Effects of Malassezia yeasts on serum Th1 and Th2 cytokines in patients with guttate psoriasis

Background  Systemic and focal infections caused by microorganisms have been known to induce or exacerbate psoriasis. Although the role of yeast species of the genus Malassezia in the pathogenesis of psoriasis is not fully understood, it is thought that these lipophilic yeasts may represent a trigge...

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Veröffentlicht in:International journal of dermatology 2013-01, Vol.52 (1), p.46-52
Hauptverfasser: Aydogan, Kenan, Tore, Okan, Akcaglar, Sevim, Oral, Barbaros, Ener, Beyza, Tunalı, Sukran, Saricaoglu, Hayriye
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container_end_page 52
container_issue 1
container_start_page 46
container_title International journal of dermatology
container_volume 52
creator Aydogan, Kenan
Tore, Okan
Akcaglar, Sevim
Oral, Barbaros
Ener, Beyza
Tunalı, Sukran
Saricaoglu, Hayriye
description Background  Systemic and focal infections caused by microorganisms have been known to induce or exacerbate psoriasis. Although the role of yeast species of the genus Malassezia in the pathogenesis of psoriasis is not fully understood, it is thought that these lipophilic yeasts may represent a triggering factor in the exacerbation of psoriatic lesions. Objectives  This study investigated the effects of Malassezia yeasts on serum Th1 and Th2 cytokines in patients with guttate psoriasis (GP) in order to define their role in the pathogenesis of psoriasis. Methods  Fifty patients with GP and 29 clinically healthy individuals were included in the study. All samples consisted of scales and scrapings taken from the scalps, trunks, and upper limbs of both psoriasis patients and healthy subjects. Psoriasis patients and healthy subjects were grouped according to their positivity or negativity for Malassezia yeasts as ascertained by direct microscopy and/or culture. An enzyme‐linked immunosorbent assay (ELISA) was used to measure serum levels of Th1 and Th2 cytokines in these groups. Results  No significant differences in positivity for Malassezia yeasts were found between psoriatic skin and healthy skin in samples taken from different body sites. Serum interleukin‐13 (IL‐13) levels were significantly lower in the psoriasis group compared with the control group (P = 0.04). Levels of other cytokines did not differ significantly between the psoriasis and control groups. Mean levels of Th2 cytokines (IL‐4, IL‐10, IL‐13), but not of Th1 cytokines (IL‐2 and IFN‐γ), were significantly lower in psoriasis patients positive for Malassezia yeasts compared with those negative for Malassezia yeasts and control subjects (P = 0.04, P 
doi_str_mv 10.1111/j.1365-4632.2011.05280.x
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Although the role of yeast species of the genus Malassezia in the pathogenesis of psoriasis is not fully understood, it is thought that these lipophilic yeasts may represent a triggering factor in the exacerbation of psoriatic lesions. Objectives  This study investigated the effects of Malassezia yeasts on serum Th1 and Th2 cytokines in patients with guttate psoriasis (GP) in order to define their role in the pathogenesis of psoriasis. Methods  Fifty patients with GP and 29 clinically healthy individuals were included in the study. All samples consisted of scales and scrapings taken from the scalps, trunks, and upper limbs of both psoriasis patients and healthy subjects. Psoriasis patients and healthy subjects were grouped according to their positivity or negativity for Malassezia yeasts as ascertained by direct microscopy and/or culture. An enzyme‐linked immunosorbent assay (ELISA) was used to measure serum levels of Th1 and Th2 cytokines in these groups. Results  No significant differences in positivity for Malassezia yeasts were found between psoriatic skin and healthy skin in samples taken from different body sites. Serum interleukin‐13 (IL‐13) levels were significantly lower in the psoriasis group compared with the control group (P = 0.04). Levels of other cytokines did not differ significantly between the psoriasis and control groups. Mean levels of Th2 cytokines (IL‐4, IL‐10, IL‐13), but not of Th1 cytokines (IL‐2 and IFN‐γ), were significantly lower in psoriasis patients positive for Malassezia yeasts compared with those negative for Malassezia yeasts and control subjects (P = 0.04, P &lt; 0.001 and P = 0.01, respectively). Conclusions  The isolation of Malassezia yeasts from GP lesions does not necessarily mean that these species are pathogenic, but their downregulating effects on anti‐inflammatory Th2 cytokines may contribute to the occurrence of GP.