A group of tetraterpenes, with four terpene units joined head-to-tail. Biologically active members of this class are used clinically in the treatment of severe cystic ACNE; PSORIASIS; and other disorders of keratinization.
An important regulator of GENE EXPRESSION during growth and development, and in NEOPLASMS. Tretinoin, also known as retinoic acid and derived from maternal VITAMIN A, is essential for normal GROWTH; and EMBRYONIC DEVELOPMENT. An excess of tretinoin can be teratogenic. It is used in the treatment of PSORIASIS; ACNE VULGARIS; and several other SKIN DISEASES. It has also been approved for use in promyelocytic leukemia (LEUKEMIA, PROMYELOCYTIC, ACUTE).
Proteins in the nucleus or cytoplasm that specifically bind RETINOIC ACID or RETINOL and trigger changes in the behavior of cells. Retinoic acid receptors, like steroid receptors, are ligand-activated transcription regulators. Several types have been recognized.
Retinol and derivatives of retinol that play an essential role in metabolic functioning of the retina, the growth of and differentiation of epithelial tissue, the growth of bone, reproduction, and the immune response. Dietary vitamin A is derived from a variety of CAROTENOIDS found in plants. It is enriched in the liver, egg yolks, and the fat component of dairy products.
An oral retinoid effective in the treatment of psoriasis. It is the major metabolite of ETRETINATE with the advantage of a much shorter half-life when compared with etretinate.
A topical dermatologic agent that is used in the treatment of ACNE VULGARIS and several other skin diseases. The drug has teratogenic and other adverse effects.
A subtype of RETINOIC ACID RECEPTORS that are specific for 9-cis-retinoic acid which function as nuclear TRANSCRIPTION FACTORS that regulate multiple signaling pathways.
Agents that soften, separate, and cause desquamation of the cornified epithelium or horny layer of skin. They are used to expose mycelia of infecting fungi or to treat corns, warts, and certain other skin diseases.
Proteins which bind with RETINOL. The retinol-binding protein found in plasma has an alpha-1 mobility on electrophoresis and a molecular weight of about 21 kDa. The retinol-protein complex (MW=80-90 kDa) circulates in plasma in the form of a protein-protein complex with prealbumin. The retinol-binding protein found in tissue has a molecular weight of 14 kDa and carries retinol as a non-covalently-bound ligand.
An oral retinoid used in the treatment of keratotic genodermatosis, lichen planus, and psoriasis. Beneficial effects have also been claimed in the prophylaxis of epithelial neoplasia. The compound may be teratogenic.
Partially saturated 1,2,3,4-tetrahydronaphthalene compounds.
A carotenoid constituent of visual pigments. It is the oxidized form of retinol which functions as the active component of the visual cycle. It is bound to the protein opsin forming the complex rhodopsin. When stimulated by visible light, the retinal component of the rhodopsin complex undergoes isomerization at the 11-position of the double bond to the cis-form; this is reversed in "dark" reactions to return to the native trans-configuration.
A synthetic retinoid that is used orally as a chemopreventive against prostate cancer and in women at risk of developing contralateral breast cancer. It is also effective as an antineoplastic agent.
Derivatives of BENZOIC ACID. Included under this heading are a broad variety of acid forms, salts, esters, and amides that contain the carboxybenzene structure.
A subclass of retinol-binding proteins that take part in the intracellular storage and transport of RETINOL. They are both functionally and structurally distinct from PLASMA RETINOL-BINDING PROTEINS.
A monooxygenase that catalyzes the conversion of BETA-CAROTENE into two molecules of RETINAL. It was formerly characterized as EC 1.13.11.21 and EC 1.18.3.1.
A nutritional condition produced by a deficiency of VITAMIN A in the diet, characterized by NIGHT BLINDNESS and other ocular manifestations such as dryness of the conjunctiva and later of the cornea (XEROPHTHALMIA). Vitamin A deficiency is a very common problem worldwide, particularly in developing countries as a consequence of famine or shortages of vitamin A-rich foods. In the United States it is found among the urban poor, the elderly, alcoholics, and patients with malabsorption. (From Cecil Textbook of Medicine, 19th ed, p1179)
A metalloflavoprotein enzyme involved the metabolism of VITAMIN A, this enzyme catalyzes the oxidation of RETINAL to RETINOIC ACID, using both NAD+ and FAD coenzymes. It also acts on both the 11-trans- and 13-cis-forms of RETINAL.
2-, 3-, or 4-Pyridinecarboxylic acids. Pyridine derivatives substituted with a carboxy group at the 2-, 3-, or 4-position. The 3-carboxy derivative (NIACIN) is active as a vitamin.
Drugs used to treat or prevent skin disorders or for the routine care of skin.
Agents that reduce the frequency or rate of spontaneous or induced tumors independently of the mechanism involved.
The fission of a CELL. It includes CYTOKINESIS, when the CYTOPLASM of a cell is divided, and CELL NUCLEUS DIVISION.
A carotenoid that is a precursor of VITAMIN A. It is administered to reduce the severity of photosensitivity reactions in patients with erythropoietic protoporphyria (PORPHYRIA, ERYTHROPOIETIC). (From Reynolds JEF(Ed): Martindale: The Extra Pharmacopoeia (electronic version). Micromedex, Inc, Engewood, CO, 1995.)
Cells grown in vitro from neoplastic tissue. If they can be established as a TUMOR CELL LINE, they can be propagated in cell culture indefinitely.
Retinol binding proteins that circulate in the PLASMA. They are members of the lipocalin family of proteins and play a role in the transport of RETINOL from the LIVER to the peripheral tissues. The proteins are usually found in association with TRANSTHYRETIN.
Progressive restriction of the developmental potential and increasing specialization of function that leads to the formation of specialized cells, tissues, and organs.
A chronic disorder of the pilosebaceous apparatus associated with an increase in sebum secretion. It is characterized by open comedones (blackheads), closed comedones (whiteheads), and pustular nodules. The cause is unknown, but heredity and age are predisposing factors.
The phenomenon whereby certain chemical compounds have structures that are different although the compounds possess the same elemental composition. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 5th ed)
The general name for a group of fat-soluble pigments found in green, yellow, and leafy vegetables, and yellow fruits. They are aliphatic hydrocarbons consisting of a polyisoprene backbone.
Endogenous substances, usually proteins, which are effective in the initiation, stimulation, or termination of the genetic transcription process.
A symptom complex resulting from ingesting excessive amounts of VITAMIN A.
An enzyme that catalyzes the acyl group transfer of acyl COENZYME A to RETINOL to generate COENZYME A and a retinyl ester.
RNA sequences that serve as templates for protein synthesis. Bacterial mRNAs are generally primary transcripts in that they do not require post-transcriptional processing. Eukaryotic mRNA is synthesized in the nucleus and must be exported to the cytoplasm for translation. Most eukaryotic mRNAs have a sequence of polyadenylic acid at the 3' end, referred to as the poly(A) tail. The function of this tail is not known for certain, but it may play a role in the export of mature mRNA from the nucleus as well as in helping stabilize some mRNA molecules by retarding their degradation in the cytoplasm.
Substances that inhibit or prevent the proliferation of NEOPLASMS.
Enzymes that catalyze the rearrangement of geometry about double bonds. EC 5.2.
Compounds with two BENZENE rings fused to AZEPINES.
A nuclear transcription factor. Heterodimerization with PPAR GAMMA is important in regulation of GLUCOSE metabolism and CELL GROWTH PROCESSES.

