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1.
Int J Cosmet Sci ; 40(5): 530-533, 2018 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-30193000

RESUMEN

OBJECTIVE: Zinc pyrithione (ZnPT) is widely used as an anti-fungal active in commercial anti-dandruff (AD) shampoos. The AD efficacy of ZnPT is highly dependent on the deposition of ZnPT particles onto the scalp during the process of shampoo application and rinse-off. Since ZnPT materials with different particle sizes and morphologies have different deposition behaviours, the measurement of the actual ZnPT deposition is critical to understand the AD performance delivered by different ZnPT shampoos. The aim of this study is to develop a robust and reliable method for visualizing the particle size and morphology of ZnPT deposited on the scalp from AD shampoos. METHODS: Hair was washed with a commercially available AD shampoo containing ZnPT and zinc carbonate (ZnCO3 ). Tape strips were applied to collect the deposited particles from the scalp after AD shampoo application and rinse-off. The scalp tape strip samples were subjected to scanning electron microscopy/energy dispersive X-ray spectroscopy (SEM/EDX) measurement. The morphology of the ZnPT particles was visualized by SEM imaging and identification of ZnPT particles was confirmed by EDX analysis. RESULTS: For the commercial shampoo studied it was observed that two zinc-containing particulates with different morphologies and composition remained on the scalp after shampoo application and rinse-off. As indicated by the EDX spectra, the ZnPT particles deposited onto the scalp surface had polygonal crystal structures. ZnCO3 was also deposited onto the scalp surface. This material was mainly present as aggregated particulates. CONCLUSION: An ex vivo method that combines tape strip sampling and SEM/EDX has been developed for measuring and visualizing the particle size, morphology and composition of ZnPT deposited on the scalp from AD shampoos. This ex vivo measurement method provides higher imaging resolution and more chemical specificity than reflectance confocal microscopy (RCM). To the best of our knowledge, this is the first time that ZnPT particles were distinguishable from other zinc particles on the scalp. Moreover, the new method allows the microstructures of both ZnPT and other zinc particles on the scalp to be imaged.


Asunto(s)
Preparaciones para el Cabello , Queratolíticos/metabolismo , Microscopía Electrónica de Rastreo/métodos , Compuestos Organometálicos/metabolismo , Piridinas/metabolismo , Cuero Cabelludo/metabolismo , Espectrometría por Rayos X/métodos , Caspa , Humanos , Tamaño de la Partícula
2.
J Drugs Dermatol ; 15(5): 633-9, 2016 May 01.
Artículo en Inglés | MEDLINE | ID: mdl-27168272

RESUMEN

Urea is an important hygroscopic component of the epidermis, where it participates in the maintenance of skin hydration as part of the skin's source of natural moisturizing factor (NMF) in the outer most layers. Xerotic skin, which is frequently characterized as NMF-deficient, is a unifying trait of dermatoses such as atopic dermatitis (AD), psoriasis, and ichthyosis vulgaris. The reduced hygroscopic potential of pathologically dry skin leads to unregulated transepidermal water loss (TEWL), epidermal hyperproliferation, and inhibited desquamation; all which clinically translate to hyperkeratotic and possibly pruritic skin. Common underlying etiologies link these dermatoses to aberrant expression of genes encoding epidermal structural and catalytic proteins. Intervention of dry skin pathologies with topical moisturizer formulations is a foundational management strategy. For over a century urea-containing formulations have been used in a concentration-dependent manner to restore skin hydration, thin hyperkeratosis, debride dystrophic nails, and enhance topical drug penetration. Recently, urea's role in skin hydration and repair has expanded to include regulation of epidermal genes necessary for proper barrier function. Taken together, urea's versatility in topical formulations and broad range of therapeutic mechanism highlights its utility to clinicians and benefit to patients.

J Drugs Dermatol. 2016;15(5):633-639.


Asunto(s)
Queratolíticos/administración & dosificación , Pruebas en el Punto de Atención , Absorción Cutánea/efectos de los fármacos , Enfermedades de la Piel/tratamiento farmacológico , Urea/administración & dosificación , Animales , Epidermis/efectos de los fármacos , Epidermis/metabolismo , Humanos , Queratolíticos/metabolismo , Absorción Cutánea/fisiología , Enfermedades de la Piel/metabolismo , Enfermedades de la Piel/patología , Urea/metabolismo
3.
Toxicol Lett ; 255: 47-51, 2016 Jul 25.
Artículo en Inglés | MEDLINE | ID: mdl-27188524

RESUMEN

Goeckerman therapy (GT) for psoriasis combines the therapeutic effect of crude coal tar (CCT) and ultraviolet radiation (UVR). CCT contains polycyclic aromatic hydrocarbons, some of which can form DNA adducts that may induce mutations and contribute to carcinogenesis. The aim of our work was to evaluate the relationship between concentrations of benzo[a]pyrene-7,8-diol-9,10-epoxide-DNA adducts (BPDE-DNA adducts) and rs4646903 (CYP1A1 gene), rs1048943 (CYP1A1), rs1056836 (CYP1B1), rs1051740 (EPHX1), rs2234922 (EPHX1) and rs8175347 (UGT1A1) polymorphic sites, and GSTM1 null polymorphism in 46 patients with chronic stable plaque psoriasis who underwent GT. The level of BPDE-DNA adducts was determined using the OxiSelect BPDE-DNA Adduct ELISA Kit. Polymerase chain reaction (PCR) and restriction fragment length polymorphism analysis (rs4646903, rs1048943, rs1051740, and rs2234922), fragment analysis (rs8175347), real-time PCR (rs1056836), and digital droplet PCR polymorphism (GSTM1) were used. CYP1B1*1/*1 wild-type subjects and CYP1B1*3/*1 heterozygotes for rs1056836 formed significantly higher amounts of BPDE-DNA adducts than CYP1B1*3/*3 homozygotes (p=0.031 and p=0.005, respectively). Regarding rs1051740, individuals with EPHX1*3/*1 heterozygosity revealed fewer adducts than EPHX1*1/*1 wild-type subjects (p=0.026). Our data suggest that CYP1B1/EPHX1 genotyping could help to predict the risk of DNA damage and to optimize doses of coal tar and UVR exposure in psoriatic patients in whom GT was applied.


