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Role of linoleic acid in arsenical palmar keratosis

Background Chronic arsenic exposure can lead to palmoplantar keratosis. In the stratum corneum of skin, linoleic acid is of the utmost importance to the inflammation, keratinization, and regeneration processes. Objectives The aims of this study were: (i) to present quantitative information on the li...

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Published in:International journal of dermatology 2016-03, Vol.55 (3), p.289-295
Main Authors: Ahmed, Tarafder S., Misbahuddin, Mir
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container_title International journal of dermatology
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Misbahuddin, Mir
description Background Chronic arsenic exposure can lead to palmoplantar keratosis. In the stratum corneum of skin, linoleic acid is of the utmost importance to the inflammation, keratinization, and regeneration processes. Objectives The aims of this study were: (i) to present quantitative information on the linoleic acid fraction of intercorneocyte lipids, and (ii) to elucidate the role of linoleic acid in the pathophysiology of arsenical keratosis. Methods Lipid extracts were collected from keratotic lesions in seven patients, seven arsenic‐exposed subjects, and seven non‐exposed control subjects. Linoleic acid levels of the specimens were estimated by reverse‐phase high‐performance liquid chromatography (RP‐HPLC). Results There was a significant (P 
doi_str_mv 10.1111/ijd.12831
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In the stratum corneum of skin, linoleic acid is of the utmost importance to the inflammation, keratinization, and regeneration processes. Objectives The aims of this study were: (i) to present quantitative information on the linoleic acid fraction of intercorneocyte lipids, and (ii) to elucidate the role of linoleic acid in the pathophysiology of arsenical keratosis. Methods Lipid extracts were collected from keratotic lesions in seven patients, seven arsenic‐exposed subjects, and seven non‐exposed control subjects. Linoleic acid levels of the specimens were estimated by reverse‐phase high‐performance liquid chromatography (RP‐HPLC). Results There was a significant (P &lt; 0.001) increase in mean ± standard error (SE) linoleic acid levels in arsenical keratosis patients (palm: 25.66 ± 4.95 μg/cm2; dorsum: 28.25 ± 6.20 μg/cm2) compared with arsenic‐exposed (palm: 2.75 ± 0.85 μg/cm2; dorsum: 1.96 ± 0.64 μg/cm2) and non‐exposed (palm: 1.52 ± 0.61 μg/cm2; dorsum: 1.28 ± 0.39 μg/cm2) control subjects. There was no significant difference (P = 0.556) in linoleic acid concentration in the non‐affected skin of the dorsum of the hand (28.25 ± 6.20 μg/cm2) compared with that in the palmar sites (25.66 ± 4.95 μg/cm2) in the patient group. The change in linoleic acid levels in the arsenic‐exposed control group did not differ from that in non‐exposed controls (P = 1.000). Conclusions Linoleic acid concentration is elevated in arsenical keratosis; this finding warrants further investigation to ascertain whether linoleic acid plays a direct role in the pathophysiology of arsenical keratosis.</description><identifier>ISSN: 0011-9059</identifier><identifier>EISSN: 1365-4632</identifier><identifier>DOI: 10.1111/ijd.12831</identifier><identifier>PMID: 26235890</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Adolescent ; Adult ; Aged ; Arsenic - analysis ; Arsenic Poisoning - complications ; Arsenic Poisoning - urine ; Bangladesh ; Case-Control Studies ; Drinking Water - chemistry ; Female ; Hand Dermatoses - chemically induced ; Hand Dermatoses - metabolism ; Hand Dermatoses - urine ; Humans ; Keratoderma, Palmoplantar - chemically induced ; Keratoderma, Palmoplantar - metabolism ; Keratoderma, Palmoplantar - urine ; Linoleic Acid - metabolism ; Male ; Middle Aged ; Young Adult</subject><ispartof>International journal of dermatology, 2016-03, Vol.55 (3), p.289-295</ispartof><rights>2015</rights><rights>2015 The International Society of Dermatology.