Stromal cells mediate retinoid-dependent functions essential for renal development. (1/1269)

The essential role of vitamin A and its metabolites, retinoids, in kidney development has been demonstrated in vitamin A deficiency and gene targeting studies. Retinoids signal via nuclear transcription factors belonging to the retinoic acid receptor (RAR) and retinoid X receptor (RXR) families. Inactivation of RARaplpha and RARbeta2 receptors together, but not singly, resulted in renal malformations, suggesting that within a given renal cell type, their concerted function is required for renal morphogenesis. At birth, RARalpha beta2(-) mutants displayed small kidneys, containing few ureteric bud branches, reduced numbers of nephrons and lacking the nephrogenic zone where new nephrons are continuously added. These observations have prompted us to investigate the role of RARalpha and RARbeta2 in renal development in detail. We have found that within the embryonic kidney, RARalpha and RARbeta2 are colocalized in stromal cells, but not in other renal cell types, suggesting that stromal cells mediate retinoid-dependent functions essential for renal development. Analysis of RARalpha beta2(-) mutant kidneys at embryonic stages revealed that nephrons were formed and revealed no changes in the intensity or distribution of molecular markers specific for different metanephric mesenchymal cell types. In contrast the development of the collecting duct system was greatly impaired in RARalpha beta2(-) mutant kidneys. Fewer ureteric bud branches were present, and ureteric bud ends were positioned abnormally, at a distance from the renal capsule. Analysis of genes important for ureteric bud morphogenesis revealed that the proto-oncogene c-ret was downregulated. Our results suggest that RARalpha and RARbeta2 are required for generating stromal cell signals that maintain c-ret expression in the embryonic kidney. Since c-ret signaling is required for ureteric bud morphogenesis, loss of c-ret expression is a likely cause of impaired ureteric bud branching in RARalpha beta2(-) mutants.  (+info)

