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Serum free 5-methoxypsoralen fraction in health and psoriasis: relationship with human serum albumin concentration

✍ Scribed by P. Muret; P. Humbert; S. Makki; P. Bechtel; S. Urien; J. P. Tillement


Book ID
104745506
Publisher
Springer-Verlag
Year
1993
Tongue
English
Weight
371 KB
Volume
285
Category
Article
ISSN
0340-3696

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✦ Synopsis


Human serum albumin is known to be the main carrier of 5-methoxypsoralen (5-MOP) in serum. As hypoalbuminaemia may occur in psoriasis with inflammatory syndrome, variability of the free 5-MOP fraction in serum can be expected. The free 5-MOP fraction was determined by equilibrium dialysis in serum samples obtained from 18 psoriatic patients and 18 control subjects. The median free 5-MOP fraction was not significantly different in the psoriatic group (fn = 4.75%) than in the control group (fu = 5%). However, there was a significantly larger variability of the free fraction in the psoriatic group (2.7 to 8.6%) than in the healthy group (3.2 to 6.8%) (p --0.002). The binding index of 5-MOP (ratio of bound to free concentrations) was correlated with human serum albumin level (r = 0.784). This work confirms that the 5-MOP fraction in human serum is principally serum albumin dependent, as has been described with in ,itro models. Free drug monitoring of 5-MOP is discussed.