Abstract
Oxidative-free radicals and apoptosis have linked to chronic skin diseases. Higher levels of oxidative radicals and the release of mitochondrial cytochrome c may have a role in the pathogenesis of psoriasis. We investigated the possible role of cellular oxidative stress and release of cytochrome c of mitochondria in the pathogenesis of psoriasis. Disease severity was assessed by psoriasis area severity index score (PASI) of 55 psoriasis patients, they grouped as mild (11), moderate (20) and severe (24), also 20 healthy individuals used as controls. All groups were subjected for serum malondialdehyde (MDA), nitric oxide (NO·), superoxide dismutase (SOD), catalase (CAT), total antioxidant status (TAS) and serum cytochrome c concentrations. We found that, (1) Severity wise increase in MDA and NO·, and decrease in SOD, CAT and TAS levels in all patients with different degrees of psoriasis; (2) PASI showed positive correlation with the increase in MDA and NO·, and negatively with decreased SOD, CAT and TAS levels; (3) significant increase in cytochrome c level was observed among psoriasis patients which showed negative correlation to MDA and NO· levels in mild and positively with moderate and severe groups. The release of mitochondrial cytochrome c indicates the induction of apoptosis mediated via oxidative stress which ultimately plays role in the pathogenesis of psoriasis.
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References
Baz K, Cimen MYB, Kokturk A et al (2003) Oxidant/antioxidant status in patients with psoriasis. Yonsei Med J 44(6):987–990
Bickers DR, Athar M (2006) Oxidative stress in the pathogenesis of skin disease. J Investig Dermatol 126(12):2565–2575
Briganti S, Picardo M (2003) Antioxidant activity, lipid peroxidation and skin diseases—what’s new? JEADV 17:663–669
Chen Q, Chai YC, Mazumder S et al (2003) The late increase in intracellular free radical oxygen species during apoptosis is associated with cytochrome c release, caspase activation, and mitochondrial dysfunction. Cell Death Differ 10(3):323–334
Clancy RM, Amin AR, Abramson SB (1998) The role of nitric oxide in inflammation and immunity. Arthritis Rheum 41(7):1141–1151
Corrocher R, Ferrari S, Gironcoli M et al (1989) Effect of fish oil supplementation on erythrocyte lipid pattern, malondialdehyde production and glutathione peroxidase activity in psoriasis. Clin Chim Acta 179:121–132
Cortas NK, Wakid NW (1990) Determination of inorganic nitrate in serum and urine by a kinetic cadmium reduction method. Clin Chem 36(8):1440–1443
Danial NN, Korsmeyer SJ (2004) Cell death: critical control points. Cell 116:205–219
Deepak R, Douglas EB, Douglas G (2006) Keratinocyte apoptosis in epidermal development and disease. J Invest Dermatol 126(2):243–257
Dimon GS, Gerbaud P, Therond P et al (2000) Increased oxidative damage to fibroblasts in skin with and without lesions in psoriasis. J Investig Dermatol 114:984–989
Ferretti G, Bacchetti T, Campanati A, Simonetti O, Liberati G, Offidani A (2012) Correlation between lipoprotein(a) and lipid peroxidation in psoriasis: role of the enzyme paraoxonase-1. Br J Dermatol 166(1):204–207
Gokhale NR, Belgaumkar VA, Pandit DP, Deshpande S, Damle DKA (2005) Study of serum nitric oxide level in psoriasis. Indian J Dermatol Venereol Leprol 71:175–178
Gornicki A, Gutsze A (2001) Erythrocyte membrane fluidity changes in psoriasis: an EPR study. J Dermatol Sci 27:27–30
Goth L (1991) A simple method for determination of serum catalase activity and revision of reference range. Clin Chim Acta 196:143–152
Green DR, Kroemer G (2004) The pathophysiology of mitochondrial cell death. Science 305:626–629
Hortelano S, Alvarez AM, Bosca L (1999) Nitric oxide induces tyrosine nitration, and release of cytochrome c preceding an increase of mitochondrial transmembrane potential in macrophages. FASEB J. 13:2311–2317
Jacobson MD (1996) Reactive oxygen species and programmed cell death. Trends Biochem Sci 21:83–86
Kadam DP, Suryakar AN, Ankush RD, Kadam CY, Deshpande KH (2010) Role of oxidative stress in various stages of psoriasis. Indian J Clin Biochem 25(4):388–392
Kampa M, Nistikaki A, Tsaousis V, Maliaraki N, Notas G, Gastonas EA (2002) New automated method for the determination of TAC of human plasma based on crocin bleaching assay. BMC Clinical Pathol 2:3–21
Karaarslan IK, Girgin SF, Ertam I, Alper S, Ozturk G, Yildirim SE (2006) Broad-band ultraviolet B phototherapy is associated with elevated serum thiobarbituric acid reactive substance and nitrite-nitrate levels in psoriatic patients. J Eur Acad Dermatol Venereol 20(10):1226–1231
Kolb BV, Fehsel K, Michel G, Ruzicka T (1994) Epidermal keratinocyte expression of inducible nitric oxide synthase in skin lesions of psoriasis vulgaris. Lancet 344:139
Kroemer G, Galluzzi L, Brenner C (2007) Mitochondrial membrane permeabilization in cell death. Physiol Rev 87(1):16–99
Laporte M, Galand P, Fokan D, de Graef C, Heenen M (2000) Apoptosis in established and healing psoriasis. Dermatology 200(4):314–316
