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Wolf, P; Nghiem, DX; Walterscheid, JP; Byrne, S; Matsumura, Y; Matsumura, Y; Bucana, C; Ananthaswamy, HN; Ullrich, SE.
Platelet-activating factor is crucial in psoralen and ultraviolet A-induced immune suppression, inflammation, and apoptosis.
AMER J PATHOL. 2006; 169(3): 795-805.
Doi: 10.1253/ajpath.2006.060079
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- Leading authors Med Uni Graz
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Wolf Peter
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- Abstract:
- Psoralen plus UVA (PUVA) is used as a very effective treatment modality for various diseases, including psoriasis and cutaneous T-cell lymphoma. PUVA-induced immune suppression and/or apoptosis are thought to be responsible for the therapeutic action. However, the molecular mechanisms by which PUVA acts are not well understood. We have previously identified platelet-activating factor (PAF), a potent phospholipid mediator, as a crucial substance triggering ultraviolet B radiation-induced immune suppression. In this study, we used PAF receptor knockout mice, a selective PAF receptor antagonist, a COX-2 inhibitor (presumably blocking downstream effects of PAF), and PAF-like molecules to test the role of PAF receptor binding in PUVA treatment. We found that activation of the PAF pathway is crucial for PUVA-induced immune suppression (as measured by suppression of delayed type hypersensitivity to Candida albicans) and that it plays a role in skin inflammation and apoptosis. Downstream of PAF, interleukin-10 was involved in PUVA-induced immune suppression but not inflammation. Better understanding of PUVA's mechanisms may offer the opportunity to dissect the therapeutic from the detrimental (ie, carcinogenic) effects and/or to develop new drugs (eg, using the PAF pathway) that act like PUVA but have fewer side effects.
- Find related publications in this database (using NLM MeSH Indexing)
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Animals -
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Apoptosis - drug effects
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Candida albicans - immunology
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Candidiasis - drug therapy
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Combined Modality Therapy - methods
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Female - methods
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Ficusin - pharmacology
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Humans - pharmacology
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Hypersensitivity, Delayed - drug therapy
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Immune Tolerance - drug effects
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Immunosuppression - methods
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Inflammation - drug therapy
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Interleukin-10 - immunology
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Lymphoma, T-Cell, Cutaneous - drug therapy
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Male - drug therapy
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Mice - drug therapy
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Mice, Knockout - drug therapy
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PUVA Therapy - adverse effects
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Platelet Activating Factor - immunology
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Platelet Membrane Glycoproteins - deficiency
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Psoriasis - drug therapy
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Receptors, G-Protein-Coupled - deficiency
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Signal Transduction - drug effects