Retinoids are produced by glia in the lateral ganglionic eminence and regulate striatal neuron differentiation. (2/1269)

In order to identify molecular mechanisms involved in striatal development, we employed a subtraction cloning strategy to enrich for genes expressed in the lateral versus the medial ganglionic eminence. Using this approach, the homeobox gene Meis2 was found highly expressed in the lateral ganglionic eminence and developing striatum. Since Meis2 has recently been shown to be upregulated by retinoic acid in P19 EC cells (Oulad-Abdelghani, M., Chazaud, C., Bouillet, P., Sapin, V., Chambon, P. and Dolle, P. (1997) Dev. Dyn. 210, 173-183), we examined a potential role for retinoids in striatal development. Our results demonstrate that the lateral ganglionic eminence, unlike its medial counterpart or the adjacent cerebral cortex, is a localized source of retinoids. Interestingly, glia (likely radial glia) in the lateral ganglionic eminence appear to be a major source of retinoids. Thus, as lateral ganglionic eminence cells migrate along radial glial fibers into the developing striatum, retinoids from these glial cells could exert an effect on striatal neuron differentiation. Indeed, the treatment of lateral ganglionic eminence cells with retinoic acid or agonists for the retinoic acid receptors or retinoid X receptors, specifically enhances their striatal neuron characteristics. These findings, therefore, strongly support the notion that local retinoid signalling within the lateral ganglionic eminence regulates striatal neuron differentiation.  (+info)

Vitamin D regulates human ectocervical epithelial cell proliferation and insulin-like growth factor-binding protein-3 level. (3/1269)

The differentiation status of the cervical epithelial cell has an important influence on responsiveness to estrogens and progestins. Several agents, including glucocorticoids and retinoids, are known to influence cervical cell differentiation. However, the effects of vitamin D have not been examined. Vitamin D is known to regulate cell proliferation and gene expression in a variety of epithelial cells. In the present study we investigated the ability of 1alpha25-dihydroxyvitamin D3 (D3) to regulate cell proliferation and expression of insulin-like growth factor-binding protein-3 (IGFBP-3) in human ectocervical epithelial cells. ECE16-1, a non-tumorigenic cervical cell line, was growth inhibited by D3 with maximal inhibition at 1000 nM. IGFBP-3 levels increased in parallel with the growth inhibition. IGFBP-3 levels were half-maximally increased at approximately 10-100 nM and maximally increased (10- to 30-fold) at 1000 nM D3. These studies show that vitamin D regulates cervical epithelial cell gene regulation and cell proliferation and that IGFBP-3 may be an in vivo marker of vitamin D action in the cervix.  (+info)

Differential responses of normal, premalignant, and malignant human bronchial epithelial cells to receptor-selective retinoids. (4/1269)

Using an in vitro lung carcinogenesis model consisting of normal, premalignant, and malignant human bronchial epithelial (HBE) cells, we analyzed the growth inhibitory effects of 26 novel synthetic retinoic acid receptor (RAR)- and retinoid X receptor (RXR)-selective retinoids. RAR-selective retinoids such as CD271, CD437, CD2325, and SR11364 showed potent activity in inhibiting the growth of either normal or premalignant and malignant HBE cells (IC50s mostly <1 microM) and were much more potent than RXR-selective retinoids. Nonetheless, the combination of RAR- and RXR-selective retinoids exhibited additive effects in HBE cells. As the HBE cells became progressively more malignant, they exhibited decreased or lost sensitivity to many retinoids. The activity of the RAR-selective retinoids, with the exception of the most potent retinoid, CD437, could be suppressed by an RAR panantagonist. These results suggest that: (a) RAR/RXR heterodimers play an important role in mediating the growth inhibitory effects of most retinoids in HBE cells; (b) CD437 may act through an RAR-independent pathway; (c) some of the RAR-selective retinoids may have the potential to be used in the clinic as chemopreventive and chemotherapeutic agents for lung cancer; and (d) early stages of lung carcinogenesis may be responsive targets for chemoprevention by retinoids, as opposed to later stages.  (+info)