Asunto(s)
7,8-Dihidro-7,8-dihidroxibenzo(a)pireno 9,10-óxido/metabolismo , Benzo(a)pireno/metabolismo , Alquitrán/metabolismo , Citocromo P-450 CYP1B1/genética , Aductos de ADN/metabolismo , Epóxido Hidrolasas/genética , Queratolíticos/metabolismo , Polimorfismo Genético , Psoriasis/terapia , Terapia Ultravioleta , Administración Cutánea , Adulto , Anciano , Anciano de 80 o más Años , Benzo(a)pireno/administración & dosificación , Benzo(a)pireno/efectos adversos , Biotransformación , Alquitrán/administración & dosificación , Alquitrán/efectos adversos , Citocromo P-450 CYP1B1/metabolismo , Daño del ADN , Epóxido Hidrolasas/metabolismo , Femenino , Frecuencia de los Genes , Glucuronosiltransferasa/genética , Glucuronosiltransferasa/metabolismo , Glutatión Transferasa/genética , Glutatión Transferasa/metabolismo , Heterocigoto , Homocigoto , Humanos , Queratolíticos/administración & dosificación , Queratolíticos/efectos adversos , Masculino , Persona de Mediana Edad , Farmacogenética , Fenotipo , Psoriasis/enzimología , Psoriasis/genética , Reacción en Cadena en Tiempo Real de la Polimerasa , Medición de Riesgo , Adulto Joven
4.
PLoS One ; 9(3): e91003, 2014.
Artículo en Inglés | MEDLINE | ID: mdl-24608847

RESUMEN

In the pathogenesis of Alzheimer's disease (AD) the homeostasis of amyloid precursor protein (APP) processing in the brain is impaired. The expression of the competing proteases ADAM10 (a disintegrin and metalloproteinase 10) and BACE-1 (beta site APP cleaving enzyme 1) is shifted in favor of the A-beta generating enzyme BACE-1. Acitretin--a synthetic retinoid-e.g., has been shown to increase ADAM10 gene expression, resulting in a decreased level of A-beta peptides within the brain of AD model mice and thus is of possible value for AD therapy. A striking challenge in evaluating novel therapeutically applicable drugs is the analysis of their potential to overcome the blood-brain barrier (BBB) for central nervous system targeting. In this study, we established a novel cell-based bio-assay model to test ADAM10-inducing drugs for their ability to cross the BBB. We therefore used primary porcine brain endothelial cells (PBECs) and human neuroblastoma cells (SH-SY5Y) transfected with an ADAM10-promoter luciferase reporter vector in an indirect co-culture system. Acitretin served as a model substance that crosses the BBB and induces ADAM10 expression. We ensured that ADAM10-dependent constitutive APP metabolism in the neuronal cells was unaffected under co-cultivation conditions. Barrier properties established by PBECs were augmented by co-cultivation with SH-SY5Y cells and they remained stable during the treatment with acitretin as demonstrated by electrical resistance measurement and permeability-coefficient determination. As a consequence of transcellular acitretin transport measured by HPLC, the activity of the ADAM10-promoter reporter gene was significantly increased in co-cultured neuronal cells as compared to vehicle-treated controls. In the present study, we provide a new bio-assay system relevant for the study of drug targeting of AD. This bio-assay can easily be adapted to analyze other Alzheimer- or CNS disease-relevant targets in neuronal cells, as their therapeutical potential also depends on the ability to penetrate the BBB.


Asunto(s)
Acitretina/farmacología , Bioensayo , Células Endoteliales/efectos de los fármacos , Queratolíticos/farmacología , Neuronas/efectos de los fármacos , Proteínas ADAM/genética , Proteínas ADAM/metabolismo , Proteína ADAM10 , Acitretina/metabolismo , Enfermedad de Alzheimer/tratamiento farmacológico , Secretasas de la Proteína Precursora del Amiloide/genética , Secretasas de la Proteína Precursora del Amiloide/metabolismo , Precursor de Proteína beta-Amiloide/genética , Precursor de Proteína beta-Amiloide/metabolismo , Animales , Transporte Biológico , Barrera Hematoencefálica/efectos de los fármacos , Barrera Hematoencefálica/metabolismo , Encéfalo/citología , Encéfalo/efectos de los fármacos , Encéfalo/metabolismo , Línea Celular Tumoral , Técnicas de Cocultivo , Sistemas de Liberación de Medicamentos , Células Endoteliales/citología , Células Endoteliales/metabolismo , Endotelio Vascular/citología , Endotelio Vascular/efectos de los fármacos , Endotelio Vascular/metabolismo , Expresión Génica/efectos de los fármacos , Genes Reporteros , Humanos , Queratolíticos/metabolismo , Luciferasas/genética , Luciferasas/metabolismo , Proteínas de la Membrana/genética , Proteínas de la Membrana/metabolismo , Modelos Biológicos , Neuronas/citología , Neuronas/metabolismo , Regiones Promotoras Genéticas , Proteínas Recombinantes de Fusión/genética , Proteínas Recombinantes de Fusión/metabolismo , Porcinos
5.
J Biol Chem ; 286(15): 13550-60, 2011 Apr 15.
Artículo en Inglés | MEDLINE | ID: mdl-21345790

