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Sirtuins in dermatology: applications for future research and therapeutics.
[werner syndrome]
Sirtuins
are
a
family
of
seven
proteins
in
humans
(
SIRT
1
-
SIRT
7
)
that
are
involved
in
multiple
cellular
processes
relevant
to
dermatology
.
The
role
of
sirtuins
in
other
organ
systems
is
established
.
However
,
the
importance
of
these
proteins
in
dermatology
is
less
defined
.
Recently
,
sirtuins
gained
international
attention
because
of
their
role
as
"
longevity
proteins
"
that
may
extend
and
enhance
human
life
.
Sirtuins
function
in
the
cell
via
histone
deacetylase
and
/
or
adenosine
diphosphate
ribosyltransferase
enzymatic
activity
that
target
histone
and
non-histone
substrates
,
including
transcription
regulators
,
tumor
suppressors
,
structural
proteins
,
DNA
repair
proteins
,
cell
signaling
proteins
,
transport
proteins
,
and
enzymes
.
Sirtuins
are
involved
in
cellular
pathways
related
to
skin
structure
and
function
,
including
aging
,
ultraviolet-induced
photoaging
,
inflammation
,
epigenetics
,
cancer
,
and
a
variety
of
cellular
functions
including
cell
cycle
,
DNA
repair
and
proliferation
.
This
review
highlights
sirtuin-related
cellular
pathways
,
therapeutics
and
pharmacological
targets
in
atopic
dermatitis
,
bullous
dermatoses
,
collagen
vascular
disorders
,
psoriasis
,
systemic
lupus
erythematosus
,
hypertrophic
and
keloid
scars
,
cutaneous
infections
,
and
non-
melanoma
and
melanoma
skin
cancer
.
Also
discussed
is
the
role
of
sirtuins
in
the
following
genodermatoses
:
ataxia
telangiectasia
,
Cowden
's
syndrome
,
dyskeratosis
congenita
,
Rubenstein-
Taybi
,
Werner
syndrome
,
and
xeroderma
pigmentosum
.
The
pathophysiology
of
these
inherited
diseases
is
not
well
understood
,
and
sirtuin-related
processes
represent
potential
therapeutic
targets
for
diseases
lacking
suitable
alternative
treatments
.
The
goal
of
this
review
is
to
bring
attention
to
the
dermatology
community
,
physicians
,
and
scientists
,
the
importance
of
sirtuins
in
dermatology
and
provide
a
foundation
and
impetus
for
future
discussion
,
research
and
pharmacologic
discovery
.
Diseases
Validation
Diseases presenting
"psoriasis"
symptom
cushing syndrome
epidermolysis bullosa simplex
harlequin ichthyosis
hodgkin lymphoma, classical
lamellar ichthyosis
omenn syndrome
severe combined immunodeficiency
systemic capillary leak syndrome
werner syndrome
This symptom has already been validated