Cyclin D1 proteolysis: a retinoid chemoprevention signal in normal, immortalized, and transformed human bronchial epithelial cells. (5/1269)

BACKGROUND: Retinoids (derivatives of vitamin A) are reported to reduce the occurrence of some second primary cancers, including aerodigestive tract tumors. In contrast, beta-carotene does not reduce the occurrence of primary aerodigestive tract cancers. Mechanisms explaining these effective retinoid and ineffective carotenoid chemoprevention results are poorly defined. Recently, the all-trans-retinoic acid (RA)-induced proteolysis of cyclin D1 that leads to the arrest of cells in G1 phase of the cell cycle was described in human bronchial epithelial cells and is a promising candidate for such a mechanism. In this study, we have investigated this proteolysis as a common signal used by carotenoids or receptor-selective and receptor-nonselective retinoids. METHODS: We treated cultured normal human bronchial epithelial cells, immortalized human bronchial epithelial cells (BEAS-2B), and transformed human bronchial epithelial cells (BEAS-2BNNK) with receptor-selective or receptor-nonselective retinoids or with carotenoids and studied the effects on cell proliferation by means of tritiated thymidine incorporation and on cyclin D1 expression by means of immunoblot analysis. We also examined whether calpain inhibitor I, an inhibitor of the 26S proteasome degradation pathway, affected the decline (i.e., proteolysis) of cyclin D1. RESULTS: Receptor-nonselective retinoids were superior to the carotenoids studied in mediating the decline in cyclin D1 expression and in suppressing the growth of bronchial epithelial cells. Retinoids that activated retinoic acid receptor beta or retinoid X receptor pathways preferentially led to a decrease in the amount of cyclin D1 protein and a corresponding decline in growth. The retinoid-mediated degradation of cyclin D1 was blocked by cotreatment with calpain inhibitor I. CONCLUSIONS: Retinoid-dependent cyclin D1 proteolysis is a common chemoprevention signal in normal and neoplastic human bronchial epithelial cells. In contrast, carotenoids did not affect cyclin D1 expression. Thus, the degradation of cyclin D1 is a candidate intermediate marker for effective retinoid-mediated cancer chemoprevention in the aerodigestive tract.  (+info)

Metabolism of retinaldehyde isomers in pregnant rats: 13-cis- and all-trans-retinaldehyde, but not 9-cis-retinaldehyde, yield very similar patterns of retinoid metabolites. (6/1269)

Retinaldehyde (RAL), a key intermediate in retinoid metabolism, acts as a retinoic acid (RA) precursor, but is also reduced to retinol (ROH), which can subsequently be esterified to retinyl esters, the storage form of vitamin A. Limited information is available on the metabolism of geometric isomers of RAL as well as on the transplacental distribution of their metabolites, including RA isomers. Such information would be very helpful for the assessment of the teratogenic potency of RAL isomers, as teratogenesis represents a major side effect of retinoid use in pharmacotherapy. In the present study we examined concentrations of retinoids in plasma, maternal tissues, and embryos of pregnant rats 2 h after a single oral dose (100 mg/kg body weight) of all-trans-, 13-cis-, or 9-cis-RAL on gestational day 13. The main findings of this study were the very similar patterns of retinoid metabolites (consisting of retinoids with mainly the all-trans-configuration) after administration of all-trans- and 13-cis-RAL, and the high concentrations of 9-cis-RA, 9,13-dicis-RA, and 9-cis-retinoyl-beta-D-glucuronide after dosing with 9-cis-RAL. In addition, all-trans-RA as a RAL metabolite reached the embryos to a much greater extent than any of its cis-isomers. The results are discussed in view of in vitro data on enzymes involved in the biotransformation of RAL isomers.  (+info)

Inhibition of lysosomal degradative functions in RPE cells by a retinoid component of lipofuscin. (7/1269)