RESUMEN

Retinoic acid is essential for skin growth and differentiation, and its concentration in skin is controlled tightly. In humans, four different members of the short-chain dehydrogenase/reductase (SDR) superfamily of proteins were proposed to catalyze the rate-limiting step in the biosynthesis of retinoic acid (the oxidation of retinol to retinaldehyde). Epidermis contains at least three of these enzymes, but their relative importance for retinoic acid biosynthesis and regulation of gene expression during growth and differentiation of epidermis is not known. Here, we investigated the effect of the four human SDRs on retinoic acid biosynthesis, and their impact on growth and differentiation of keratinocytes using organotypic skin raft culture model of human epidermis. The results of this study demonstrate that ectopic expression of retinol dehydrogenase 10 (RDH10, SDR16C4) in skin rafts dramatically increases proliferation and inhibits differentiation of keratinocytes, consistent with the increased steady-state levels of retinoic acid and activation of retinoic acid-inducible genes in RDH10 rafts. In contrast, SDRs with dual retinol/sterol substrate specificity, namely retinol dehydrogenase 4 (RoDH4, SDR9C8), RoDH-like 3α-hydroxysteroid dehydrogenase (RL-HSD, SDR9C6), and RDH-like SDR (RDHL, SDR9C4) do not affect the expression of retinoic acid-inducible genes but alter the expression levels of several components of extracellular matrix. These results reveal essential differences in the metabolic contribution of RDH10 versus retinol/sterol dehydrogenases to retinoic acid biosynthesis and provide the first evidence that non-retinoid metabolic products of retinol/sterol dehydrogenases affect gene expression in human epidermis.


Asunto(s)
3-Hidroxiesteroide Deshidrogenasas/biosíntesis , Oxidorreductasas de Alcohol/biosíntesis , Epidermis/enzimología , Regulación Enzimológica de la Expresión Génica/fisiología , Tretinoina/metabolismo , 3-Hidroxiesteroide Deshidrogenasas/genética , Oxidorreductasas de Alcohol/genética , Células Epidérmicas , Regulación Enzimológica de la Expresión Génica/efectos de los fármacos , Humanos , Queratolíticos/metabolismo , Queratolíticos/farmacología , Masculino , Técnicas de Cultivo de Tejidos , Tretinoina/farmacología
6.
Br J Dermatol ; 162(5): 974-9, 2010 May.
Artículo en Inglés | MEDLINE | ID: mdl-19922530

RESUMEN

BACKGROUND: Retinoic acid (RA) has various biological effects in mammalian cells and tissues. In epidermal cells, RA is an inhibitor of differentiation to the squamous phenotype. The molecular mechanisms underlying the effects of RA on epidermal cells and other cell types are mediated by RA nuclear receptors and retinoylation (acylation by RA) of proteins. OBJECTIVES: To understand the components responsible for RA effects via RA nuclear receptors and retinoylation. METHODS: We examined for the first time RA-binding proteins in mouse skin in vivo by immunoblotting using anti-RA monoclonal antibodies and identified by matrix-assisted laser desorption ionization-time of flight mass spectrometry. RESULTS: We identified eight RA-binding proteins in the skin of hairless mice that were increased by topical RA treatment. Three of these proteins were identified as cytokeratin 10, cytokeratin 16 and serum albumin. CONCLUSION: These results raise the possibility that RA binding to cytokeratins in vivo may be involved in the effect of RA on keratinocytes in mouse skin.


Asunto(s)
Queratina-10/metabolismo , Queratina-16/metabolismo , Piel/metabolismo , Tretinoina/metabolismo , Animales , Electroforesis en Gel de Poliacrilamida/métodos , Queratolíticos/metabolismo , Masculino , Ratones , Ratones Pelados , Receptores de Ácido Retinoico/metabolismo , Espectrometría de Masa por Láser de Matriz Asistida de Ionización Desorción/métodos
7.
Eur J Immunol ; 39(9): 2515-24, 2009 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-19662635

RESUMEN

We recently found that all trans retinoic acid (ATRA) accelerated B lymphocyte formation. In the current study, we address the question whether retinoids account for the rapid lymphopoiesis that is characteristic of fetal progenitors. Surprisingly, addition of ATRA to fetal liver cultures actually reduced B lymphopoiesis. A pan-retinoid receptor antagonist selectively suppressed lymphocyte formation from fetal and adult progenitors, suggesting some normal contribution of retinoids to this process. Consistent with this role, B lymphopoiesis was compromised in the marrow of mice with prolonged vitamin A deficiency. Recently identified B1 progenitors from adult marrow were similar to adult B2 progenitors in that their differentiation was stimulated by ATRA. The inhibitory response observed with fetal cells was seen when adult progenitors were exposed to high doses in culture or when adult mice were treated with ATRA for 2 wk. In addition to explosive lymphocyte generation, fetal progenitors tend to be less IL-7 dependent than their adult counterparts, but ATRA did not make fetal progenitors IL-7 independent. We conclude that all known categories of B lineage progenitors are responsive to retinoids and probably regulated by these compounds under physiological conditions. Retinoids may account in part for rapid differentiation in fetal life, but not all unique features of fetal progenitors.


Asunto(s)
Linfocitos B/efectos de los fármacos , Diferenciación Celular/efectos de los fármacos , Feto/fisiología , Queratolíticos/farmacología , Linfopoyesis/efectos de los fármacos , Tretinoina/farmacología , Animales , Linfocitos B/fisiología , Diferenciación Celular/fisiología , Técnicas de Cocultivo , Dibenzazepinas/farmacología , Feto/efectos de los fármacos , Interleucina-7/farmacología , Queratolíticos/antagonistas & inhibidores , Queratolíticos/metabolismo , Hígado/efectos de los fármacos , Hígado/fisiología , Linfopoyesis/fisiología , Ratones , Ratones Endogámicos C57BL , Técnicas de Cultivo de Órganos , Receptores de Interleucina-7/genética , Receptores de Interleucina-7/metabolismo , Tretinoina/antagonistas & inhibidores , Tretinoina/metabolismo
8.
FASEB J ; 23(6): 1643-54, 2009 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-19144697

