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葡萄糖胺用于治疗银屑病?

Glucosamine for psoriasis?

作者信息

McCarty M F

出版信息

Med Hypotheses. 1997 May;48(5):437-41. doi: 10.1016/s0306-9877(97)90043-8.

Abstract

Amphiregulin and transforming growth factor-alpha, agonists for the epidermal growth factor receptor, are the major autocrine growth factors for cultured keratinocytes, and their substantial overexpression in psoriatic lesions suggests that they are crucial to the basal hyperplasia that characterizes psoriasis. Amphiregulin binds to heparin and related highly sulfated polysaccharides, and exogenous heparin blocks its growth factor activity, rationalizing previous reports that psoriasis responds to heparin therapy. Differentiating keratinocytes produce increased amounts of protein-bound as well as free-chain heparan sulfates, which may function physiologically as amphiregulin antagonists. By promoting keratinocyte synthesis of these heparan sulfates, glucosamine administration may inhibit amphiregulin function and thus provide therapeutic benefit in psoriasis. Concurrent ingestion of fish oil, by impeding the excessive activation of protein kinase C, may decrease keratinocyte production of amphiregulin and other autocrine growth factors, thus complementing the postulated benefits of glucosamine.

摘要

双调蛋白和转化生长因子-α是表皮生长因子受体的激动剂,是培养的角质形成细胞的主要自分泌生长因子,它们在银屑病皮损中的大量过表达表明,它们对于银屑病特有的基底细胞增生至关重要。双调蛋白与肝素及相关的高度硫酸化多糖结合,外源性肝素会阻断其生长因子活性,这解释了先前关于银屑病对肝素治疗有反应的报道。正在分化的角质形成细胞会产生更多与蛋白质结合的以及游离链硫酸乙酰肝素,它们在生理上可能作为双调蛋白拮抗剂发挥作用。通过促进角质形成细胞合成这些硫酸乙酰肝素,给予氨基葡萄糖可能会抑制双调蛋白的功能,从而在银屑病治疗中提供益处。同时摄入鱼油,通过阻止蛋白激酶C的过度激活,可能会减少角质形成细胞产生双调蛋白和其他自分泌生长因子,从而补充氨基葡萄糖假定的益处。

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