</description><identifier>ISSN: 0011-9059</identifier><identifier>EISSN: 1365-4632</identifier><identifier>DOI: 10.1111/j.1365-4632.2011.05280.x</identifier><identifier>PMID: 22512309</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adult ; Aged ; Cytokines ; Cytokines - blood ; Dermatomycoses - blood ; Dermatomycoses - pathology ; Enzyme-Linked Immunosorbent Assay ; Female ; Humans ; Malassezia ; Malassezia - isolation &amp; purification ; Male ; Middle Aged ; Psoriasis - blood ; Psoriasis - pathology ; Th1 Cells - immunology ; Th2 Cells - immunology</subject><ispartof>International journal of dermatology, 2013-01, Vol.52 (1), p.46-52</ispartof><rights>2012 The International Society of Dermatology</rights><rights>2012 The International Society of Dermatology.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4400-b5f606ed98fbe7f9993d58083661b094595b9b7b655cf174fa7ae9fa29763ab53</citedby><cites>FETCH-LOGICAL-c4400-b5f606ed98fbe7f9993d58083661b094595b9b7b655cf174fa7ae9fa29763ab53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1365-4632.2011.05280.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1365-4632.2011.05280.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22512309$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Aydogan, Kenan</creatorcontrib><creatorcontrib>Tore, Okan</creatorcontrib><creatorcontrib>Akcaglar, Sevim</creatorcontrib><creatorcontrib>Oral, Barbaros</creatorcontrib><creatorcontrib>Ener, Beyza</creatorcontrib><creatorcontrib>Tunalı, Sukran</creatorcontrib><creatorcontrib>Saricaoglu, Hayriye</creatorcontrib><title>Effects of Malassezia yeasts on serum Th1 and Th2 cytokines in patients with guttate psoriasis</title><title>International journal of dermatology</title><addtitle>Int J Dermatol</addtitle><description>Background  Systemic and focal infections caused by microorganisms have been known to induce or exacerbate psoriasis. Although the role of yeast species of the genus Malassezia in the pathogenesis of psoriasis is not fully understood, it is thought that these lipophilic yeasts may represent a triggering factor in the exacerbation of psoriatic lesions. Objectives  This study investigated the effects of Malassezia yeasts on serum Th1 and Th2 cytokines in patients with guttate psoriasis (GP) in order to define their role in the pathogenesis of psoriasis. Methods  Fifty patients with GP and 29 clinically healthy individuals were included in the study. All samples consisted of scales and scrapings taken from the scalps, trunks, and upper limbs of both psoriasis patients and healthy subjects. Psoriasis patients and healthy subjects were grouped according to their positivity or negativity for Malassezia yeasts as ascertained by direct microscopy and/or culture. An enzyme‐linked immunosorbent assay (ELISA) was used to measure serum levels of Th1 and Th2 cytokines in these groups. Results  No significant differences in positivity for Malassezia yeasts were found between psoriatic skin and healthy skin in samples taken from different body sites. Serum interleukin‐13 (IL‐13) levels were significantly lower in the psoriasis group compared with the control group (P = 0.04). Levels of other cytokines did not differ significantly between the psoriasis and control groups. Mean levels of Th2 cytokines (IL‐4, IL‐10, IL‐13), but not of Th1 cytokines (IL‐2 and IFN‐γ), were significantly lower in psoriasis patients positive for Malassezia yeasts compared with those negative for Malassezia yeasts and control subjects (P = 0.04, P &lt; 0.001 and P = 0.01, respectively). Conclusions  The isolation of Malassezia yeasts from GP lesions does not necessarily mean that these species are pathogenic, but their downregulating effects on anti‐inflammatory Th2 cytokines may contribute to the occurrence of GP.</description><subject>Adult</subject><subject>Aged</subject><subject>Cytokines</subject><subject>Cytokines - blood</subject><subject>Dermatomycoses - blood</subject><subject>Dermatomycoses - pathology</subject><subject>Enzyme-Linked Immunosorbent Assay</subject><subject>Female</subject><subject>Humans</subject><subject>Malassezia</subject><subject>Malassezia - isolation &amp; purification</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Psoriasis - blood</subject><subject>Psoriasis - pathology</subject><subject>Th1 Cells - immunology</subject><subject>Th2 Cells - immunology</subject><issn>0011-9059</issn><issn>1365-4632</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkU9z0zAQxTUMDE0LX4HRkYuN_liSdeAApYR20vZS6A2N7KyoUscOXnua9NMjNyXn6rJa7futZt4jhHKW83Q-rXIutcoKLUUuGOc5U6Jk-fYVmR0Gr8mMpVFmmbJH5BhxlVopePGWHAmhuJDMzsjvsxCgHpB2gV76xiPCY_R0Bx6nx5Yi9OOa3txx6ttlqoLWu6G7jy0gjS3d-CFCm6QPcbijf8Zh8APQDXZ99BjxHXkTfIPw_rmekJ_fz25Of2SL6_n56ZdFVhcFY1mlgmYalrYMFZhgrZVLVbJSas0rZgtlVWUrU2ml6sBNEbzxYIMX1mjpKyVPyMf93k3f_R0BB7eOWEPT-Ba6ER0XpWI2kfYFUiM5t0qZJC330rrvEHsIbtPHte93jjM3BeFWbvLbTX67KQj3FITbJvTD8y9jtYblAfzvfBJ83gseYgO7Fy925xffplvisz0fcYDtgff9vdNGGuVur-bu8uvtr4Wal66U_wCoxqT_</recordid><startdate>201301</startdate><enddate>201301</enddate><creator>Aydogan, Kenan</creator><creator>Tore, Okan</creator><creator>Akcaglar, Sevim</creator><creator>Oral, Barbaros</creator><creator>Ener, Beyza</creator><creator>Tunalı, Sukran</creator><creator>Saricaoglu, Hayriye</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7T5</scope><scope>H94</scope><scope>M7N</scope></search><sort><creationdate>201301</creationdate><title>Effects