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J Med Oncl Ther 2017 | Volume 2 Issue 4

Oncology and Biomarkers Summit

November 27-28, 2017 | Atlanta, USA

Annual Congress on

P

soriasis is a chronic inflammatory skin disease mediated

by the cells and molecules of both the innate and

adaptive immune systems that involves red elevated patches

and flaking silvery scales. Despite intensive research,

psoriasis pathogenesis remains unknown. Our purpose

was to study the role of nickel in psoriasis using microarray

gene expression data. The unexpected outcome from this

study was the role of metronidazole in the treatment of

psoriasis. Six psoriasis microarray assays were downloaded

from the GEO database. Statistical tests have been done on

both normalized and nonnormalized data. We used KEGG,

Reactome and Biosystems for pathway analysis and RGD

for gene-chemicals interactions. Nickel upregulates the top

upregulated genes in psoriasis including AKR1B10, IL36G,

SERPINB4, KYNU, SERPINB3, TCN1, DEFB4A, HPSE, PI3,

SPRR2C, SPRR3, VNN3 and several S100 family members

without downregulating any of those upregulated genes.

Nickel also downregulates the top downregulated genes

such as KRT77, ID4, BTC, CCL27, CHP2, IL37 and RORC without

upregulating any of those downregulated genes. The strongly

upregulated pathways included immune response, defense

response (e.g., amebiasis), cell cycle and metabolic pathways

and the top downregulated pathways included inflammatory

bowel disease, keratins, ErbB, Chemokine, cytokine and TGF-

beta pathways. Based on the best of our knowledge, this is

the first study that highlighted the role of nickel in psoriasis

pathogenesis using microarray gene expression data. The

significant and unique effect of nickel in upregulating the

upregulated genes and downregulating the downregulated

genes in psoriasis and a strong affinity between the imidazole

ring were an indication of a possible dramatic effect of

metronidazole on improving psoriasis skin inflammation in

our limited case study. Using microarray data, we showed

that recognition of the role of abnormal nickel concentration

could point the way to greater understanding of psoriasis

pathogenesis.

e:

saed.sayad@utoronto.ca

Biomarkers and psoriasis

Saed Sayad

University of Toronto, Canada