Volume 33, Issue 1 e15011
RESEARCH ARTICLE

The impacts of biologic treatment on metabolic profiling in psoriasis

Sichun Deng

Sichun Deng

The Department of Dermatology, Xiangya Hospital, Central South University, Changsha, Hunan, China

National Engineering Research Center of Personalized Diagnostic and Therapeutic Technology, Changsha, Hunan, China

Furong Laboratory, Changsha, Hunan, China

Hunan Key Laboratory of Skin Cancer and Psoriasis, Human Engineering Research Center of Skin Health and Disease, Xiangya Hospital, Changsha, Hunan, China

National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Changsha, Hunan, China

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Guowei Zhou

Guowei Zhou

The Department of Dermatology, Xiangya Hospital, Central South University, Changsha, Hunan, China

National Engineering Research Center of Personalized Diagnostic and Therapeutic Technology, Changsha, Hunan, China

Furong Laboratory, Changsha, Hunan, China

Hunan Key Laboratory of Skin Cancer and Psoriasis, Human Engineering Research Center of Skin Health and Disease, Xiangya Hospital, Changsha, Hunan, China

National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Changsha, Hunan, China

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Xingyu Li

Xingyu Li

The Department of Dermatology, Xiangya Hospital, Central South University, Changsha, Hunan, China

National Engineering Research Center of Personalized Diagnostic and Therapeutic Technology, Changsha, Hunan, China

Furong Laboratory, Changsha, Hunan, China

Hunan Key Laboratory of Skin Cancer and Psoriasis, Human Engineering Research Center of Skin Health and Disease, Xiangya Hospital, Changsha, Hunan, China

National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Changsha, Hunan, China

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Guanxiong Zhang

Guanxiong Zhang

The Department of Dermatology, Xiangya Hospital, Central South University, Changsha, Hunan, China

National Engineering Research Center of Personalized Diagnostic and Therapeutic Technology, Changsha, Hunan, China

Furong Laboratory, Changsha, Hunan, China

Hunan Key Laboratory of Skin Cancer and Psoriasis, Human Engineering Research Center of Skin Health and Disease, Xiangya Hospital, Changsha, Hunan, China

National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Changsha, Hunan, China

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Kun Hu

Kun Hu

The Department of Dermatology, Xiangya Hospital, Central South University, Changsha, Hunan, China

National Engineering Research Center of Personalized Diagnostic and Therapeutic Technology, Changsha, Hunan, China

Furong Laboratory, Changsha, Hunan, China

Hunan Key Laboratory of Skin Cancer and Psoriasis, Human Engineering Research Center of Skin Health and Disease, Xiangya Hospital, Changsha, Hunan, China

National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Changsha, Hunan, China

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Yan Lu

Yan Lu

The Department of Dermatology, Xiangya Hospital, Central South University, Changsha, Hunan, China

National Engineering Research Center of Personalized Diagnostic and Therapeutic Technology, Changsha, Hunan, China

Furong Laboratory, Changsha, Hunan, China

Hunan Key Laboratory of Skin Cancer and Psoriasis, Human Engineering Research Center of Skin Health and Disease, Xiangya Hospital, Changsha, Hunan, China

National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Changsha, Hunan, China

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Jiashuai Li

Jiashuai Li

The Department of Dermatology, Xiangya Hospital, Central South University, Changsha, Hunan, China

National Engineering Research Center of Personalized Diagnostic and Therapeutic Technology, Changsha, Hunan, China

Furong Laboratory, Changsha, Hunan, China

Hunan Key Laboratory of Skin Cancer and Psoriasis, Human Engineering Research Center of Skin Health and Disease, Xiangya Hospital, Changsha, Hunan, China

National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Changsha, Hunan, China

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Yijie Liu

Yijie Liu

The Department of Dermatology, Xiangya Hospital, Central South University, Changsha, Hunan, China

National Engineering Research Center of Personalized Diagnostic and Therapeutic Technology, Changsha, Hunan, China

Furong Laboratory, Changsha, Hunan, China

Hunan Key Laboratory of Skin Cancer and Psoriasis, Human Engineering Research Center of Skin Health and Disease, Xiangya Hospital, Changsha, Hunan, China

National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Changsha, Hunan, China

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Guo Zhou

Guo Zhou

The Department of Dermatology, Xiangya Hospital, Central South University, Changsha, Hunan, China

National Engineering Research Center of Personalized Diagnostic and Therapeutic Technology, Changsha, Hunan, China

Furong Laboratory, Changsha, Hunan, China

Hunan Key Laboratory of Skin Cancer and Psoriasis, Human Engineering Research Center of Skin Health and Disease, Xiangya Hospital, Changsha, Hunan, China

National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Changsha, Hunan, China

