metabolic syndrome.
Journal of Clinical Laboratory Analysis 2011; 25: 289-295.
- 18. Toker A, Kadı M, Yıldırım AK, Aksoy H, Akçay F. Serum lipid
profile paraoxonase and arylesterase activities in psoriasis. Cell
Biochemistry and Function 2009; 27: 176-180.
- 19. Houshang N, Reza K, Masoud S, Ali E, Mansour R et al.
Antioxidant status in patients with psoriasis. Cell Biochemistry
and Function 2014; 32: 268-273.