Institute of Photomedicine, Shanghai Skin Disease Hospital, School of Medicine, Tongji University, Shanghai 200092, PR China.
Department of Dermatology, Tongji Hospital, School of Medicine, Tongji University, Shanghai 200092, PR China.
Biomed Pharmacother. 2023 Jan;157:114091. doi: 10.1016/j.biopha.2022.114091. Epub 2022 Dec 5.
Rosacea is a facial chronic inflammatory skin disease with dysfunction of immune and neurovascular system and treatments for rosacea are challenging. N-3 polyunsaturated fatty acids (PUFAs), one of essential fatty acids, are needed for health maintenance and exert anti-inflammation and immunomodulatory effects in a series of cutaneous diseases such as atopic dermatitis and photoaging through dietary supplementation. However, the role of n-3 PUFAs on rosacea remains to be elucidated. In this study, KEGG enrichment analysis and GO analysis indicated that the biological process and signaling pathways, including chemokine signaling pathway, regulated by n-3 PUFAs highly overlapped with those in the pathogenic biological process of rosacea, especially the erythema telangiectasia type. Next, mice were randomized to fed with a customized n-3 PUFAs diet. We showed that n-3 PUFAs ameliorated skin erythema, inhibited dermal inflammatory cell infiltration (mast cells, neutrophils, and CD4 +T cells) and suppressed elevated pro-inflammatory cytokines in LL37-induced rosacea-like mice. Besides, n-3 PUFAs were also verified to repress angiogenesis in LL37-induced mice skin. Further investigation revealed that n-3 PUFAs attenuated LL37-induced inflammation via TLR2/ MyD88/ NF-κB pathway both in mice and in keratinocytes. In conclusion, our findings underscore that dietary supplementation of n-3 PUFAs have the potential to become an efficient and safe clinical therapeutic candidate for rosacea.
酒渣鼻是一种面部慢性炎症性皮肤疾病,伴有免疫和神经血管系统功能障碍,其治疗具有挑战性。n-3 多不饱和脂肪酸(PUFAs)是必需脂肪酸之一,通过饮食补充,在特应性皮炎和光老化等一系列皮肤疾病中发挥抗炎和免疫调节作用,有益于维持健康。然而,n-3 PUFAs 对酒渣鼻的作用仍有待阐明。在这项研究中,KEGG 富集分析和 GO 分析表明,n-3 PUFAs 调节的生物学过程和信号通路,包括趋化因子信号通路,与酒渣鼻发病的生物学过程高度重叠,尤其是红斑毛细血管扩张型。接下来,将小鼠随机分为 n-3 PUFAs 饮食组。我们发现 n-3 PUFAs 改善了皮肤红斑,抑制了真皮炎症细胞浸润(肥大细胞、中性粒细胞和 CD4+T 细胞),并抑制了 LL37 诱导的酒渣鼻样小鼠中升高的促炎细胞因子。此外,n-3 PUFAs 还被证实可以抑制 LL37 诱导的小鼠皮肤中的血管生成。进一步的研究表明,n-3 PUFAs 通过 TLR2/MyD88/NF-κB 通路在小鼠和角质形成细胞中减弱了 LL37 诱导的炎症。总之,我们的研究结果强调,n-3 PUFAs 的饮食补充有可能成为酒渣鼻的一种有效且安全的临床治疗候选药物。
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