The expression of serotonin transporter protein in the skin of patients with chronic spontaneous urticaria and its relation with depression and anxiety
Abstract
Studies have indicated a possible role for serotonin transporter protein (SERT) in the pathophysiology of inflammatory skin disorders. This study was aimed to determine the expression of SERT in the skin of patients with chronic spontaneous urticaria (CSU) and its relation to depression and anxiety. In this case-control study, 30 CSU patients and 30 healthy controls were evaluated with skin biopsies to evaluate the expression of the SERT protein based on histopathologic findings. Beck depression and anxiety inventories were used to investigate depression and anxiety in the case group. Data were analyzed by SPSS software. P values < 0.05 were considered significant. The case group showed significantly higher percentage of stained cells (P < 0.0001) and intensity of SERT expression (P < 0.0001) compared with the control group. The patients with uncontrolled CSU showed significantly higher percentage (P < 0.002) and intensity (P < 0.006) of SERT expression, compared with those with controlled CSU. The intensity of SERT expression in CSU patients had no significant correlation with the severity of depression, but was significantly correlated with the severity of anxiety (r = 0.555; P = 0.001). The percentage of stained cells was significantly correlated with the severities of depression (r = - 0.433; P = 0.017) and anxiety (r = 0.528; P = 0.003). The SERT expression in patients with CSU was higher compared with controls, which can demonstrate the role of serotonin in the pathogenesis of this disease. This higher SERT expression is correlated with the severity of the disease.
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Could distress tolerance levels be associated with the severity of chronic spontaneous urticaria?
Göçer Gürok, N., Gürok, M. G., & Öztürk, S. (2022) · TURKDERM · doi:10.4274/turkderm.galenos.2022.46793
- Authors
- Zabolinejad, N., Molkara, S., Bakhshodeh, B., Ghaffari-Nazari, H., & Khoshkhui, M.
- Affiliations
- Mashhad University of Medical Sciences (IR)
- Corresponding author
- Khoshkhui, Maryam
- Venue
- Archives of Dermatological Research
- Published
- 2019-09-13
- Volume
- 311
- Issue
- 10
- Pages
- 825-831
- ISSN
- 0003-9187 (ISSN-L)
- 0340-3696
- 1432-069X
- OpenAlex
- W2974867948
- Cited by
- 19
- References
- 51
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 1 · 2023: 2 · 2022: 3 · 2021: 5 · 2020: 2
- FWCI
- 1.90
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of Dermatological Research (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Mashhad University of Medical Sciences (951756)
- Topics
- Health Sciences › Medicine › Rheumatology › Urticaria and Related Conditions
- Life Sciences › Immunology and Microbiology › Immunology › Mast cells and histamine
- Health Sciences › Medicine › Dermatology › Dermatology and Skin Diseases
- Keywords
- serotonin transporter, chronic spontaneous urticaria, depression, anxiety, skin histopathology, serotonin, disease severity, urticaria pathogenesis
- MeSH terms
- Chronic Urticaria, Adult, Anxiety, Biopsy, Depression, Female, Humans, Male, Middle Aged, Personality Inventory, Serotonin, Severity of Illness Index, Skin, Case-Control Studies, Serotonin Plasma Membrane Transport Proteins, Young Adult, Healthy Volunteers
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