PMID- 31670376 OWN - NLM STAT- MEDLINE DCOM- 20200924 LR - 20200924 IS - 1573-4935 (Electronic) IS - 0144-8463 (Print) IS - 0144-8463 (Linking) VI - 39 IP - 11 DP - 2019 Nov 29 TI - Homocysteine and psoriasis. LID - 10.1042/BSR20190867 [doi] LID - BSR20190867 AB - Psoriasis is caused by a complex interplay among the immune system, genetic background, autoantigens, and environmental factors. Recent studies have demonstrated that patients with psoriasis have a significantly higher serum homocysteine (Hcy) level and a higher prevalence of hyperhomocysteinaemia (HHcy). Insufficiency of folic acid and vitamin B12 can be a cause of HHcy in psoriasis. Hcy may promote the immuno-inflammatory process in the pathogenesis of psoriasis by activating Th1 and Th17 cells and neutrophils, while suppressing regulatory T cells. Moreover, Hcy can drive the immuno-inflammatory process by enhancing the production of the pro-inflammatory cytokines in related to psoriasis. Hcy can induce nuclear factor kappa B activation, which is critical in the immunopathogenesis of psoriasis. There may be a link between the oxidative stress state in psoriasis and the effect of HHcy. Hydrogen sulfide (H2S) may play a protective role in the pathogenesis of psoriasis and the deficiency of H2S in psoriasis may be caused by HHcy. As the role of Hcy in the pathogenesis of psoriasis is most likely established, Hcy can be a potential therapeutic target for the treatment of psoriasis. Systemic folinate calcium, a folic acid derivative, and topical vitamin B12 have found to be effective in treating psoriasis. CI - (c) 2019 The Author(s). FAU - Lin, Xiran AU - Lin X AD - Department of Dermatology, the First Affiliated Hospital of Dalian Medical University. 222 Zhongshan Lu, Dalian 116011, China. FAU - Meng, Xianmin AU - Meng X AD - Department of Pathology and laboratory medicine, Axia Women's Health. 450.Cresson BLVD. Oaks, PA 19456, U.S.A. FAU - Song, Zhiqi AU - Song Z AD - Department of Dermatology, the First Affiliated Hospital of Dalian Medical University. 222 Zhongshan Lu, Dalian 116011, China. LA - eng PT - Journal Article PT - Review PL - England TA - Biosci Rep JT - Bioscience reports JID - 8102797 RN - 0 (Cytokines) RN - 0LVT1QZ0BA (Homocysteine) RN - 935E97BOY8 (Folic Acid) RN - P6YC3EG204 (Vitamin B 12) SB - IM MH - Animals MH - Cytokines/metabolism MH - Folic Acid/pharmacology MH - Homocysteine/*blood MH - Humans MH - Inflammation/blood/metabolism/pathology MH - Psoriasis/*blood/drug therapy/metabolism/*pathology MH - Vitamin B 12/pharmacology PMC - PMC6879356 OTO - NOTNLM OT - folic acid OT - homocysteine OT - hydrogen sulfide OT - psoriasis OT - vitamin B12 COIS- The authors declare that there are no competing interests associated with the manuscript. EDAT- 2019/11/02 06:00 MHDA- 2020/09/25 06:00 PMCR- 2019/11/22 CRDT- 2019/11/01 06:00 PHST- 2019/04/03 00:00 [received] PHST- 2019/10/08 00:00 [revised] PHST- 2019/10/23 00:00 [accepted] PHST- 2019/11/02 06:00 [pubmed] PHST- 2020/09/25 06:00 [medline] PHST- 2019/11/01 06:00 [entrez] PHST- 2019/11/22 00:00 [pmc-release] AID - 220983 [pii] AID - BSR20190867 [pii] AID - 10.1042/BSR20190867 [doi] PST - ppublish SO - Biosci Rep. 2019 Nov 29;39(11):BSR20190867. doi: 10.1042/BSR20190867.