PMID- 23567920 OWN - NLM STAT- MEDLINE DCOM- 20131211 LR - 20151119 IS - 1432-069X (Electronic) IS - 0340-3696 (Linking) VI - 305 IP - 6 DP - 2013 Aug TI - The relationship between severity of the disease and circulating nucleosomes in psoriasis patients. PG - 483-7 LID - 10.1007/s00403-013-1347-4 [doi] AB - Psoriasis was initially considered to represent a disease of abnormal epidermal keratinocyte proliferation. Proliferation of keratinocytes is restricted by apoptotic cell death to maintain a constant thickness of epidermis. Nucleosomes are mainly released by apoptotic cells. Tumor necrosis factor-alpha (TNF-alpha) is an important factor affecting the apoptosis. In the present study, the relationship between TNF-alpha, nucleosome and the Psoriasis Area and Severity Index (PASI) score was investigated. The patients were divided according to PASI score into three groups (mild, moderately, severe). Serum TNF-alpha and nucleosome levels were measured using Enzyme-linked immunosorbent assay (ELISA) method. Our findings show a correct relationship between PASI scores and TNF-alpha and an inverse relationship between nucleosome and PASI score. According to the results obtained from the study, we believe that serum nucleosome levels can be used as a new indicator in follow-up of patients with psoriasis and monitoring of the effectiveness of drugs which used in the treatment of psoriasis. FAU - Dilek, Aziz Ramazan AU - Dilek AR AD - Microbiology Department of Recep Tayyip Erdogan University, Medical Faculty Hospital, Rize, 53000, Turkey. ar.dilek@hotmail.com FAU - Dilek, Nursel AU - Dilek N FAU - Saral, Yunus AU - Saral Y FAU - Yuksel, Derya AU - Yuksel D LA - eng PT - Journal Article DEP - 20130409 PL - Germany TA - Arch Dermatol Res JT - Archives of dermatological research JID - 8000462 RN - 0 (Biomarkers) RN - 0 (Nucleosomes) RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Adult MH - Analysis of Variance MH - *Apoptosis MH - Biomarkers/blood MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - Humans MH - Keratinocytes/immunology/*pathology MH - Male MH - Middle Aged MH - Nucleosomes/*pathology MH - Predictive Value of Tests MH - Prognosis MH - Psoriasis/blood/diagnosis/immunology/*pathology MH - Severity of Illness Index MH - Tumor Necrosis Factor-alpha/blood EDAT- 2013/04/10 06:00 MHDA- 2013/12/16 06:00 CRDT- 2013/04/10 06:00 PHST- 2012/12/04 00:00 [received] PHST- 2013/03/22 00:00 [accepted] PHST- 2013/03/20 00:00 [revised] PHST- 2013/04/10 06:00 [entrez] PHST- 2013/04/10 06:00 [pubmed] PHST- 2013/12/16 06:00 [medline] AID - 10.1007/s00403-013-1347-4 [doi] PST - ppublish SO - Arch Dermatol Res. 2013 Aug;305(6):483-7. doi: 10.1007/s00403-013-1347-4. Epub 2013 Apr 9.