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Matei C, Georgescu SR, Nicolae I, Ene CD, Mitran CI, Mitran MI, Tampa M. Variations of Thiol-Disulfide Homeostasis Parameters after Treatment with H1-Antihistamines in Patients with Chronic Spontaneous Urticaria. J Clin Med 2021; 10:jcm10132980. [PMID: 34279464 PMCID: PMC8268347 DOI: 10.3390/jcm10132980] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2021] [Revised: 06/25/2021] [Accepted: 06/30/2021] [Indexed: 01/06/2023] Open
Abstract
Background. The pathogenesis of chronic spontaneous urticaria involves metabolic, immunological, and psychological factors. The thiol–disulfide exchange reactions could be a mechanism to counteract oxidative stress in patients with chronic spontaneous urticaria. Objective: The assessment of thiol–disulfide homeostasis parameters (TDHPs) according to disease severity and the influence of H1-antihistamine therapy in patients with chronic spontaneous urticaria. Material and method. We have included 30 patients with chronic spontaneous urticaria in the study and we have determined the levels of native thiol, total thiol, disulfides as well as the disulfide/native thiol ratio, disulfide/total thiol ratio and the native thiol/total thiol ratio, before and after therapy with H1-antihistamines. Results. The results of the study showed altered levels of TDHPs and their normalization after treatment with H1-antihistamines in patients with chronic spontaneous urticaria. We determined a statistically significant increase in the serum levels of total thiol, native thiol, and native thiol/total thiol ratio and a significant reduction in the levels of disulfides, disulfide/native thiol ratio and disulfide/total thiol ratio after treatment with H1-antihistamines. The normalization of the serum levels of TDHPs has been associated with the relief of symptoms and reduction or resolution of pruritus and urticarial plaques. Conclusion. These results suggest the involvement of thiol–disulfide homeostasis in the defense against the harmful effects of reactive oxygen species in patients with chronic spontaneous urticaria and the potential role of TDHPs in monitoring H1-antihistamine therapy. To the best of our knowledge, this is the first study investigating TDHPs in patients with chronic spontaneous urticaria before and after treatment.
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Affiliation(s)
- Clara Matei
- Department of Dermatology, Carol Davila University of Medicine and Pharmacy, 020021 Bucharest, Romania; (C.M.); (M.T.)
| | - Simona Roxana Georgescu
- Department of Dermatology, Carol Davila University of Medicine and Pharmacy, 020021 Bucharest, Romania; (C.M.); (M.T.)
- Department of Dermatology, Victor Babes Clinical Hospital for Infectious Diseases, 030303 Bucharest, Romania
- Correspondence: (S.R.G.); (I.N.)
| | - Ilinca Nicolae
- Department of Dermatology, Victor Babes Clinical Hospital for Infectious Diseases, 030303 Bucharest, Romania
- Correspondence: (S.R.G.); (I.N.)
| | - Corina Daniela Ene
- Department of Nephrology, Carol Davila University of Medicine and Pharmacy, 020021 Bucharest, Romania;
- Department of Nephrology, Carol Davila Clinical Hospital of Nephrology, 010731 Bucharest, Romania
| | - Cristina Iulia Mitran
- Department of Microbiology, Carol Davila University of Medicine and Pharmacy, 020021 Bucharest, Romania; (C.I.M.); (M.I.M.)
- Cantacuzino National Medico-Military Institute for Research and Development, 011233 Bucharest, Romania
| | - Madalina Irina Mitran
- Department of Microbiology, Carol Davila University of Medicine and Pharmacy, 020021 Bucharest, Romania; (C.I.M.); (M.I.M.)
- Cantacuzino National Medico-Military Institute for Research and Development, 011233 Bucharest, Romania
| | - Mircea Tampa
- Department of Dermatology, Carol Davila University of Medicine and Pharmacy, 020021 Bucharest, Romania; (C.M.); (M.T.)