RESUMEN

Late-onset Alzheimer's disease is often connected with nutritional misbalance, such as enhanced cholesterol intake, deficiency in polyunsaturated fatty acids, or hypovitaminosis. The alpha-secretase ADAM10 has been found to be regulated by retinoic acid, the bioreactive metabolite of vitamin A. Here we show that retinoids induce gene expression of ADAM10 and alpha-secretase activity by nonpermissive retinoid acid receptor/retinoid X receptor (RAR/RXR) heterodimers, whereby alpha- and beta-isotypes of RAR play a major role. However, ligands of other RXR binding partners, such as the vitamin D receptor, do not stimulate alpha-secretase activity. On the basis of these findings, we examined the effect of synthetic retinoids and found a strong enhancement of nonamyloidogenic processing of the amyloid precursor protein by the vitamin A analog acitretin: it stimulated ADAM10 promoter activity with an EC(50) of 1.5 microM and led to an increase of mature ADAM10 protein that resulted in a two- to three-fold increase of the ratio between alpha- and beta-secretase activity in neuroblastoma cells. The alpha-secretase stimulation by acitretin was completely inhibited by the ADAM10-specific inhibitor GI254023X. Intracerebral injection of acitretin in APP/PS1-21 transgenic mice led to a reduction of Abeta(40) and Abeta(42). The results of this study may have clinical relevance because acitretin has been approved for the treatment of psoriasis since 1997 and found generally safe for long-term use in humans.


Asunto(s)
Proteínas ADAM/metabolismo , Acitretina/metabolismo , Secretasas de la Proteína Precursora del Amiloide/metabolismo , Queratolíticos/metabolismo , Proteínas de la Membrana/metabolismo , Receptores de Ácido Retinoico/metabolismo , Receptores X Retinoide/metabolismo , Proteínas ADAM/genética , Proteína ADAM10 , Acitretina/química , Enfermedad de Alzheimer/metabolismo , Secretasas de la Proteína Precursora del Amiloide/genética , Precursor de Proteína beta-Amiloide/genética , Precursor de Proteína beta-Amiloide/metabolismo , Animales , Línea Celular , Proteínas de Unión al ADN/genética , Proteínas de Unión al ADN/metabolismo , Regulación de la Expresión Génica , Humanos , Receptores X del Hígado , Masculino , Proteínas de la Membrana/genética , Ratones , Ratones Transgénicos , Estructura Molecular , Receptores Nucleares Huérfanos , PPAR gamma/genética , PPAR gamma/metabolismo , Regiones Promotoras Genéticas , Receptores de Calcitriol/genética , Receptores de Calcitriol/metabolismo , Receptores Citoplasmáticos y Nucleares/genética , Receptores Citoplasmáticos y Nucleares/metabolismo , Receptores de Ácido Retinoico/genética , Receptores de Hormona Tiroidea/genética , Receptores de Hormona Tiroidea/metabolismo , Receptores X Retinoide/genética , Tretinoina/química , Tretinoina/metabolismo , Regulación hacia Arriba
9.
Int J Mol Med ; 22(2): 229-36, 2008 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-18636178

RESUMEN

The most common adverse effects that are related to all-trans retinoic acid (atRA) treatment are irritation and dryness of the skin. atRA therapy is reported to impair barrier function as achieved by trans-epidermal water loss (TEWL). Treatment with nicotinamide prior to initiation of atRA therapy provides additional barrier protection and thus reduces susceptibility of retinoic acid. Our previous studies showed that atRA upregulates aquaporin 3 (AQP3) in cultured human skin keratinocytes and fibroblasts. Others have demonstrated that in atopic dermatitis, overexpression of AQP3 is linked to elevated TEWL and that nicotinamide treatment reduces skin TEWL. In this study, we observed that while atRA upregulates AQP3 expression in cultured human skin keratinocytes (HaCaT cells), nicotinamide attenuates the effect of atRA in a concentration-dependent manner. atRA treatment induces EGFR and ERK activation. PD153035, an EGFR inhibitor, and U0126, an ERK inhibitor, inhibit atRA-induced upregulation of AQP3. Nicotinamide also inhibits atRA-induced activation of EGFR/ERK signal transduction and decreases water permeability by downregulating AQP3 expression. Collectively, our results indicate that the effect of atRA on AQP3 expression is at least partly mediated by EGFR/ERK signaling in cultured human skin keratinocytes. Nicotinamide attenuates atRA-induced AQP3 expression through inhibition of EGFR/ERK signal transduction and eventually decreases water permeability and water loss. Our study provides insights into the molecular mechanism through which nicotinamide reverses the side effects of dryness in human skin after treatment with atRA.


Asunto(s)
Acuaporina 3/metabolismo , Receptores ErbB/metabolismo , Quinasas MAP Reguladas por Señal Extracelular/metabolismo , Queratinocitos/metabolismo , Niacinamida/farmacología , Tretinoina/farmacología , Animales , Acuaporina 3/genética , Células Cultivadas , Factor de Crecimiento Epidérmico/metabolismo , Receptores ErbB/antagonistas & inhibidores , Quinasas MAP Reguladas por Señal Extracelular/antagonistas & inhibidores , Humanos , Queratinocitos/citología , Queratolíticos/metabolismo , Sistema de Señalización de MAP Quinasas/fisiología , Permeabilidad , Interferencia de ARN , Piel/citología , Complejo Vitamínico B/metabolismo
10.
Lancet ; 371(9625): 1665-74, 2008 May 17.
Artículo en Inglés | MEDLINE | ID: mdl-18486739