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4331-dc272d6a98df36e5e6624b8424486706e8c235b0fce164267c186648d34d8b823</citedby><cites>FETCH-LOGICAL-c4331-dc272d6a98df36e5e6624b8424486706e8c235b0fce164267c186648d34d8b823</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26235890$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ahmed, Tarafder S.</creatorcontrib><creatorcontrib>Misbahuddin, Mir</creatorcontrib><title>Role of linoleic acid in arsenical palmar keratosis</title><title>International journal of dermatology</title><addtitle>Int J Dermatol</addtitle><description>Background Chronic arsenic exposure can lead to palmoplantar keratosis. In the stratum corneum of skin, linoleic acid is of the utmost importance to the inflammation, keratinization, and regeneration processes. Objectives The aims of this study were: (i) to present quantitative information on the linoleic acid fraction of intercorneocyte lipids, and (ii) to elucidate the role of linoleic acid in the pathophysiology of arsenical keratosis. Methods Lipid extracts were collected from keratotic lesions in seven patients, seven arsenic‐exposed subjects, and seven non‐exposed control subjects. Linoleic acid levels of the specimens were estimated by reverse‐phase high‐performance liquid chromatography (RP‐HPLC). Results There was a significant (P &lt; 0.001) increase in mean ± standard error (SE) linoleic acid levels in arsenical keratosis patients (palm: 25.66 ± 4.95 μg/cm2; dorsum: 28.25 ± 6.20 μg/cm2) compared with arsenic‐exposed (palm: 2.75 ± 0.85 μg/cm2; dorsum: 1.96 ± 0.64 μg/cm2) and non‐exposed (palm: 1.52 ± 0.61 μg/cm2; dorsum: 1.28 ± 0.39 μg/cm2) control subjects. There was no significant difference (P = 0.556) in linoleic acid concentration in the non‐affected skin of the dorsum of the hand (28.25 ± 6.20 μg/cm2) compared with that in the palmar sites (25.66 ± 4.95 μg/cm2) in the patient group. The change in linoleic acid levels in the arsenic‐exposed control group did not differ from that in non‐exposed controls (P = 1.000). Conclusions Linoleic acid concentration is elevated in arsenical keratosis; this finding warrants further investigation to ascertain whether linoleic acid plays a direct role in the pathophysiology of arsenical keratosis.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Arsenic - analysis</subject><subject>Arsenic Poisoning - complications</subject><subject>Arsenic Poisoning - urine</subject><subject>Bangladesh</subject><subject>Case-Control Studies</subject><subject>Drinking Water - chemistry</subject><subject>Female</subject><subject>Hand Dermatoses - chemically induced</subject><subject>Hand Dermatoses - metabolism</subject><subject>Hand Dermatoses - urine</subject><subject>Humans</subject><subject>Keratoderma, Palmoplantar - chemically induced</subject><subject>Keratoderma, Palmoplantar - metabolism</subject><subject>Keratoderma, Palmoplantar - urine</subject><subject>Linoleic Acid - metabolism</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Young Adult</subject><issn>0011-9059</issn><issn>1365-4632</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><recordid>eNp1kE1PAjEQhhujEUQP_gGzRz0s9Gu73aMBRZRoohiNl6bbdpNCYbGFKP_e6gI35zIzyTNPJi8A5wh2UayeneouwpygA9BGhGUpZQQfgjaECKUFzIoWOAlhGleCET0GLcwwyXgB24A8184kdZU4u4iTVYlUVid2kUgfzMIq6ZKldHPpk5nxclUHG07BUSVdMGfb3gGvtzeT_l06fhqO-tfjVFFCUKoVzrFmsuC6IsxkhjFMS04xpZzlkBmu4hclrJRBjGKWK8QZo1wTqnnJMemAy8a79PXn2oSVmNugjHNyYep1EChnGULRRCN61aDK1yF4U4mlt_HpjUBQ_GYkYkbiL6PIXmy163Ju9J7chRKBXgN8WWc2_5vE6H6wU6bNhQ0r872_kH4mWE7yTLw9DkX2MBi_kI-JeCc_Z7F87A</recordid><startdate>201603</startdate><enddate>201603</enddate><creator>Ahmed, Tarafder S.