Molecular mechanisms and drug therapy of metabolism disorders in psoriasis

Background: Psoriasis is a prevalent skin disease affecting approximately 1%–3% of the population and imposes significant medical, social and economic burdens. Psoriasis involves multiple organs and is often complicated with obesity, diabetes, dyslipidemia, and hypertension. Because of the benefits...

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Main Authors: Yanyang Liang, Ying Wang, Aihong Peng, Junqin Li, Kaiming Zhang
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Journal of Dermatological Treatment
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/09546634.2024.2375580
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author Yanyang Liang
Ying Wang
Aihong Peng
Junqin Li
Kaiming Zhang
author_facet Yanyang Liang
Ying Wang
Aihong Peng
Junqin Li
Kaiming Zhang
author_sort Yanyang Liang
collection DOAJ
description Background: Psoriasis is a prevalent skin disease affecting approximately 1%–3% of the population and imposes significant medical, social and economic burdens. Psoriasis involves multiple organs and is often complicated with obesity, diabetes, dyslipidemia, and hypertension. Because of the benefits of lipid-lowering agents and antidiabetic medications for psoriasis, metabolic abnormalities possibly play a pathogenic role in psoriasis.Objective: This review focuses on the impacts of a variety of metabolic disorders on psoriasis and the underlying mechanisms.Results: In psoriasis, enhanced glycolysis, glutamine metabolism and altered fatty acid composition in the psoriatic lesion and plasma result in the excessive proliferation of keratinocytes and secretion of inflammatory cytokines. Altered metabolism is associated with the activation of MTORC signaling pathway and transcription factors such as HIF and S6K1. Therefore, MTORC1 can be a target for the treatment of psoriasis. Additionally, there are diabetes drugs and lipid-lowering drugs including TZDs, GLP-1 RAs, Metformin, statins and fibrates, which improve both metabolic levels and psoriasis symptoms.
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spelling doaj-art-48f2bbd92bea478993d2d6bf124217ae2025-08-20T01:58:20ZengTaylor & Francis GroupJournal of Dermatological Treatment0954-66341471-17532024-12-0135110.1080/09546634.2024.2375580Molecular mechanisms and drug therapy of metabolism disorders in psoriasisYanyang Liang0Ying Wang1Aihong Peng2Junqin Li3Kaiming Zhang4Shanxi Key Laboratory of Stem Cells for Immunological Dermatosis, Institute of Dermatology, Taiyuan Central Hospital of Shanxi Medical University, Taiyuan, ChinaShanxi Key Laboratory of Stem Cells for Immunological Dermatosis, Institute of Dermatology, Taiyuan Central Hospital of Shanxi Medical University, Taiyuan, ChinaShanxi Key Laboratory of Stem Cells for Immunological Dermatosis, Institute of Dermatology, Taiyuan Central Hospital of Shanxi Medical University, Taiyuan, ChinaShanxi Key Laboratory of Stem Cells for Immunological Dermatosis, Institute of Dermatology, Taiyuan Central Hospital of Shanxi Medical University, Taiyuan, ChinaShanxi Key Laboratory of Stem Cells for Immunological Dermatosis, Institute of Dermatology, Taiyuan Central Hospital of Shanxi Medical University, Taiyuan, ChinaBackground: Psoriasis is a prevalent skin disease affecting approximately 1%–3% of the population and imposes significant medical, social and economic burdens. Psoriasis involves multiple organs and is often complicated with obesity, diabetes, dyslipidemia, and hypertension. Because of the benefits of lipid-lowering agents and antidiabetic medications for psoriasis, metabolic abnormalities possibly play a pathogenic role in psoriasis.Objective: This review focuses on the impacts of a variety of metabolic disorders on psoriasis and the underlying mechanisms.Results: In psoriasis, enhanced glycolysis, glutamine metabolism and altered fatty acid composition in the psoriatic lesion and plasma result in the excessive proliferation of keratinocytes and secretion of inflammatory cytokines. Altered metabolism is associated with the activation of MTORC signaling pathway and transcription factors such as HIF and S6K1. Therefore, MTORC1 can be a target for the treatment of psoriasis. Additionally, there are diabetes drugs and lipid-lowering drugs including TZDs, GLP-1 RAs, Metformin, statins and fibrates, which improve both metabolic levels and psoriasis symptoms.https://www.tandfonline.com/doi/10.1080/09546634.2024.2375580Psoriasismetabolism disordersdrug therapyMTORC1 pathwayglucose metabolismlipid metabolism
spellingShingle Yanyang Liang
Ying Wang
Aihong Peng
Junqin Li
Kaiming Zhang
Molecular mechanisms and drug therapy of metabolism disorders in psoriasis
Journal of Dermatological Treatment
Psoriasis
metabolism disorders
drug therapy
MTORC1 pathway
glucose metabolism
lipid metabolism
title Molecular mechanisms and drug therapy of metabolism disorders in psoriasis
title_full Molecular mechanisms and drug therapy of metabolism disorders in psoriasis
title_fullStr Molecular mechanisms and drug therapy of metabolism disorders in psoriasis
title_full_unstemmed Molecular mechanisms and drug therapy of metabolism disorders in psoriasis
title_short Molecular mechanisms and drug therapy of metabolism disorders in psoriasis
title_sort molecular mechanisms and drug therapy of metabolism disorders in psoriasis
topic Psoriasis
metabolism disorders
drug therapy
MTORC1 pathway
glucose metabolism
lipid metabolism
url https://www.tandfonline.com/doi/10.1080/09546634.2024.2375580
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AT junqinli molecularmechanismsanddrugtherapyofmetabolismdisordersinpsoriasis
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