RESUMEN

BACKGROUND: Interleukins 12 and 23 have important roles in the pathophysiology of psoriasis. We assessed ustekinumab, a human monoclonal antibody directed against these cytokines, for the treatment of psoriasis. METHODS: In this phase III, parallel, double-blind, placebo-controlled study, 766 patients with moderate-to-severe psoriasis were randomly assigned to receive ustekinumab 45 mg (n=255) or 90 mg (n=256) at weeks 0 and 4 and then every 12 weeks; or placebo (n=255) at weeks 0 and 4, with subsequent crossover to ustekinumab at week 12. Patients who were initially randomised to receive ustekinumab at week 0 who achieved long-term response (at least 75% improvement in psoriasis area and severity index [PASI 75] at weeks 28 and 40) were re-randomised at week 40 to maintenance ustekinumab or withdrawal from treatment until loss of response. Both randomisations were done with a minimisation method via a centralised interactive voice response system. The primary endpoint was the proportion of patients achieving PASI 75 at week 12. Analyses were by intention to treat. This study is registered with ClinicalTrials.gov, number NCT00267969. FINDINGS: All randomised patients were included in the efficacy analysis. 171 (67.1%) patients receiving ustekinumab 45 mg, 170 (66.4%) receiving ustekinumab 90 mg, and eight (3.1%) receiving placebo achieved PASI 75 at week 12 (difference in response rate vs placebo 63.9%, 95% CI 57.8-70.1, p<0.0001 for 45 mg and 63.3%, 57.1-69.4, p<0.0001 for 90 mg). At week 40, long-term response had been achieved by 150 patients in the 45 mg group and 172 patients in the 90 mg group. Of these, 162 patients were randomly assigned to maintenance ustekinumab and 160 to withdrawal. PASI 75 response was better maintained to at least 1 year in those receiving maintenance ustekinumab than in those withdrawn from treatment at week 40 (p<0.0001 by log-rank test). During the placebo-controlled phase, adverse events occurred in 278 (54.5%) of the 510 patients receiving ustekinumab and 123 (48.2%) of the 255 receiving placebo. Serious adverse events occurred in six (1.2%) of 510 patients receiving ustekinumab and in two (0.8%) of 255 receiving placebo in this phase. The pattern of adverse events was much the same in the placebo crossover and randomised withdrawal phases as it was in the placebo-controlled phase. INTERPRETATION: Ustekinumab seems to be efficacious for the treatment of moderate-to-severe psoriasis; dosing every 12 weeks maintains efficacy for at least a year in most patients.


Asunto(s)
Anticuerpos Monoclonales/uso terapéutico , Queratolíticos/uso terapéutico , Psoriasis/tratamiento farmacológico , Adulto , Anticuerpos Monoclonales/efectos adversos , Anticuerpos Monoclonales/metabolismo , Método Doble Ciego , Esquema de Medicación , Femenino , Humanos , Interleucina-12/inmunología , Interleucina-23/inmunología , Queratolíticos/efectos adversos , Queratolíticos/metabolismo , Masculino , Persona de Mediana Edad , Psoriasis/clasificación , Psoriasis/fisiopatología , Índice de Severidad de la Enfermedad , Resultado del Tratamiento
11.
Lancet ; 371(9625): 1675-84, 2008 May 17.
Artículo en Inglés | MEDLINE | ID: mdl-18486740

RESUMEN

BACKGROUND: Ustekinumab, a human monoclonal antibody against interleukins 12 and 23, has shown therapeutic potential for psoriasis. This study assessed the efficacy and safety of ustekinumab in psoriasis patients and assessed dosing intensification in partial responders. METHODS: In this multicentre, phase III, double-blind, placebo-controlled study, 1230 patients with moderate-to-severe psoriasis (defined by a psoriasis area and severity index [PASI] score > or =12, and at least 10% total body surface area involvement) were randomly assigned to receive ustekinumab 45 mg (n=409) or 90 mg (n=411) at weeks 0 and 4, then every 12 weeks, or placebo (n=410). Partial responders (ie, patients achieving > or =50% but <75% improvement from baseline in PASI) were re-randomised at week 28 to continue dosing every 12 weeks or escalate to dosing every 8 weeks. Both randomisations were done with a minimisation method via a centralised interactive voice response. The primary endpoint was the proportion of patients achieving at least 75% improvement in PASI (PASI 75) at week 12. Analyses were by intention to treat. This study is registered with ClinicalTrials.gov, number NCT00307437. FINDINGS: All randomised patients were included in the efficacy analysis. 273 (66.7%) patients receiving ustekinumab 45 mg, 311 (75.7%) receiving ustekinumab 90 mg, and 15 (3.7%) receiving placebo achieved the primary endpoint (difference in response rate 63.1%, 95% CI 58.2-68.0, p<0.0001 for the 45 mg group vs placebo and 72.0%, 67.5-76.5, p<0.0001 for the 90 mg group vs placebo). More partial responders at week 28 who received ustekinumab 90 mg every 8 weeks achieved PASI 75 at week 52 than did those who continued to receive the same dose every 12 weeks (22 [68.8%] vs 11 [33.3%]; difference in response rate 35.4%, 95% CI 12.7-58.1, p=0.004). There was no such response to changes in dosing intensity in partial responders treated with ustekinumab 45 mg. During the placebo-controlled phase, 217 (53.1%) patients in the 45 mg group, 197 (47.9%) in the 90 mg group, and 204 (49.8%) in the placebo group experienced adverse events; serious adverse events were seen in eight (2.0%) patients in the 45 mg group, five (1.2%) in the 90 mg group, and eight (2.0%) in the placebo group. INTERPRETATION: Although treatment with ustekinumab every 12 weeks is effective for most patients with moderate-to-severe psoriasis, intensification of dosing to once every 8 weeks with ustekinumab 90 mg might be necessary to elicit a full response in patients who only partially respond to the initial regimen.


