RETRACTED: Abnormal Plasma Levels of Steroids and Their Ratios in Patients With Prurigo Nodularis: A Pilot Study

Background: It has been suggested that cortisol levels are abnormal in chronic urticaria and atopic dermatitis, but other steroids, such as dehydroepiandrosterone (DHEA) and testosterone, are still unknown, and whether these hormones affect the maintenance of skin homeostasis or the pathogenesis of...

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Main Authors: Liuxi Chu, Xin Shu, Yan Wu, Haoran Yang, Qin Lu, Huihua Deng
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-06-01
Series:Frontiers in Physiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphys.2022.835269/full
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author Liuxi Chu
Liuxi Chu
Liuxi Chu
Xin Shu
Yan Wu
Yan Wu
Yan Wu
Haoran Yang
Haoran Yang
Haoran Yang
Qin Lu
Qin Lu
Huihua Deng
Huihua Deng
Huihua Deng
author_facet Liuxi Chu
Liuxi Chu
Liuxi Chu
Xin Shu
Yan Wu
Yan Wu
Yan Wu
Haoran Yang
Haoran Yang
Haoran Yang
Qin Lu
Qin Lu
Huihua Deng
Huihua Deng
Huihua Deng
author_sort Liuxi Chu
collection DOAJ
description Background: It has been suggested that cortisol levels are abnormal in chronic urticaria and atopic dermatitis, but other steroids, such as dehydroepiandrosterone (DHEA) and testosterone, are still unknown, and whether these hormones affect the maintenance of skin homeostasis or the pathogenesis of skin diseases is not fully understood. Limited data are available on steroid levels in prurigo nodularis (PN)-related research, and no study has examined the association between pruritus severity and steroid levels in PN patients.Aims: This pilot study aimed to investigate the differences in the levels of five steroids combined with their ratios in plasma between PN patients and controls and to examine the associations between the biomarkers and pruritus severity.Methods: Plasma concentrations of five steroids, including cortisol, cortisone, testosterone, progesterone, and dehydroepiandrosterone (DHEA), in 36 patients with PN were compared with concentrations in thirty-six and matched healthy controls. The concentrations of steroids were quantitated using liquid chromatography-tandem mass spectrometry. The PN symptoms, including pruritus severity, pain, and life quality, were assessed with the use of the visual analog scale, prurigo score index, numerical rating scale, and verbal rating scale and dermatology life quality index scores.Results: In comparison with controls, PN patients had lower levels of plasma cortisol and cortisone, which negatively correlated with PN symptoms. PN patients had higher levels of cortisone and testosterone to cortisol, which positively correlated with pruritus severity. Additionally, there were no significant differences in plasma concentrations of DHEA and testosterone between the two groups. We found no correlation between plasma concentrations of DHEA and testosterone and pruritus severity.Conclusion: This pilot study suggests that there may be abnormalities in peripheral blood levels of cortisol, and cortisone and the ratios of cortisone and testosterone to cortisol in patients with PN, and they are related to pruritus severity. The plasma concentrations of testosterone and DHEA may be not abnormal in PN patients and may not be associated with pruritus severity.