PURPOSE: To investigate the effect of the lipofuscin component N-retinylidene-N-retinylethanolamine (A2-E) on degradative functions of lysosomes in human retinal pigment epithelial (RPE) cells and to evaluate its mechanism of action. METHODS: A2-E was coupled to low-density lipoprotein (LDL). Human RPE cell cultures were loaded with the A2-E/LDL complex, and controls were run with medium containing LDL alone. To determine whether A2-E accumulated in lysosomes, cells were fractionated in a Percoll gradient, and protein degradation was determined by metabolic labeling and measurement of the release of low-molecular-weight radioactivity. Lysosomal degradation was distinguished from nonlysosomal degradation by inclusion of NH4Cl in the medium. The metabolism of sulfated glycosaminoglycans was studied by radiosulfate incorporation in pulse-chase experiments. Intralysosomal pH was determined using a fluorescent lysosomotropic pH indicator. RESULTS: A2-E accumulated almost exclusively in the lysosomal compartment. Lysosomal protein degradation was reduced in a dose-dependent fashion in A2-E-treated cells. The selectivity of A2-E on lysosomal function was demonstrated by its lack of effect on degradation of extralysosomal protein. Lysosomal glycosaminoglycan catabolism of RPE cells was also strongly inhibited by A2-E. Lysosomal pH was increased by A2-E. CONCLUSIONS: The findings indicate that accumulation of A2-E in RPE cells interferes with lysosomal functions as exemplified by its inhibitory effect on protein and glycosaminoglycan catabolic pathways. The quaternary amine character of the A2-E apparently causes a perturbation of the acidic intralysosomal milieu, resulting in diminished hydrolase action and consequent accumulation of undegraded material. Such mechanism could be operative in retinal diseases associated with excessive lipofuscin accumulation including age-related macular degeneration.  (+info)

Effects of novel RAR- and RXR-selective retinoids on myeloid leukemic proliferation and differentiation in vitro. (8/1269)

Retinoids such as all-trans-retinoic acid (ATRA) and 9-cis-retinoic acid (9-cis-RA) have an important role in many aspects of proliferation and differentiation of hematopoietic cells. They exert their effects by binding to retinoic acid receptors (RARs) and/or retinoid X receptors (RXRs). We studied the effects of novel retinoids on proliferation and differentiation of HL-60 and NB4 myeloid leukemic cells, as well as acute promyelocytic leukemia (APL) cells from patients. RXR-selective SR11345 (Retinoid C) had little ability to inhibit the clonal growth and to induce the differentiation of either HL-60 or NB4 cells. However, SR11276 (Retinoid E), which activated both the RAR and RXR classes, and SR11278 (Retinoid D), which activated the RAR subtypes alpha, beta, and gamma, could inhibit clonal growth of both cell types, as well as leukemic cells from APL patients. The combination of ATRA and either SR11276 or SR11278 additively inhibited APL cell proliferation. SR11302 (Retinoid A), with reported anti-AP-1 activity and no activation of RARs and RXR and SR11363 (Retinoid B), which selectively activated RARbeta and gamma, were inactive. The clonal proliferation of both HL-60 and NB4 cells that were pulse-exposed to 10(-9) mol/L ATRA, SR11276, SR11278, or SR11345 for 3 days, washed, and plated in methylcellulose culture were inhibited by 0%, 51%, 21%, and 1% for HL-60 cells and 43%, 41%, 35%, and 1% for NB4, respectively, compared with nontreated control cells. When the HL-60 cells were pulse-exposed to 10(-9) mol/L of either SR11278 or SR11276, plus 10(-9) mol/L ATRA for 3 days, colony numbers were reduced by 46% and 64%, respectively. Induction of leukemic cell differentiation as determined by the nitroblue tetrazolium (NBT) assay showed that the combination of 10(-7) mol/L of either SR11278 or SR11276 with 10(-7) mol/L ATRA had additive effects on HL-60 cells, NB4 cells, and fresh APL cells. Induction of CD11b expression on both HL-60 and NB4 cells occurs during their differentiation. Expression of this antigen was synergistically augmented by the combination of either 10(-7) to 10(-8) mol/L SR11278 or 10(-7) to 10(-9) mol/L SR11276 with 10(-9) mol/L ATRA compared with either analog alone in HL-60 cells. Expression of the novel myeloid specific transcription factor C/EBPepsilon was increased by SR11278 and SR11276 in both the HL-60 and NB4 cell lines. We conclude that retinoids or combination of retinoids with specificities for both RAR and RXR may markedly enhance the ability of ATRA to inhibit clonal growth and induce differentiation of HL-60 and NB4 leukemic cells. This occurs in the absence of continuous contact with retinoids.  (+info)

Retinoids are a class of chemical compounds that are derivatives of vitamin A. They are widely used in dermatology for the treatment of various skin conditions, including acne, psoriasis, and photoaging. Retinoids can help to reduce inflammation, improve skin texture and tone, and stimulate collagen production.

Retinoids work by binding to specific receptors in the skin cells, which triggers a series of biochemical reactions that regulate gene expression and promote cell differentiation and turnover. This can help to unclog pores, reduce the appearance of fine lines and wrinkles, and improve the overall health and appearance of the skin.

