Summary. Activities of the isocitrate dehydrogenases, ICDH(NAD) andICDH (NADP), and of fumarate hydratase, FH, were measured in subcorneal and basal epidermal layers in patients with psoriasis, neurodermatitis, lichen planus and pityriasis rosea and in healthy controls. Lowry's microtechniques were used. Since NADH formed by the ICDH reaction required high analytical sensitivity, this dinucleotide was measured photokinetically with the aid of bacterial luciferase.ICDH (NAD) and FI.I displayed similar activities in the skin of normal controls to those in the non-involved skin of the patients with various dermatoses. In the psoriatic lesion both enzymatic activities were markedly increased in the two layers studied. In neurodermatitis and lichen planus, however, the ICDI-I(NAD) activity was increased only in basal epidermis. FH activities were not increased over control levels in any of the three dermatoses. In epidermis ICDH(NADP) showed 20-fold higher activity than ICDI-I(NAD). The activity was similar in controls and in the non-involved skin of the patients with tile 4 dermatoses as well as in the lesions of pityriasis rosea. It was increased 60~ and 30a/o in basal layers of the psoriatic and the neurodermite lesions, respectively. The enzymatic activity was decreased 50 ~ in subcorneal layers of lichen planus.In various tissues ICDH (NAD) is considered to be a strictly intramitochondrial enzyme, whereas ICDH(NADP) and FH are found also in the cytosol. If this also applies to epidermis, the results imply differences of mitochondrial function in psoriasis and the contrasted dermatoses. The high activiW of ICDH (NAD) in parakeratosis (psoriasis) as compared to that in orthokeratosis (lichen planus) was also discernable in neurodermatitis when para-and orthokeratotic epidermis were analysed separately.
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