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spelling doaj.art-9a1a12971f154c9385530002a722c5bb2024-03-22T15:08:14ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2022-06-011310.3389/fphys.2022.835269835269RETRACTED: Abnormal Plasma Levels of Steroids and Their Ratios in Patients With Prurigo Nodularis: A Pilot StudyLiuxi Chu0Liuxi Chu1Liuxi Chu2Xin Shu3Yan Wu4Yan Wu5Yan Wu6Haoran Yang7Haoran Yang8Haoran Yang9Qin Lu10Qin Lu11Huihua Deng12Huihua Deng13Huihua Deng14School of Biological Sciences and Medical Engineering, Southeast University, Nanjing, ChinaKey Laboratory of Child Development and Learning Science (Southeast University), Ministry of Education, Nanjing, ChinaInstitute of Child Development and Education, Southeast University, Nanjing, ChinaDepartment of Dermatology, The Third Medical Centre of Chinese PLA General Hospital, Beijing, ChinaSchool of Biological Sciences and Medical Engineering, Southeast University, Nanjing, ChinaKey Laboratory of Child Development and Learning Science (Southeast University), Ministry of Education, Nanjing, ChinaInstitute of Child Development and Education, Southeast University, Nanjing, ChinaSchool of Biological Sciences and Medical Engineering, Southeast University, Nanjing, ChinaKey Laboratory of Child Development and Learning Science (Southeast University), Ministry of Education, Nanjing, ChinaInstitute of Child Development and Education, Southeast University, Nanjing, ChinaSchool of Biological Sciences and Medical Engineering, Southeast University, Nanjing, ChinaDepartment of Prescription Science, School of Basic Medical Sciences, Hebei University of Chinese Medicine, Shijiazhuang, ChinaSchool of Biological Sciences and Medical Engineering, Southeast University, Nanjing, ChinaKey Laboratory of Child Development and Learning Science (Southeast University), Ministry of Education, Nanjing, ChinaInstitute of Child Development and Education, Southeast University, Nanjing, ChinaBackground: It has been suggested that cortisol levels are abnormal in chronic urticaria and atopic dermatitis, but other steroids, such as dehydroepiandrosterone (DHEA) and testosterone, are still unknown, and whether these hormones affect the maintenance of skin homeostasis or the pathogenesis of skin diseases is not fully understood. Limited data are available on steroid levels in prurigo nodularis (PN)-related research, and no study has examined the association between pruritus severity and steroid levels in PN patients.Aims: This pilot study aimed to investigate the differences in the levels of five steroids combined with their ratios in plasma between PN patients and controls and to examine the associations between the biomarkers and pruritus severity.Methods: Plasma concentrations of five steroids, including cortisol, cortisone, testosterone, progesterone, and dehydroepiandrosterone (DHEA), in 36 patients with PN were compared with concentrations in thirty-six and matched healthy controls. The concentrations of steroids were quantitated using liquid chromatography-tandem mass spectrometry. The PN symptoms, including pruritus severity, pain, and life quality, were assessed with the use of the visual analog scale, prurigo score index, numerical rating scale, and verbal rating scale and dermatology life quality index scores.Results: In comparison with controls, PN patients had lower levels of plasma cortisol and cortisone, which negatively correlated with PN symptoms. PN patients had higher levels of cortisone and testosterone to cortisol, which positively correlated with pruritus severity. Additionally, there were no significant differences in plasma concentrations of DHEA and testosterone between the two groups. We found no correlation between plasma concentrations of DHEA and testosterone and pruritus severity.Conclusion: This pilot study suggests that there may be abnormalities in peripheral blood levels of cortisol, and cortisone and the ratios of cortisone and testosterone to cortisol in patients with PN, and they are related to pruritus severity. The plasma concentrations of testosterone and DHEA may be not abnormal in PN patients and may not be associated with pruritus severity.https://www.frontiersin.org/articles/10.3389/fphys.2022.835269/fullprurigo nodulariscortisolcortisonedehydroepiandrosteronepruritus severity
spellingShingle Liuxi Chu
Liuxi Chu
Liuxi Chu
Xin Shu
Yan Wu
Yan Wu
Yan Wu
Haoran Yang
Haoran Yang
Haoran Yang
Qin Lu
Qin Lu
Huihua Deng
Huihua Deng
Huihua Deng
RETRACTED: Abnormal Plasma Levels of Steroids and Their Ratios in Patients With Prurigo Nodularis: A Pilot Study
Frontiers in Physiology
prurigo nodularis
cortisol
cortisone
dehydroepiandrosterone
pruritus severity
title RETRACTED: Abnormal Plasma Levels of Steroids and Their Ratios in Patients With Prurigo Nodularis: A Pilot Study
title_full RETRACTED: Abnormal Plasma Levels of Steroids and Their Ratios in Patients With Prurigo Nodularis: A Pilot Study
title_fullStr RETRACTED: Abnormal Plasma Levels of Steroids and Their Ratios in Patients With Prurigo Nodularis: A Pilot Study
title_full_unstemmed RETRACTED: Abnormal Plasma Levels of Steroids and Their Ratios in Patients With Prurigo Nodularis: A Pilot Study
title_short RETRACTED: Abnormal Plasma Levels of Steroids and Their Ratios in Patients With Prurigo Nodularis: A Pilot Study
title_sort retracted abnormal plasma levels of steroids and their ratios in patients with prurigo nodularis a pilot study
topic prurigo nodularis
cortisol
cortisone
dehydroepiandrosterone
pruritus severity
url https://www.frontiersin.org/articles/10.3389/fphys.2022.835269/full
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