| Cellular metabolism and actions of 13-cis-retinoic acid. | |
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MedLine Citation:
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PMID: 11606944 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Retinoids (vitamin A and its derivatives) are potent substances for regulating the expression of many different genes within the body. The gene regulatory activities of retinoids are mediated primarily by the all-trans and 9-cis isomers of retinoic acid. Although 13-cis-retinoic acid (isotretinoin) does not have the potent gene regulatory activity of the other two isomers, it is an effective pharmacologic agent for treating a variety of dermatologic conditions. Because 13-cis-retinoic acid is also a naturally occurring retinoid that is present in the circulation, question is raised as to the biochemical mechanism(s) responsible for its pharmacologic efficacy. Some of this efficacy likely arises from the ability of 13-cis-retinoic acid to undergo isomerization to the significantly more active all-trans and 9-cis isomers; however, this does not account for all of the pharmacologic effects observed upon use of this retinoid. Some recent studies suggest that 13-cis-retinoic acid may act by inhibiting the actions of enzymes that are needed to metabolize steroids, while other recent studies indicate that 13-cis-retinoic acid acts through membrane receptors present on the surface of cells. At the present, it is not possible to rule out still other possible biochemical actions of 13-cis-retinoic acid in the body. It is clear, however, that if we are to fully understand the basis for the clinical efficacy of 13-cis-retinoic acid, a better understanding of such biochemical actions is needed. |
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Authors:
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W S Blaner |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.; Research Support, U.S. Gov't, P.H.S.; Review |
Journal Detail:
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Title: Journal of the American Academy of Dermatology Volume: 45 ISSN: 0190-9622 ISO Abbreviation: J. Am. Acad. Dermatol. Publication Date: 2001 Nov |
Date Detail:
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Created Date: 2001-10-18 Completed Date: 2001-12-07 Revised Date: 2007-11-14 |
Medline Journal Info:
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Nlm Unique ID: 7907132 Medline TA: J Am Acad Dermatol Country: United States |
Other Details:
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Languages: eng Pagination: S129-35 Citation Subset: IM |
Affiliation:
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Department of Medicine, College of Physicians and Surgeons, Columbia University, 701 W 168th St., New York, NY 10032, USA. wsb2@columbia.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Dermatologic Agents
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metabolism,
pharmacokinetics,
pharmacology* Gene Expression Regulation / drug effects* Humans Isomerism Isotretinoin / metabolism, pharmacokinetics, pharmacology* Receptors, Cell Surface / drug effects, physiology Signal Transduction |
| Grant Support | |
ID/Acronym/Agency:
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R01 DK 52444/DK/NIDDK NIH HHS; R01 EY 12858/EY/NEI NIH HHS |
| Chemical | |
Reg. No./Substance:
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0/Dermatologic Agents; 0/Receptors, Cell Surface; 4759-48-2/Isotretinoin |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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