of Malassezia yeasts on serum Th1 and Th2 cytokines in patients with guttate psoriasis</title><author>Aydogan, Kenan ; Tore, Okan ; Akcaglar, Sevim ; Oral, Barbaros ; Ener, Beyza ; Tunalı, Sukran ; Saricaoglu, Hayriye</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4400-b5f606ed98fbe7f9993d58083661b094595b9b7b655cf174fa7ae9fa29763ab53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Cytokines</topic><topic>Cytokines - blood</topic><topic>Dermatomycoses - blood</topic><topic>Dermatomycoses - pathology</topic><topic>Enzyme-Linked Immunosorbent Assay</topic><topic>Female</topic><topic>Humans</topic><topic>Malassezia</topic><topic>Malassezia - isolation &amp; purification</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Psoriasis - blood</topic><topic>Psoriasis - pathology</topic><topic>Th1 Cells - immunology</topic><topic>Th2 Cells - immunology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Aydogan, Kenan</creatorcontrib><creatorcontrib>Tore, Okan</creatorcontrib><creatorcontrib>Akcaglar, Sevim</creatorcontrib><creatorcontrib>Oral, Barbaros</creatorcontrib><creatorcontrib>Ener, Beyza</creatorcontrib><creatorcontrib>Tunalı, Sukran</creatorcontrib><creatorcontrib>Saricaoglu, Hayriye</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><jtitle>International journal of dermatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Aydogan, Kenan</au><au>Tore, Okan</au><au>Akcaglar, Sevim</au><au>Oral, Barbaros</au><au>Ener, Beyza</au><au>Tunalı, Sukran</au><au>Saricaoglu, Hayriye</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of Malassezia yeasts on serum Th1 and Th2 cytokines in patients with guttate psoriasis</atitle><jtitle>International journal of dermatology</jtitle><addtitle>Int J Dermatol</addtitle><date>2013-01</date><risdate>2013</risdate><volume>52</volume><issue>1</issue><spage>46</spage><epage>52</epage><pages>46-52</pages><issn>0011-9059</issn><eissn>1365-4632</eissn><abstract>Background  Systemic and focal infections caused by microorganisms have been known to induce or exacerbate psoriasis. Although the role of yeast species of the genus Malassezia in the pathogenesis of psoriasis is not fully understood, it is thought that these lipophilic yeasts may represent a triggering factor in the exacerbation of psoriatic lesions. Objectives  This study investigated the effects of Malassezia yeasts on serum Th1 and Th2 cytokines in patients with guttate psoriasis (GP) in order to define their role in the pathogenesis of psoriasis. Methods  Fifty patients with GP and 29 clinically healthy individuals were included in the study. All samples consisted of scales and scrapings taken from the scalps, trunks, and upper limbs of both psoriasis patients and healthy subjects. Psoriasis patients and healthy subjects were grouped according to their positivity or negativity for Malassezia yeasts as ascertained by direct microscopy and/or culture. An enzyme‐linked immunosorbent assay (ELISA) was used to measure serum levels of Th1 and Th2 cytokines in these groups. Results  No significant differences in positivity for Malassezia yeasts were found between psoriatic skin and healthy skin in samples taken from different body sites. Serum interleukin‐13 (IL‐13) levels were significantly lower in the psoriasis group compared with the control group (P = 0.04). Levels of other cytokines did not differ significantly between the psoriasis and control groups. Mean levels of Th2 cytokines (IL‐4, IL‐10, IL‐13), but not of Th1 cytokines (IL‐2 and IFN‐γ), were significantly lower in psoriasis patients positive for Malassezia yeasts compared with those negative for Malassezia yeasts and control subjects (P = 0.04, P &lt; 0.001 and P = 0.01, respectively). Conclusions  The isolation of Malassezia yeasts from GP lesions does not necessarily mean that these species are pathogenic, but their downregulating effects on anti‐inflammatory Th2 cytokines may contribute to the occurrence of GP.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>22512309</pmid><doi>10.1111/j.1365-4632.2011.05280.x</doi><tpages>7</tpages></addata></record>
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subjects Adult
Aged
Cytokines
Cytokines - blood
Dermatomycoses - blood
Dermatomycoses - pathology
Enzyme-Linked Immunosorbent Assay
Female
Humans
Malassezia
Malassezia - isolation & purification
Male
Middle Aged
Psoriasis - blood
Psoriasis - pathology
Th1 Cells - immunology
Th2 Cells - immunology
title Effects of Malassezia yeasts on serum Th1 and Th2 cytokines in patients with guttate psoriasis
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