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Cutaneous expression of cytochrome P450 CYP2S1: individuality in regulation by therapeutic agents for psoriasis and other skin diseases
by
Wolf, C Roland
, Deeni, Yusuf Y
, Ibbotson, Sally H
, Smith, Gillian
, Evans, Alan T
, Dawe, Robert S
, Comrie, Muriel M
, Ferguson, James
in
Biological and medical sciences
/ Biopsy
/ Chemical compounds
/ Coal tar
/ Coal Tar - therapeutic use
/ Cytochrome
/ Cytochrome P-450 Enzyme System - genetics
/ Cytochrome P450
/ Drug dosages
/ Drug metabolism
/ Drug therapy
/ Drugs
/ E coli
/ Enzyme Induction - drug effects
/ Enzyme Induction - radiation effects
/ Enzymes
/ Gene expression
/ Gene Expression Regulation, Enzymologic - drug effects
/ Gene Expression Regulation, Enzymologic - radiation effects
/ Humans
/ Irradiation
/ Light therapy
/ Medical research
/ Medical sciences
/ Metabolism
/ Metabolites
/ Oxygenases - genetics
/ Pharmacology
/ Pharmacology. Drug treatments
/ Photochemotherapy
/ Photodynamic therapy
/ Polycyclic aromatic hydrocarbons
/ Polymerase Chain Reaction
/ Psoralen
/ Psoriasis
/ Psoriasis - genetics
/ Psoriasis - pathology
/ Psoriasis - therapy
/ PUVA Therapy
/ Retinoic acid
/ RNA, Messenger - genetics
/ Skin
/ Skin - enzymology
/ Skin - pathology
/ Skin diseases
/ Skin, nail, hair, dermoskeleton
/ Substance abuse treatment
/ Tretinoin
/ Tretinoin - metabolism
/ Tretinoin - therapeutic use
/ Ultraviolet radiation
/ Ultraviolet Therapy
2003
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Cutaneous expression of cytochrome P450 CYP2S1: individuality in regulation by therapeutic agents for psoriasis and other skin diseases
by
Wolf, C Roland
, Deeni, Yusuf Y
, Ibbotson, Sally H
, Smith, Gillian
, Evans, Alan T
, Dawe, Robert S
, Comrie, Muriel M
, Ferguson, James
in
Biological and medical sciences
/ Biopsy
/ Chemical compounds
/ Coal tar
/ Coal Tar - therapeutic use
/ Cytochrome
/ Cytochrome P-450 Enzyme System - genetics
/ Cytochrome P450
/ Drug dosages
/ Drug metabolism
/ Drug therapy
/ Drugs
/ E coli
/ Enzyme Induction - drug effects
/ Enzyme Induction - radiation effects
/ Enzymes
/ Gene expression
/ Gene Expression Regulation, Enzymologic - drug effects
/ Gene Expression Regulation, Enzymologic - radiation effects
/ Humans
/ Irradiation
/ Light therapy
/ Medical research
/ Medical sciences
/ Metabolism
/ Metabolites
/ Oxygenases - genetics
/ Pharmacology
/ Pharmacology. Drug treatments
/ Photochemotherapy
/ Photodynamic therapy
/ Polycyclic aromatic hydrocarbons
/ Polymerase Chain Reaction
/ Psoralen
/ Psoriasis
/ Psoriasis - genetics
/ Psoriasis - pathology
/ Psoriasis - therapy
/ PUVA Therapy
/ Retinoic acid
/ RNA, Messenger - genetics
/ Skin
/ Skin - enzymology
/ Skin - pathology
/ Skin diseases
/ Skin, nail, hair, dermoskeleton
/ Substance abuse treatment
/ Tretinoin
/ Tretinoin - metabolism
/ Tretinoin - therapeutic use
/ Ultraviolet radiation
/ Ultraviolet Therapy
2003
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Cutaneous expression of cytochrome P450 CYP2S1: individuality in regulation by therapeutic agents for psoriasis and other skin diseases
by
Wolf, C Roland
, Deeni, Yusuf Y
, Ibbotson, Sally H
, Smith, Gillian
, Evans, Alan T
, Dawe, Robert S
, Comrie, Muriel M
, Ferguson, James
in
Biological and medical sciences
/ Biopsy
/ Chemical compounds
/ Coal tar
/ Coal Tar - therapeutic use
/ Cytochrome
/ Cytochrome P-450 Enzyme System - genetics
/ Cytochrome P450
/ Drug dosages
/ Drug metabolism
/ Drug therapy
/ Drugs
/ E coli
/ Enzyme Induction - drug effects
