PMID- 32973741 OWN - NLM STAT- MEDLINE DCOM- 20210412 LR - 20210412 IS - 1664-3224 (Electronic) IS - 1664-3224 (Linking) VI - 11 DP - 2020 TI - Hidradenitis Suppurativa and 1-Carbon Metabolism: Role of Gut Microbiome, Matrix Metalloproteinases, and Hyperhomocysteinemia. PG - 1730 LID - 10.3389/fimmu.2020.01730 [doi] LID - 1730 AB - Hidradenitis suppurativa (HS) is a chronic, inflammatory skin condition characterized by painful nodules which suppurate and later develop into scar tissues followed by the development of hypodermal tracts. Although the mechanisms behind HS are not fully understood, it is known that dietary factors play important roles in flare frequency and severity. We hypothesize that the high fat diet (HFD) causes dysbiosis, systemic inflammation, and hyperhomocysteinemia (HHcy) in susceptible individuals, which subsequently elevate inflammatory cytokines such as IL-1beta, IL-6, IL-17, and tumor necrosis factor alpha (TNF-alpha). This increase in dysbiosis-led inflammation coupled with a dysregulation of the 1-carbon metabolism results in an increase in matrix metalloproteinases MMP-2, MMP-8, and MMP-9 along with tissue matrix remodeling in the development and maintenance of the lesions and tracts. This manuscript weaves together the potential roles played by the gut microbiome, HHcy, MMPs, and the 1-carbon metabolism toward HS disease causation in susceptible individuals. CI - Copyright (c) 2020 Molnar, Mallonee, Stanisic, Homme, George, Singh and Tyagi. FAU - Molnar, Jack AU - Molnar J AD - Department of Physiology, University of Louisville School of Medicine, Louisville, KY, United States. FAU - Mallonee, Carissa Jo AU - Mallonee CJ AD - Department of Physiology, University of Louisville School of Medicine, Louisville, KY, United States. FAU - Stanisic, Dragana AU - Stanisic D AD - Department of Dentistry, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia. FAU - Homme, Rubens P AU - Homme RP AD - Department of Physiology, University of Louisville School of Medicine, Louisville, KY, United States. FAU - George, Akash K AU - George AK AD - Department of Physiology, University of Louisville School of Medicine, Louisville, KY, United States. FAU - Singh, Mahavir AU - Singh M AD - Department of Physiology, University of Louisville School of Medicine, Louisville, KY, United States. FAU - Tyagi, Suresh C AU - Tyagi SC AD - Department of Physiology, University of Louisville School of Medicine, Louisville, KY, United States. LA - eng GR - R01 AR071789/AR/NIAMS NIH HHS/United States GR - R01 DK116591/DK/NIDDK NIH HHS/United States GR - R01 HL074185/HL/NHLBI NIH HHS/United States GR - R01 HL139047/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Review DEP - 20200819 PL - Switzerland TA - Front Immunol JT - Frontiers in immunology JID - 101560960 RN - 0 (Biomarkers) RN - 0LVT1QZ0BA (Homocysteine) RN - EC 3.4.24.- (Matrix Metalloproteinases) SB - IM MH - Animals MH - Bacteria/*metabolism MH - Biomarkers/blood MH - Diet, High-Fat/*adverse effects MH - Dysbiosis MH - *Gastrointestinal Microbiome MH - Hidradenitis Suppurativa/enzymology/*etiology/microbiology/pathology MH - Homocysteine/*blood MH - Humans MH - Hyperhomocysteinemia/blood/*complications MH - Matrix Metalloproteinases/*metabolism MH - Risk Assessment MH - Risk Factors MH - Skin/*enzymology/pathology PMC - PMC7466742 OTO - NOTNLM OT - acne OT - dysbiosis OT - extracellular matrix OT - homocysteine OT - tissue remodeling EDAT- 2020/09/26 06:00 MHDA- 2021/04/13 06:00 PMCR- 2020/01/01 CRDT- 2020/09/25 06:01 PHST- 2020/03/26 00:00 [received] PHST- 2020/06/29 00:00 [accepted] PHST- 2020/09/25 06:01 [entrez] PHST- 2020/09/26 06:00 [pubmed] PHST- 2021/04/13 06:00 [medline] PHST- 2020/01/01 00:00 [pmc-release] AID - 10.3389/fimmu.2020.01730 [doi] PST - epublish SO - Front Immunol. 2020 Aug 19;11:1730. doi: 10.3389/fimmu.2020.01730. eCollection 2020.