A study to determine the effect of tacrolimus on ceramide levels in the stratum corneum of patients with atopic dermatitis

Background  Atopic dermatitis (AD) is characterized both by inflammation and by abnormally low ceramide levels in the stratum corneum. Tacrolimus, effective in the treatment of AD, inhibits transcription and release of inflammatory cytokines operative in AD, but it is unknown if tacrolimus normalize...

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Veröffentlicht in:International journal of dermatology 2006-04, Vol.45 (4), p.352-356
Hauptverfasser: Paslin, David, Wertz, Philip
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container_title International journal of dermatology
container_volume 45
creator Paslin, David
Wertz, Philip
description Background  Atopic dermatitis (AD) is characterized both by inflammation and by abnormally low ceramide levels in the stratum corneum. Tacrolimus, effective in the treatment of AD, inhibits transcription and release of inflammatory cytokines operative in AD, but it is unknown if tacrolimus normalizes ceramide levels. Methods  Stratum corneum ceramides of seven subjects with lesional AD were measured before and after treatment with tacrolimus ointment. Results  Treatment with tacrolimus ointment did not increase the ceramide fractions toward or to normal. Conclusion  These findings suggest that tacrolimus ointment is effective in the treatment of atopic dermatitis due to its anti‐inflammatory actions rather than to any restorative effect on stratum corneum ceramides.
doi_str_mv 10.1111/j.1365-4632.2006.02430.x
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Tacrolimus, effective in the treatment of AD, inhibits transcription and release of inflammatory cytokines operative in AD, but it is unknown if tacrolimus normalizes ceramide levels. Methods  Stratum corneum ceramides of seven subjects with lesional AD were measured before and after treatment with tacrolimus ointment. Results  Treatment with tacrolimus ointment did not increase the ceramide fractions toward or to normal. 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source Wiley-Blackwell Journals; MEDLINE
subjects Adolescent
Adult
Allergic diseases
Biological and medical sciences
Ceramides - metabolism
Dermatitis, Atopic - drug therapy
Dermatitis, Atopic - metabolism
Dermatology
Female
Humans
Immunopathology
Immunosuppressive Agents - therapeutic use
Male
Medical sciences
Middle Aged
Ointments
Pilot Projects
Reference Values
Skin - metabolism
Skin allergic diseases. Stinging insect allergies
Tacrolimus - therapeutic use
title A study to determine the effect of tacrolimus on ceramide levels in the stratum corneum of patients with atopic dermatitis
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