Asunto(s)
Anticuerpos Monoclonales/uso terapéutico , Queratolíticos/uso terapéutico , Psoriasis/tratamiento farmacológico , Anticuerpos Monoclonales/efectos adversos , Anticuerpos Monoclonales/metabolismo , Método Doble Ciego , Efectos Colaterales y Reacciones Adversas Relacionados con Medicamentos , Femenino , Humanos , Interleucina-12/inmunología , Interleucina-23/inmunología , Queratolíticos/efectos adversos , Queratolíticos/metabolismo , Masculino , Persona de Mediana Edad , Psoriasis/clasificación , Índice de Severidad de la Enfermedad , Resultado del Tratamiento
12.
J Invest Dermatol ; 128(3): 542-8, 2008 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-17943189

RESUMEN

We have investigated the effects of all-trans retinoic acid (ATRA) on aquaporin 3 (AQP3) expression and function both in vitro and ex vivo. ATRA treatment provoked a rapid accumulation of AQP3 transcripts in cultured normal human epidermal keratinocytes (NHEK). This increase was still observed 24 hours after application of ATRA. The induction of AQP3 gene was accompanied by an augmentation of immunoreactivity. Using a selective agonist, we demonstrated that the effect of ATRA was predominantly mediated by retinoic acid receptor subtype gamma (RARgamma). Incubation of NHEK in ATRA for 24, 48, and 72 hours stimulated glycerol influx, suggesting that the increase in AQP3 gene and protein expression was followed by an enhancement of biological activity. Topical application of ATRA for 24 hours on skin explants induced significant epidermal expression of AQP3 and strong immunoreactivity in the epidermal basal layers. Collectively, the present results show that ATRA increased AQP3 expression and enhanced biological activity in human skin.


Asunto(s)
Acuaporina 3/genética , Queratinocitos/fisiología , Queratolíticos/metabolismo , Tretinoina/metabolismo , Adulto , Acuaporina 3/metabolismo , Diferenciación Celular/efectos de los fármacos , Diferenciación Celular/fisiología , División Celular/efectos de los fármacos , División Celular/fisiología , Células Cultivadas , Expresión Génica/efectos de los fármacos , Glicerol/farmacocinética , Humanos , Queratinocitos/citología , Queratinocitos/efectos de los fármacos , Queratolíticos/farmacología , Receptores de Ácido Retinoico/metabolismo , Tretinoina/farmacología , Receptor de Ácido Retinoico gamma
13.
Mol Biol Cell ; 18(9): 3607-19, 2007 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-17596512

RESUMEN

LEKTI is a 15-domain serine proteinase inhibitor whose defective expression underlies the severe autosomal recessive ichthyosiform skin disease, Netherton syndrome. Here, we show that LEKTI is produced as a precursor rapidly cleaved by furin, generating a variety of single or multidomain LEKTI fragments secreted in cultured keratinocytes and in the epidermis. The identity of these biological fragments (D1, D5, D6, D8-D11, and D9-D15) was inferred from biochemical analysis, using a panel of LEKTI antibodies. The functional inhibitory capacity of each fragment was tested on a panel of serine proteases. All LEKTI fragments, except D1, showed specific and differential inhibition of human kallikreins 5, 7, and 14. The strongest inhibition was observed with D8-D11, toward KLK5. Kinetics analysis revealed that this interaction is rapid and irreversible, reflecting an extremely tight binding complex. We demonstrated that pH variations govern this interaction, leading to the release of active KLK5 from the complex at acidic pH. These results identify KLK5, a key actor of the desquamation process, as the major target of LEKTI. They disclose a new mechanism of skin homeostasis by which the epidermal pH gradient allows precisely regulated KLK5 activity and corneodesmosomal cleavage in the most superficial layers of the stratum corneum.


Asunto(s)
Calicreínas/antagonistas & inhibidores , Queratolíticos/metabolismo , Fragmentos de Péptidos/metabolismo , Proteínas Inhibidoras de Proteinasas Secretoras/metabolismo , Serpinas/metabolismo , Animales , Células CHO , Células Cultivadas , Cricetinae , Cricetulus , Células Epidérmicas , Epidermis/enzimología , Furina/metabolismo , Glicosilación , Humanos , Concentración de Iones de Hidrógeno , Queratinocitos/metabolismo , Cinética , Modelos Biológicos , Unión Proteica , Precursores de Proteínas/metabolismo , Procesamiento Proteico-Postraduccional , Estructura Terciaria de Proteína , Proteínas Inhibidoras de Proteinasas Secretoras/química , Inhibidor de Serinpeptidasas Tipo Kazal-5 , Serpinas/química , Especificidad por Sustrato , Resonancia por Plasmón de Superficie
14.
Int J Pharm ; 332(1-2): 196-201, 2007 Mar 06.
Artículo en Inglés | MEDLINE | ID: mdl-17097244

RESUMEN

The topical therapy of nail diseases is limited by the low permeability of drugs through the nail plate. To increase drug penetration, the integrity of the nail plate must be compromised to a certain extent. We hypothesised that keratinolytic enzymes might decrease the barrier properties of the nail plate by hydrolysing the nail keratins, and thereby enhance ungual drug permeation. To determine enzyme action on nail plates, nail clippings were incubated at 35 degrees C, in the presence of keratinase at optimal pH for 48h, after which the nail plates were examined using scanning electron microscopy. It was found that the enzyme acted on the intercellular matrix which holds nail cells together, such that corneocytes on the dorsal surface separated from one another and 'lifted off' the nail plate. In addition, the surface of the corneocytes was corroded. Permeation studies using modified Franz diffusion cells and bovine hoof membranes as a model for the nail plate showed that the enzyme enhanced drug permeation through the hoof membrane. The permeability and partition coefficients, and the drug flux were found to be significantly increased in the presence of the enzyme. We can conclude that the enzyme, via its hydrolytic action on nail plate proteins, could increase ungual drug delivery.