/ Enzyme Induction - radiation effects
/ Enzymes
/ Gene expression
/ Gene Expression Regulation, Enzymologic - drug effects
/ Gene Expression Regulation, Enzymologic - radiation effects
/ Humans
/ Irradiation
/ Light therapy
/ Medical research
/ Medical sciences
/ Metabolism
/ Metabolites
/ Oxygenases - genetics
/ Pharmacology
/ Pharmacology. Drug treatments
/ Photochemotherapy
/ Photodynamic therapy
/ Polycyclic aromatic hydrocarbons
/ Polymerase Chain Reaction
/ Psoralen
/ Psoriasis
/ Psoriasis - genetics
/ Psoriasis - pathology
/ Psoriasis - therapy
/ PUVA Therapy
/ Retinoic acid
/ RNA, Messenger - genetics
/ Skin
/ Skin - enzymology
/ Skin - pathology
/ Skin diseases
/ Skin, nail, hair, dermoskeleton
/ Substance abuse treatment
/ Tretinoin
/ Tretinoin - metabolism
/ Tretinoin - therapeutic use
/ Ultraviolet radiation
/ Ultraviolet Therapy
2003
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Cutaneous expression of cytochrome P450 CYP2S1: individuality in regulation by therapeutic agents for psoriasis and other skin diseases
Journal Article
Cutaneous expression of cytochrome P450 CYP2S1: individuality in regulation by therapeutic agents for psoriasis and other skin diseases
2003
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Overview
Treatment of common skin diseases such as psoriasis is complicated by differences between individuals in response to topical drug treatment and photochemo-therapy. Individuality in hepatic expression of drug-metabolising enzymes is an important determinant of systemic drug handling; we investigated whether similar variation in cutaneous gene expression contributes to individuality in response to topical therapies.
We used quantitative real-time RT-PCR to demonstrate the expression in skin of a recently identified cytochrome P450, CYP2S1, in healthy volunteers (n=27) and patients with psoriasis (n=29). We also investigated regulation of CYP2S1 by ultraviolet radiation, psoralen-ultraviolet A (PUVA), and topical drugs used to treat psoriasis.
We found that CYP2S1 is expressed in skin and showed pronounced individuality in constitutive expression of the enzyme and its induction after ultraviolet irradiation or topical drug treatment. Cutaneous expression of CYP2S1 was induced by ultraviolet radiation, PUVA, coal tar, and all-trans retinoic acid; expression was significantly higher in lesional psoriatic skin than in adjacent non-lesional skin (geometric mean 3·38 [95% CI 2·64–4·34] times higher; p<0·0001), which implies that topical drugs are differentially metabolised in psoriatic plaque and non-lesional skin. We showed that all-trans retinoic acid is metabolised by CYP2S1, which has higher cutaneous expression than CYP26, previously described as the specific cutaneous P450 retinoic-acid-metabolising enzyme.
These findings increase our understanding of the interaction between therapeutic agents and the skin and suggest a functional role for CYP2S1 in the metabolism of topical drugs and in mediating the response to photochemotherapy in psoriasis.
Publisher
Elsevier Ltd,Lancet,Elsevier Limited
Subject
Biological and medical sciences
/ Biopsy
/ Coal tar
/ Cytochrome P-450 Enzyme System - genetics
/ Drugs
/ E coli
/ Enzyme Induction - drug effects
/ Enzyme Induction - radiation effects
/ Enzymes
/ Gene Expression Regulation, Enzymologic - drug effects
/ Gene Expression Regulation, Enzymologic - radiation effects
/ Humans
/ Pharmacology. Drug treatments
/ Polycyclic aromatic hydrocarbons
/ Psoralen
/ Skin
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