Page 60 - JCBP-2-3
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Journal of Clinical and
            Basic Psychosomatics                                   Proteomic analysis of mind-body psychotherapy in psoriasis



            4.4. Stress and therapy in PS patients             Acknowledgments

            Our previous study showed that the skin symptoms of   The  authors  would  like  to  thank  patients  and  HCs  who
            patients with psoriasis significantly improved after the   contributed to the present study.
            MMIP.  Nowadays, studies have demonstrated that 37 –
                 25
            88% of patients with psoriasis believe that their disease is   Funding
            caused or exacerbated by stress.  Furthermore, the related   This research was supported by the Natural Science
                                     62
            psychological problems can affect daily social activities and   Foundation of Inner Mongolia Autonomous Region
            work; it causes embarrassment, lack of self-esteem, anxiety,   (2021MS08101),  and  partly  supported by  the  Science
                                                 1
            and an increased prevalence of depression.  Therefore,   and  Technology  Major  Project  of  the  Inner  Mongolia
            psychological interventions like relaxation therapy could   Autonomous Region (NMGZDZX2017) and Mongolian
            decrease disease severity and improve psoriasis patients’   Psychosomatic Medicine Innovation Talent Team Project
            quality of life.  In this study, we demonstrated for the first   of the Ordos City (2021).
                       63
            time that the proteomics analysis of the exosomes is helpful
            at analyzing the therapeutic effect of MMIP.       Conflict of interest
              The limitation of the study was the small size of the   The authors declare no conflicts of interest.
            patients and healthy individuals enrolled. In the future,
            plasma-derived exosomes and therapeutically effective   Author contributions
            exosomal proteins need to be further analyzed and verified   Conceptualization: Haorile Chagan-Yasutan, Nagongbilige
            in a large-scale population study to understand the   He, Toshio Hattori
            pathogenesis of psoriasis and determine the therapeutic   Formal analysis: Haorile Chagan-Yasutan, Sarnai Arlud
            targets. Here, we examined the effect of MMIP on   Investigation:  Haorile Chagan-Yasutan, Nagongbilige He,
            exosomal proteome in selected patients with PASI 75;   Sarnai Arlud, Siriguleng Wuyun
            however, the clinical effect of MMIP on psoriasis needs   Methodology:  Ruiming Gao, Wenfeng Bao, Rihan Wu,
            to be confirmed by a randomized controlled study in the   Qiqige Gerile, Jiletu Xin
            future. Nevertheless, the present study, for the first time,   Writing–original draft:  Haorile  Chagan-Yasutan, Toshio
            showed the biomolecular effect of MMIP and provided   Hattori
            novel insights into the pathophysiology of PS.     Writing–review & editing: Haorile Chagan-Yasutan, Toshio
                                                                  Hattori
            5. Conclusion
                                                               Ethics approval and consent to participate
            In this study, we conducted comparative proteomics
            analysis of the exosomes derived from the plasma of MMIP-  The study was conducted according to the code of ethics of
            treated psoriasis patients and HCs. The results showed   the World Medical Association (Declaration of Helsinki)
            that the involvement of apelin signaling and ribosome   and approved by the Ethical Committee Review Board of
            pathways is pathologically associated with psoriasis. The   the International Mongolian Medicine Hospital of Inner
            potential involvement of a circuit comprising complement,   Mongolia (2018-002). Written informed consent was
            protease, and its inhibitor is postulated. MMIP therapy   obtained from all of the participants.
            attenuates the activation of actin-mediated inflammatory   Consent for publication
            pathways and alters Fc receptor-mediated phagocytosis
            pathways as well as the pathways of tight junction and   Written informed consent was obtained from all
            vascular smooth muscle  contraction. In  addition,  nine   participants to publish their data. Moreover, the effort
            types  of  immunoglobulins were  decreased  in psoriasis,   has been made by authors to conceal any identifying
            and one of them significantly increased after the MMIP.   information of the participants that appear in the paper.
            Further, validation study revealed that the levels of serum
            ELAF were higher in psoriasis patients than in HCs and   Availability of data
            significantly decreased after MMIP. Thus, MMIP can   Data are available from the corresponding author on
            heighten immunity and suppress inflammation in psoriasis   reasonable request.
            patients at the biomolecular level. Through proteomics
            analysis of plasma-derived exosomes, new insights into   References
            psoriasis pathology and therapeutic targets in MMIP are   1.   World Health Organization.  Global Report on Psoriasis.
            unveiled.                                             Geneva: World Health Organization; 2016.


            Volume 2 Issue 3 (2024)                         12                              doi: 10.36922/jcbp.2381
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