Asunto(s)
Queratinas/metabolismo , Queratolíticos/farmacología , Uñas/efectos de los fármacos , Péptido Hidrolasas/farmacología , Administración Tópica , Corticoesteroides/administración & dosificación , Animales , Antifúngicos/administración & dosificación , Bovinos , Permeabilidad de la Membrana Celular/efectos de los fármacos , Cámaras de Difusión de Cultivos , Pezuñas y Garras/efectos de los fármacos , Pezuñas y Garras/metabolismo , Humanos , Técnicas In Vitro , Queratolíticos/metabolismo , Metformina/metabolismo , Microscopía Electrónica de Rastreo , Modelos Biológicos , Enfermedades de la Uña/tratamiento farmacológico , Uñas/metabolismo , Uñas/ultraestructura , Péptido Hidrolasas/metabolismo , Factores de Tiempo
15.
Int J Pharm ; 311(1-2): 11-9, 2006 Mar 27.
Artículo en Inglés | MEDLINE | ID: mdl-16439071

RESUMEN

The influence of drug thermodynamic activity and niosome composition, size, lamellarity and charge on the (trans)dermal delivery of tretinoin (TRA) was studied. For this purpose, tretinoin was incorporated at saturated and unsaturated concentrations in both multilamellar (MLV) and unilamellar (UV) vesicular formulations using two different commercial mixtures of alkyl polyglucosides: octyl-decyl polyglucoside and decyl polyglucoside. Positively and negatively charged vesicular formulations were prepared using either stearylamine or dicetylphosphate as a charge inducer. Niosomes made with polyoxyethylene (4) lauryl ether and liposomes made with soy phosphatidylcholine were also prepared and studied. Vesicular formulations were characterised by transmission electron microscopy and optical and light polarized microscopy for vesicle formation and morphology, and by dynamic laser light scattering for size distribution. The effect of the vesicular incorporation of tretinoin on its (trans)dermal delivery through the newborn pig skin was also investigated in vitro using Franz cells, in comparison with a commercial formulation of the drug (RetinA). The amount of tretinoin delivered through and accumulated in the several skin layers was detected by HPLC. Overall, obtained results showed that tretinoin cutaneous delivery is strongly affected by vesicle composition and thermodynamic activity of the drug. In particular, small, negatively charged niosomal formulations, which are saturated with tretinoin, have shown to give higher cutaneous drug retention than both liposomes and commercial formulation. Moreover, interactions between skin and vesicles seem to depend on physico-chemical properties of the main component of the vesicular bilayer.


Asunto(s)
Portadores de Fármacos , Queratolíticos/metabolismo , Piel/metabolismo , Tretinoina/metabolismo , Administración Cutánea , Aminas/química , Animales , Química Farmacéutica , Colesterol/química , Difusión , Cámaras de Difusión de Cultivos , Glucósidos/química , Queratolíticos/administración & dosificación , Queratolíticos/química , Liposomas , Organofosfatos/química , Tamaño de la Partícula , Permeabilidad , Polidocanol , Polietilenglicoles/química , Absorción Cutánea , Tensoactivos/química , Porcinos , Termodinámica , Tretinoina/administración & dosificación , Tretinoina/química
16.
Biophys Chem ; 120(1): 15-23, 2006 Mar 01.
Artículo en Inglés | MEDLINE | ID: mdl-16263205

RESUMEN

DSC and (1H and 31P) NMR measurements are used to investigate the perturbation caused by the keratolytic drug, salicylic acid (SA) on the physicochemical properties of the model membranes. Model membranes (in unilamellar vesicular (ULV) form) in the present studies are prepared with the phospholipids, dipalmitoyl phosphatidylcholine (DPPC), dipalmitoyl phosphatidylethanolamine (DPPE), dipalmitoyl phosphatidic acid (DPPA) and mixed lipid DPPC-DPPE (with weight ratio, 2.5:2.2). These lipids have the same acyl (dipalmitoyl) chains but differed in the headgroup. The molar ratio of the drug to lipid (lipid mixture), is in the range 0 to 0.4. The DSC and NMR results suggest that the lipid head groups have a pivotal role in controlling (i) the behavior of the membranes and (ii) their interactions with SA. In the presence of SA, the main phase transition temperature of (a) DPPE membrane decreases, (b) DPPA membrane increases and (c) DPPC and DPPC-DPPE membranes are not significantly changed. The drug increases the transition enthalpy (i.e., acyl chain order) in DPPC, DPPA and DPPC-DPPE membranes. However, the presence of the drug in DPPC membrane formed using water (instead of buffer), shows a decrease in the transition temperature and enthalpy. In all the systems studied, the drug molecules seem to be located in the interfacial region neighboring the glycerol backbone or polar headgroup. However, in DPPC-water system, the drug seems to penetrate the acyl chain region also.


Asunto(s)
Membranas Artificiales , Ácido Salicílico/química , Ácido Salicílico/metabolismo , 1,2-Dipalmitoilfosfatidilcolina/química , Rastreo Diferencial de Calorimetría , Fenómenos Químicos , Química Física , Queratolíticos/química , Queratolíticos/metabolismo , Espectroscopía de Resonancia Magnética , Ácidos Fosfatidicos/química , Fosfatidiletanolaminas/química
17.
Skin Pharmacol Physiol ; 17(6): 274-82, 2004.
Artículo en Inglés | MEDLINE | ID: mdl-15528957

RESUMEN

Retinyl ascorbate (RA-AsA), an ester co-drug of vitamins A (RA) and C (AsA), is proposed as a topical antioxidant/cell division regulator for reducing UV-induced generation of free radicals and disrupted dermal cell growth. The efficacy of dermatological agents is influenced by their retention within the skin, which is increased by the interaction with skin components. Keratin is the major protein (approximately 95%) in the skin, and this paper reports the binding of RA-AsA, RA, AsA, retinol, ascorbic acid palmitate and retinol palmitate to three tissues-human callus, pig ear skin and bovine horn keratin. Tissue samples were incubated with solutions of compounds and the uptake measured as the ratio of bound/free compound at equilibrium. Binding to keratin was assessed using delipidised tissue, and was much higher for the polar compounds, suggesting dipolar/H-bonding interaction. Binding strength was ranked as human > porcine > bovine, but there was no distinction for highly lipophilic compounds. The binding characteristic of native tissues was complicated by lipid content of the tissues. There seemed to be a dual effect. The binding of very lipophilic materials increased with lipid content, implying that a substantial amount is dissolved in the lipid matrix. For highly polar AsA, lipid content decreased the binding, suggesting that the lipid reduced the strong polar interactions with skin protein/keratin.


