Advertisement
Letter to the Editor| Volume 54, ISSUE 1, P61-63, April 2009

Prevalence of obesity/adiposity in Japanese psoriasis patients: Adiposity is correlated with the severity of psoriasis

      Although epidemiologic survey revealed an association between psoriasis and obesity/adiposity [
      • Gisondi P.
      • Tessari G.
      • Conti A.
      • Piaserico S.
      • Schianchi S.
      • Peserico A.
      • et al.
      Prevalence of metabolic syndrome in patients with psoriasis: a hospital-based case–control study.
      ], no reports are present on the relationship in Japanese psoriasis patients. Obesity induces overproduction of inflammatory cytokines such as tumor necrosis factor α (TNF-α), interleukin (IL)-6, and IL-8 in adipose tissue. The serum levels of TNF-α, IL-6, and IL-8 are increased in psoriasis and are associated with the disease severity [
      • Arican O.
      • Aral M.
      • Sasmaz S.
      Serum levels of TNF-α, IFN-γ, IL-6, IL-8, IL-12, IL-17, and IL-18 in patients with active psoriasis and correlation with disease severity.
      ]. Adipocytes also produce leptin, which acts primarily through the specific receptors at hypothalamus [
      • Campfield L.A.
      • Smith F.J.
      • Guisez Y.
      • Devos R.
      • Burn P.
      Recombinant mouse OB protein: evidence for a peripheral signal linking adiposity and central neural networks.
      ]. Leptin decreases appetite and increases energy expenditure and serum levels of leptin are known to reflect the body fat mass [
      • Campfield L.A.
      • Smith F.J.
      • Guisez Y.
      • Devos R.
      • Burn P.
      Recombinant mouse OB protein: evidence for a peripheral signal linking adiposity and central neural networks.
      ]. Adiponectin is another adipocyte-specific secretary protein abundantly present in circulation. Plasma levels of adiponectin are paradoxically decreased in obesity, insulin-resistance [
      • Matsuzaka Y.
      The metabolic syndrome and adipocytokines.
      ], and hypoadiponectinemia is closely associated with metabolic syndrome [
      • Hulthe J.
      • Hulten L.M.
      • Fagerberg B.
      Low adipocyte-derived plasma protein adiponectin concentration is associated with metabolic syndrome and small dense low-density lipoprotein particles: atherosclerosis and insulin resistance study.
      ]. Recent study demonstrated that adiponectin and TNF-α suppress each other's production and also antagonize each other's function in their target cells [
      • Maeda M.
      • Shimomura I.
      • Kishida K.
      • Nishizawa H.
      • Matsuda M.
      • Nagaretani H.
      • et al.
      Diet-induced insulin resistance in mice lacking adipocectin/ACRP30.
      ]. We have shown the increased plasma leptin levels and decreased adiponectin levels in Japanese psoriasis patients [
      • Takahashi H.
      • Tsuji H.
      • Takahashi I.
      • Hashimoto Y.
      • Ishida-Yamamoto A.
      • Iizuka H.
      Plasma adiponectin and leptin levels in Japanese psoriasis patients.
      ].

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of Dermatological Science
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Gisondi P.
        • Tessari G.
        • Conti A.
        • Piaserico S.
        • Schianchi S.
        • Peserico A.
        • et al.
        Prevalence of metabolic syndrome in patients with psoriasis: a hospital-based case–control study.
        Br J Dermatol. 2007; 157: 68-73
        • Arican O.
        • Aral M.
        • Sasmaz S.
        Serum levels of TNF-α, IFN-γ, IL-6, IL-8, IL-12, IL-17, and IL-18 in patients with active psoriasis and correlation with disease severity.
        Med Inflamm. 2005; 5: 273-279
        • Campfield L.A.
        • Smith F.J.
        • Guisez Y.
        • Devos R.
        • Burn P.
        Recombinant mouse OB protein: evidence for a peripheral signal linking adiposity and central neural networks.
        Science. 1995; 269: 546-549
        • Matsuzaka Y.
        The metabolic syndrome and adipocytokines.
        FEBS Lett. 2006; 580: 2917-2921
        • Hulthe J.
        • Hulten L.M.
        • Fagerberg B.
        Low adipocyte-derived plasma protein adiponectin concentration is associated with metabolic syndrome and small dense low-density lipoprotein particles: atherosclerosis and insulin resistance study.
        Metabolism. 2003; 52: 1612-1614
        • Maeda M.
        • Shimomura I.
        • Kishida K.
        • Nishizawa H.
        • Matsuda M.
        • Nagaretani H.
        • et al.
        Diet-induced insulin resistance in mice lacking adipocectin/ACRP30.
        Nat Med. 2002; 8: 731-737
        • Takahashi H.
        • Tsuji H.
        • Takahashi I.
        • Hashimoto Y.
        • Ishida-Yamamoto A.
        • Iizuka H.
        Plasma adiponectin and leptin levels in Japanese psoriasis patients.
        Br J Dermatol. 2008; 159: 1207-1208
        • Sommer D.M.
        • Jenisch S.
        • Suchan M.
        • Christophers E.
        • Weichenthal M.
        Increased prevalence of the metabolic syndrome in patients with moderate to severe psoriasis.
        Arch Dermatol Res. 2006; 298: 321-328
        • Sano S.
        • Chan K.S.
        • Carbajal S.
        • Clifford J.
        • Peavey M.
        • Kiguchi K.
        • et al.
        Stat3 links activated keratinocytes and immunocytes required for development of psoriasis in a novel transgenic mouse model.
        Nat Med. 2005; 11: 43-49
        • Nishida M.
        • Funahashi T.
        • Shimomura I.
        Pathophysiological significance of adiponectin.
        Med Mol Morphol. 2007; 40: 55-67

      Linked Article