- Department of Dermatology, Victor Babes Clinical Hospital for Infectious Diseases, 030303 Bucharest, Romania
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Martinez-Fierro ML, Cabral-Pacheco GA, Garza-Veloz I, Campuzano-García AE, Díaz-Alonso AP, Flores-Morales V, Rodriguez-Sanchez IP, Delgado-Enciso I, Rios-Jasso J. Expression Levels of Inflammatory and Oxidative Stress-Related Genes in Skin Biopsies and Their Association with Pityriasis Alba. ACTA ACUST UNITED AC 2020; 56:medicina56070359. [PMID: 32709035 PMCID: PMC7404726 DOI: 10.3390/medicina56070359] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2020] [Revised: 06/28/2020] [Accepted: 07/02/2020] [Indexed: 11/16/2022]
Abstract
Background and objectives: Pytiriasis alba (PA) is a common skin disorder which affects 80% of children between six and 16 years. The etiology of PA is unclear, but hypo-pigmented patches in photo-exposed zones characterize the disease. Because the high ultraviolet exposition of the skin promotes an acute inflammatory response and an increase of oxidative stress (OS), this study aimed to evaluate the expression levels of inflammatory and OS-related genes in skin biopsies, and their association with PA. Materials and Methods: A cross-sectional study was carried out. Skin biopsies of the lesion sites and healthy skin (controls) from 16 children with PA were evaluated. The tissue expression of IL-4, IL-6, IL-17A, TNFα, INFγ, IL-1β, SOD1, and HMOX1 was analyzed by qRT-PCR, using SYBR Green and glyceraldehyde-3-phosphate dehydrogenase gene as the endogenous control. Results: There were differences in the ΔCq values of HMOX1, SOD1, IL-6, and IFNγ between tissue with lesions and healthy skin (p < 0.05). Compared with healthy skin, IL-6, IFNγ, HMOX1, and SOD1 were predominantly under-expressed in the lesion sites. However, 25% of skin biopsies with lesions showed over-expression of these four genes. Positive correlations between the expression of IL-6 and HMOX1, SOD1, and IFNγ (p < 0.05) were also observed. Conclusions: Our results suggest the presence of molecular stages of PA, defined according to the over-expression (first stage) or under-expression (second stage) of the HMOX1, SOD1, IL-6, and IFNγ genes in abnormal skin tissue. These findings may have implications for the selection of treatment for PA-related lesions.
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Affiliation(s)
- Margarita L. Martinez-Fierro
- Molecular Medicine Laboratory, Doctorado en Ciencias con Orientación en Medicina Molecular, Unidad Académica de Medicina Humana y C.S., Universidad Autónoma de Zacatecas, Zacatecas 98160, Mexico; (G.A.C.-P.); (A.P.D.-A.); (J.R.-J.)
- Correspondence: (M.L.M.-F.); (I.G.-V.); Tel.: +52-(492)-9256690 (ext. 4511) (M.L.M.-F.); +52-(492)-9256690 (ext. 4510) (I.G.-V.)
| | - Griselda A. Cabral-Pacheco
- Molecular Medicine Laboratory, Doctorado en Ciencias con Orientación en Medicina Molecular, Unidad Académica de Medicina Humana y C.S., Universidad Autónoma de Zacatecas, Zacatecas 98160, Mexico; (G.A.C.-P.); (A.P.D.-A.); (J.R.-J.)
| | - Idalia Garza-Veloz
- Molecular Medicine Laboratory, Doctorado en Ciencias con Orientación en Medicina Molecular, Unidad Académica de Medicina Humana y C.S., Universidad Autónoma de Zacatecas, Zacatecas 98160, Mexico; (G.A.C.-P.); (A.P.D.-A.); (J.R.-J.)
- Correspondence: (M.L.M.-F.); (I.G.-V.); Tel.: +52-(492)-9256690 (ext. 4511) (M.L.M.-F.); +52-(492)-9256690 (ext. 4510) (I.G.-V.)
| | - Andrés E. Campuzano-García
- Hospital General Zacatecas “Luz González Cosío”, Servicios de Salud de Zacatecas, Zacatecas 98160, Mexico;
| | - Alma P. Díaz-Alonso
- Molecular Medicine Laboratory, Doctorado en Ciencias con Orientación en Medicina Molecular, Unidad Académica de Medicina Humana y C.S., Universidad Autónoma de Zacatecas, Zacatecas 98160, Mexico; (G.A.C.-P.); (A.P.D.-A.); (J.R.-J.)
- Hospital General Zacatecas “Luz González Cosío”, Servicios de Salud de Zacatecas, Zacatecas 98160, Mexico;
| | - Virginia Flores-Morales
- Laboratorio de Síntesis Asimétrica y Bioenergética (LSAyB), Doctorado en Ciencias con Orientación en Medicina Molecular, Unidad Académica de Medicina Humana y C.S., Universidad Autónoma de Zacatecas, Zacatecas 98160, Mexico;
| | - Iram P. Rodriguez-Sanchez
- Laboratorio de Fisiología Molecular y Estructural, Facultad de Ciencias Biológicas, Universidad Autónoma de Nuevo León, Monterrey 66455, Mexico;
| | - Ivan Delgado-Enciso
- School of Medicine, University of Colima, and Cancerology State Institute, Colima State Health Services, Colima 28040, Mexico;
| | - Jorge Rios-Jasso
- Molecular Medicine Laboratory, Doctorado en Ciencias con Orientación en Medicina Molecular, Unidad Académica de Medicina Humana y C.S., Universidad Autónoma de Zacatecas, Zacatecas 98160, Mexico; (G.A.C.-P.); (A.P.D.-A.); (J.R.-J.)
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