</creator><creator>Misbahuddin, Mir</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></search><sort><creationdate>201603</creationdate><title>Role of linoleic acid in arsenical palmar keratosis</title><author>Ahmed, Tarafder S. ; Misbahuddin, Mir</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4331-dc272d6a98df36e5e6624b8424486706e8c235b0fce164267c186648d34d8b823</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Arsenic - analysis</topic><topic>Arsenic Poisoning - complications</topic><topic>Arsenic Poisoning - urine</topic><topic>Bangladesh</topic><topic>Case-Control Studies</topic><topic>Drinking Water - chemistry</topic><topic>Female</topic><topic>Hand Dermatoses - chemically induced</topic><topic>Hand Dermatoses - metabolism</topic><topic>Hand Dermatoses - urine</topic><topic>Humans</topic><topic>Keratoderma, Palmoplantar - chemically induced</topic><topic>Keratoderma, Palmoplantar - metabolism</topic><topic>Keratoderma, Palmoplantar - urine</topic><topic>Linoleic Acid - metabolism</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ahmed, Tarafder S.</creatorcontrib><creatorcontrib>Misbahuddin, Mir</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><jtitle>International journal of dermatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ahmed, Tarafder S.</au><au>Misbahuddin, Mir</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Role of linoleic acid in arsenical palmar keratosis</atitle><jtitle>International journal of dermatology</jtitle><addtitle>Int J Dermatol</addtitle><date>2016-03</date><risdate>2016</risdate><volume>55</volume><issue>3</issue><spage>289</spage><epage>295</epage><pages>289-295</pages><issn>0011-9059</issn><eissn>1365-4632</eissn><abstract>Background Chronic arsenic exposure can lead to palmoplantar keratosis. In the stratum corneum of skin, linoleic acid is of the utmost importance to the inflammation, keratinization, and regeneration processes. Objectives The aims of this study were: (i) to present quantitative information on the linoleic acid fraction of intercorneocyte lipids, and (ii) to elucidate the role of linoleic acid in the pathophysiology of arsenical keratosis. Methods Lipid extracts were collected from keratotic lesions in seven patients, seven arsenic‐exposed subjects, and seven non‐exposed control subjects. Linoleic acid levels of the specimens were estimated by reverse‐phase high‐performance liquid chromatography (RP‐HPLC). Results There was a significant (P &lt; 0.001) increase in mean ± standard error (SE) linoleic acid levels in arsenical keratosis patients (palm: 25.66 ± 4.95 μg/cm2; dorsum: 28.25 ± 6.20 μg/cm2) compared with arsenic‐exposed (palm: 2.75 ± 0.85 μg/cm2; dorsum: 1.96 ± 0.64 μg/cm2) and non‐exposed (palm: 1.52 ± 0.61 μg/cm2; dorsum: 1.28 ± 0.39 μg/cm2) control subjects. There was no significant difference (P = 0.556) in linoleic acid concentration in the non‐affected skin of the dorsum of the hand (28.25 ± 6.20 μg/cm2) compared with that in the palmar sites (25.66 ± 4.95 μg/cm2) in the patient group. The change in linoleic acid levels in the arsenic‐exposed control group did not differ from that in non‐exposed controls (P = 1.000). Conclusions Linoleic acid concentration is elevated in arsenical keratosis; this finding warrants further investigation to ascertain whether linoleic acid plays a direct role in the pathophysiology of arsenical keratosis.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>26235890</pmid><doi>10.1111/ijd.12831</doi><tpages>7</tpages></addata></record>
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subjects Adolescent
Adult
Aged
Arsenic - analysis
Arsenic Poisoning - complications
Arsenic Poisoning - urine
Bangladesh
Case-Control Studies
Drinking Water - chemistry
Female
Hand Dermatoses - chemically induced
Hand Dermatoses - metabolism
Hand Dermatoses - urine
Humans
Keratoderma, Palmoplantar - chemically induced
Keratoderma, Palmoplantar - metabolism
Keratoderma, Palmoplantar - urine
Linoleic Acid - metabolism
Male
Middle Aged
Young Adult
title Role of linoleic acid in arsenical palmar keratosis
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