Lebwohl M (2003) Psoriasis. Lancet 361:1197–1204
Lenaz G, Bovina C, Daurelio M et al (2002) Role of mitochondria in oxidative stress and aging. Ann N Y Acad Sci 959:199–213
Li C, Zhou HM (2011) The role of manganese superoxide dismutase in inflammation defense. Enzyme Res 2011:387176
Li FL, Xu R, Zeng QC et al (2012) Tanshinone IIA inhibits growth of keratinocytes through cell cycle arrest and apoptosis: underlying treatment mechanism of psoriasis. Evid Based Complement Alternat Med 2012:927658
Louden BA, Pearce DJ, Lang W, Feldman SR (2004) A simplified psoriasis area severity index (SPASI) for rating psoriasis severity in clinical patients. Dermatol Online J 10(2):7
Lykkesfeldt J (2007) Malondialdehyde as biomarker of oxidative damage to lipids caused by smoking. Clin Chim Acta 380:50–58
Mcgill A, Frank A, Emmett N, Turnbull DM, Birch MA, Reynolds NJ (2005) The anti-psoriatic drug anthralin accumulates in keratinocyte mitochondria, dissipates mitochondrial membrane potential, and induces apoptosis through a pathway dependent on respiratory competent mitochondria. FASEB J 19(8):1012–1014
Moshage H, Kok B, Huizenga JR, Jansen PLM (1995) Nitrite and nitrate determinations in plasma: a critical evaluation. Clin Chem 41:892–896
Orem A, Aliyazicioglu R, Kiran E, Vanizor B, Cimnocodeit G, Deger O (1997) The relationship between nitric oxide production and activity of the disease in patients with psoriasis. Arch Dermatol 133:1606–1607
Ormerod AD, Weller R, Copeland P et al (1998) Detection of nitric oxide and nitric oxide synthases in psoriasis. Arch Dermatol Res 290:3–8
Rashmi R, Rao KSJ, Basavaraj KH (2009) A comprehensive review of biomarkers in psoriasis. Clin Exp Dermatol 34:658–663
Relhan V, Gupta SK, Dayal S, Pandey R, Lal H (2002) Blood thiols and malondialdehyde levels in psoriasis. J Dermatol 29:399–403
Robbins D, Zhao Y (2011) The role of manganese superoxide dismutase in skin cancer. Enzyme Res 2011:409295
Rocha PP, Santos SA, Rebelo I, Figueiredo A, Quantanilha A, Teixeira F (2001) Dyslipidemia and oxidative stress in mild and in severe psoriasis as a risk for cardiovascular disease. Clin Chim Acta 303:33–39
Satoh K (1978) Serum lipid peroxide in cerebrovascular disorders determined by a new colorimetric method. Clin Chim Acta 90:37–43
Shilov VN, Sergienko VI (2000) Oxidative stress in keratinocytes as an etiopathogenetic factor of psoriasis. Bull Exp Biol Med 129:309–313
Sikar AA, Ozdoğan HK, Bayramgürler D, Cekmen MB, Bilen N, Kıran R (2011) Nitric oxide and malondialdehyde levels in plasma and tissue of psoriasis patients. J Eur Acad Dermatol Venereol 1468–3083
Sirsjo A, Karlsson M, Gidof A, Rollman O, Torma H (1996) Increased expression of inducible nitric oxide synthase in psoriatic skin and cytokine-stimulated cultured keratinocytes. Br J Dermatol 134(4):643–648
Sravani PV, Babu NK, Gopal KV, Rao GR, Rao AR, Moorthy B, Rao TR (2009) Determination of oxidative stress in vitiligo by measuring superoxide dismutase and catalase levels in vitiliginous and non-vitiliginous skin. Indian J Dermatol Venereol Leprol 3:268–271
Susin SA, Lorenzo HK, Zamzami N et al (1999) Molecular characterization of mitochondrial apoptosis-inducing factor. Nature 397:441–446
Taylor I, Megson I, Haslett C, Rossi AG (2003) Nitric oxide: a key regulator of myeloid inflammatory cell apoptosis. Cell Death Differ 10:418–430
Tekin NS, Ilter N, Sancak B, Ozden MG, Gurer MA (2006) Nitric oxide levels in patients with psoriasis treated with methotrexate. Mediators Inflamm 2006(3):16043
Toker A, Kadi M, Yildirim AK, Aksoy H, Akçay F (2009) Serum lipid profile paraoxonase and arylesterase activities in psoriasis. Cell Biochem Funct 27(3):176–180
Turner CP, Toye AM, Jones OT (1998) Keratinocyte superoxide generation. Free Radic Biol Med 24:401–407
Vanizor KB, Orem A, Cimşit G, Yandi YE, Calapoglu M (2003) Evaluation of the atherogenic tendency of lipids and lipoprotein content and their relationships with oxidant–antioxidant system in patients with psoriasis. Clin Chim Acta 328(1–2):71–82
Wang H, Peters T, Kess D et al (2006) Activated macrophages are essential in murine model for T-cell mediated chronic psoriasis form skin inflammation. J. Clin. Invest. 116:2105–2114
Wenhua G, Yongmei P, Kathy QL, Donald CC (2001) Temporal relationship between cytochrome c release and mitochondrial swelling during UV-induced apoptosis in living HeLa cells. J Cell Sci 114:2855–2862
Yildirim M, Inaloz HS, Baysal V, Delibas N (2003) The role of oxidants and antioxidants in psoriasis. J Eur Acad Dermatol Venereol 17:34–36
Zhou Q, Mrowietz U, Rostami-Yazdi M (2009) Oxidative stress in the pathogenesis of psoriasis. Free Radical Biol Med 47(7):891–905
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Gabr, S.A., Al-Ghadir, A.H. Role of cellular oxidative stress and cytochrome c in the pathogenesis of psoriasis. Arch Dermatol Res 304, 451–457 (2012). https://doi.org/10.1007/s00403-012-1230-8
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DOI: https://doi.org/10.1007/s00403-012-1230-8