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Mi Zhang

Mi Zhang

The Department of Dermatology, Xiangya Hospital, Central South University, Changsha, Hunan, China

National Engineering Research Center of Personalized Diagnostic and Therapeutic Technology, Changsha, Hunan, China

Furong Laboratory, Changsha, Hunan, China

Hunan Key Laboratory of Skin Cancer and Psoriasis, Human Engineering Research Center of Skin Health and Disease, Xiangya Hospital, Changsha, Hunan, China

National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Changsha, Hunan, China

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Junchen Chen

Corresponding Author

Junchen Chen

The Department of Dermatology, Xiangya Hospital, Central South University, Changsha, Hunan, China

National Engineering Research Center of Personalized Diagnostic and Therapeutic Technology, Changsha, Hunan, China

Furong Laboratory, Changsha, Hunan, China

Hunan Key Laboratory of Skin Cancer and Psoriasis, Human Engineering Research Center of Skin Health and Disease, Xiangya Hospital, Changsha, Hunan, China

National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Changsha, Hunan, China

Correspondence

Yehong Kuang, Hong Liu and Junchen Chen, The Department of Dermatology, Xiangya Hospital, Central South University, Changsha, Hunan, China.

Email: [email protected]; [email protected] and [email protected]

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Hong Liu

Corresponding Author

Hong Liu

The Department of Dermatology, Xiangya Hospital, Central South University, Changsha, Hunan, China

National Engineering Research Center of Personalized Diagnostic and Therapeutic Technology, Changsha, Hunan, China

Furong Laboratory, Changsha, Hunan, China

Hunan Key Laboratory of Skin Cancer and Psoriasis, Human Engineering Research Center of Skin Health and Disease, Xiangya Hospital, Changsha, Hunan, China

National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Changsha, Hunan, China

Correspondence

Yehong Kuang, Hong Liu and Junchen Chen, The Department of Dermatology, Xiangya Hospital, Central South University, Changsha, Hunan, China.

Email: [email protected]; [email protected] and [email protected]

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Yehong Kuang

Corresponding Author

Yehong Kuang

The Department of Dermatology, Xiangya Hospital, Central South University, Changsha, Hunan, China

National Engineering Research Center of Personalized Diagnostic and Therapeutic Technology, Changsha, Hunan, China

Furong Laboratory, Changsha, Hunan, China

Hunan Key Laboratory of Skin Cancer and Psoriasis, Human Engineering Research Center of Skin Health and Disease, Xiangya Hospital, Changsha, Hunan, China

National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Changsha, Hunan, China

Correspondence

Yehong Kuang, Hong Liu and Junchen Chen, The Department of Dermatology, Xiangya Hospital, Central South University, Changsha, Hunan, China.

Email: [email protected]; [email protected] and [email protected]

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First published: 17 January 2024
Citations: 1

Sichun Deng, Guowei Zhou and Xingyu Li have contributed equally to this work.

Abstract

Psoriasis is an immune-mediated inflammatory disease commonly accompanied by various metabolic disorders. It is widely known that biologics could affect the metabolic status and comorbidities in psoriasis patients, however, the effects of biologics on metabolism in psoriasis patients remain poorly understood. The aim of this study was to elucidate the characteristic changes of metabolic profiling in psoriasis vulgaris (PsV) patients before and after applying biologics. Plasma samples were collected from a retrospective cohort of 43 PsV patients. Non-targeted metabolomics analyses were performed using liquid chromatography-mass spectrometry (LC–MS) to compare the metabolic profiles before and after applying adalimumab (ADA) or ixekizumab (IXE) for 4 weeks. Additionally, correlation analyses were conducted to investigate the associations between metabolite expression levels and clinical characteristics. The biologics significantly affected the metabolic profiles of PsV patients especially in glycerophospholipids (GPs). First, phosphatidylcholine (PC), unsaturated lysophosphatidylcholine (LPC), unsaturated lysophosphatidic acid (LPA) and unsaturated lysophosphatidylethanolamine (LPE) were significantly up-regulated, whereas phosphatidylethanolamine (PE), saturated LPC, saturated LPA and saturated LPE were predominantly down-regulated after biologic treatment. What is more, the changes in PE and LPA were mainly observed after applying IXE instead of ADA. Second, we also found GPs including PC, unsaturated LPC, unsaturated LPA and unsaturated LPE were primarily negatively correlated with disease severity, whereas, PE, saturated LPC, saturated LPA and saturated LPE displayed inverse correlations. Biologics could affect GP metabolism and facilitate the transition of metabolic status from a pro-inflammatory to an anti-inflammatory phenotype in PsV patients.

CONFLICT OF INTEREST STATEMENT

All authors have declared no conflict of interest.

DATA AVAILABILITY STATEMENT

The data that support the findings of this study are available from the corresponding author upon reasonable request.

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