Asunto(s)
Antioxidantes/metabolismo , Ácido Ascórbico/metabolismo , Queratinas/metabolismo , Queratolíticos/metabolismo , Piel/metabolismo , Tretinoina/metabolismo , Administración Tópica , Animales , Antioxidantes/química , Ácido Ascórbico/química , Sitios de Unión , Bovinos , Humanos , Relación Estructura-Actividad , Porcinos , Tretinoina/administración & dosificación , Tretinoina/química
18.
J Biol Chem ; 279(16): 16263-71, 2004 Apr 16.
Artículo en Inglés | MEDLINE | ID: mdl-14742427

RESUMEN

Pre-B cell leukemia transcription factors (PBXs) act as cofactors in the transcriptional regulation mediated by Homeobox proteins during embryonic development and cellular differentition. PBX1 protein is expressed throughout murine embryonic development, and its deletion in mice disrupts chondrogenesis. PBX protein levels are also increased in mouse embryonal carcinoma P19 cells during retinoic acid (RA)-induced differentiation. To elucidate the role of PBX proteins in this process, we stably overexpressed PBX1b antisense mRNA in P19 cells (PBX1b-AS cells). PBX1b-AS cells did not differentiate to neuronal or endodermal cells following treatment with RA suggesting PBX proteins are required for both processes. Furthermore we demonstrated that PBX proteins regulate the RA-dependent induction in the mRNA levels of bone morphogenetic protein 4 (BMP4) and Decorin (DCN) in P19 cells using both PBX1b-AS cells and PBX1 small interfering RNA. Chromatin immunoprecipitation assays further demonstrated that PBX proteins directly bind to the promoter of Bmp4 and Dcn in vivo in a RA-dependent fashion. In addition, type I and type II BMP receptor mRNA levels were also increased in P19 cells following RA treatment; however, this was PBX-independent. Taken together these data demonstrate that PBX proteins are required for RA-induced differentiation of P19 cells and that PBX proteins regulate the expression of BMP4 and DCN during this differentiation process.


Asunto(s)
Diferenciación Celular/fisiología , Proteínas de Homeodominio/fisiología , Queratolíticos/farmacología , Factores de Transcripción/fisiología , Tretinoina/farmacología , Animales , Secuencia de Bases , Proteína Morfogenética Ósea 4 , Proteínas Morfogenéticas Óseas/genética , Proteínas Morfogenéticas Óseas/metabolismo , Diferenciación Celular/efectos de los fármacos , Línea Celular Tumoral , Decorina , Endodermo/patología , Endodermo/fisiología , Proteínas de la Matriz Extracelular , Queratolíticos/metabolismo , Ratones , Datos de Secuencia Molecular , Neuronas/patología , Neuronas/fisiología , Factor de Transcripción 1 de la Leucemia de Células Pre-B , Regiones Promotoras Genéticas , Proteoglicanos/genética , Proteoglicanos/metabolismo , Transducción de Señal/efectos de los fármacos , Transducción de Señal/fisiología , Tretinoina/metabolismo
19.
J Hazard Mater ; 89(2-3): 241-52, 2002 Jan 28.
Artículo en Inglés | MEDLINE | ID: mdl-11744208

RESUMEN

Coal tars in soil at a gasworks site in South Eastern Australia led to groundwater contamination with polycyclic aromatic hydrocarbons (PAHs), mono-aromatic compounds (BTEX) and phenols. The scope of the study included testwork in laboratory scale bioreactors and evaluation of available commercial groundwater treatment units. Two bioreactor configurations, a submerged fixed film reactor (SFFR) and a fluidized bed bioreactor (FBR) were effective, with high efficiencies of contaminant removal (typically >90%) over a range of hydraulic retention times (HRT) (3-29 h). Specifically, concentrations of total PAH, naphthalene, pyrene and total phenols in the feedstock and effluent of the SFFR were 123, 60, 51, 1.38 and 0.004, 0.001, 0.004, 0.1mg/l, respectively. The FBR was only marginally less effective than the SFFR for the same groundwater contaminants. Discharge to sewer was the most appropriate end use for the effluent. SFFRs are regarded as being simpler in design and operation, and a commercially available unit has been identified which would be suitable for treating small volumes (<10 m(3) per day) of contaminated water collected at an interception trench at the site.


Asunto(s)
Alquitrán/metabolismo , Queratolíticos/metabolismo , Contaminantes del Suelo/metabolismo , Contaminación del Agua/prevención & control , Reactores Biológicos , Análisis Costo-Beneficio , Fenoles/metabolismo , Proyectos Piloto , Hidrocarburos Policíclicos Aromáticos/metabolismo , Eliminación de Residuos Líquidos/economía , Eliminación de Residuos Líquidos/métodos , Movimientos del Agua
20.
J Am Acad Dermatol ; 45(5): S136-42, 2001 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-11606945

RESUMEN

The tissue distribution of retinoic acid (RA) throughout development is highly restricted, defined by the expression patterns of enzymes involved in RA synthesis and catabolism. Presented is a summary of recent research that examines the role of some of the enzymes involved in RA distribution, particularly those involved in RA catabolism (P450RAI). These latter enzymes protect against premature exposure to RA, and the implications of these findings are discussed.


Asunto(s)
Sistema Enzimático del Citocromo P-450/metabolismo , Queratolíticos/metabolismo , Oxigenasas de Función Mixta/metabolismo , Tretinoina/metabolismo , Catálisis , Humanos , Queratolíticos/farmacocinética , Neoplasias/tratamiento farmacológico , Neoplasias/fisiopatología , Ácido Retinoico 4-Hidroxilasa , Transducción de Señal , Tretinoina/farmacocinética , Deficiencia de Vitamina A/complicaciones
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