There are several different types of retinoids used in skincare products, including retinoic acid, retinaldehyde, and retinol. Retinoic acid is the most potent form of retinoid and is available by prescription only. Retinaldehyde and retinol are weaker forms of retinoid that can be found in over-the-counter skincare products.

While retinoids can be highly effective for treating various skin conditions, they can also cause side effects such as dryness, irritation, and sensitivity to the sun. It is important to use retinoids as directed by a healthcare professional and to follow proper sun protection measures when using these products.

Tretinoin is a form of vitamin A that is used in the treatment of acne vulgaris, fine wrinkles, and dark spots caused by aging or sun damage. It works by increasing the turnover of skin cells, helping to unclog pores and promote the growth of new skin cells. Tretinoin is available as a cream, gel, or liquid, and is usually applied to the affected area once a day in the evening. Common side effects include redness, dryness, and peeling of the skin. It is important to avoid sunlight and use sunscreen while using tretinoin, as it can make the skin more sensitive to the sun.

Retinoic acid receptors (RARs) are a type of nuclear receptor proteins that play crucial roles in the regulation of gene transcription. They are activated by retinoic acid, which is a metabolite of vitamin A. There are three subtypes of RARs, namely RARα, RARβ, and RARγ, each encoded by different genes.

Once retinoic acid binds to RARs, they form heterodimers with another type of nuclear receptor called retinoid X receptors (RXRs). The RAR-RXR complex then binds to specific DNA sequences called retinoic acid response elements (RAREs) in the promoter regions of target genes. This binding event leads to the recruitment of coactivator proteins and the modification of chromatin structure, ultimately resulting in the activation or repression of gene transcription.

Retinoic acid and its receptors play essential roles in various biological processes, including embryonic development, cell differentiation, apoptosis, and immune function. In addition, RARs have been implicated in several diseases, such as cancer, where they can act as tumor suppressors or oncogenes depending on the context. Therefore, understanding the mechanisms of RAR signaling has important implications for the development of novel therapeutic strategies for various diseases.

Medical Definition of Vitamin A:

Vitamin A is a fat-soluble vitamin that is essential for normal vision, immune function, and cell growth. It is also an antioxidant that helps protect the body's cells from damage caused by free radicals. Vitamin A can be found in two main forms: preformed vitamin A, which is found in animal products such as dairy, fish, and meat, particularly liver; and provitamin A carotenoids, which are found in plant-based foods such as fruits, vegetables, and vegetable oils.

The most active form of vitamin A is retinoic acid, which plays a critical role in the development and maintenance of the heart, lungs, kidneys, and other organs. Vitamin A deficiency can lead to night blindness, dry skin, and increased susceptibility to infections. Chronic vitamin A toxicity can cause nausea, dizziness, headaches, coma, and even death.

Acitretin is a synthetic form of retinoic acid, which is a type of vitamin A. It is used to treat severe psoriasis and other skin conditions. Acitretin works by slowing down the rapid growth of skin cells that cause the symptoms of psoriasis. It comes in the form of a capsule and is taken orally.

Common side effects of acitretin include dryness of the skin, lips, and mouth, itching, peeling, redness, or stickiness of the palms and soles, hair loss, and changes in nail growth. Less common but more serious side effects can include liver damage, increased levels of lipids in the blood, and birth defects if taken during pregnancy.

It is important to note that acitretin can cause birth defects, so women who are pregnant or planning to become pregnant should not take this medication. Additionally, because acitretin can remain in the body for a long time, it is recommended that women of childbearing age use effective contraception while taking this medication and for at least three years after stopping it.

Isotretinoin is a derivative of vitamin A, used in the treatment of severe recalcitrant nodular acne that has not responded to other therapies. It is a potent inhibitor of sebaceous gland function and keratinization. Isotretinoin is also known to have anti-inflammatory properties. It is taken orally in the form of capsules and its use requires careful monitoring due to potential teratogenic effects and other side effects, such as dryness of the skin and mucous membranes, mood changes, and liver enzyme abnormalities.

Retinoid X receptors (RXRs) are a subfamily of nuclear receptor proteins that function as transcription factors, playing crucial roles in the regulation of gene expression. They are activated by binding to retinoids, which are derivatives of vitamin A. RXRs can form heterodimers with other nuclear receptors, such as peroxisome proliferator-activated receptors (PPARs), liver X receptors (LXRs), farnesoid X receptors (FXRs), and thyroid hormone receptors (THRs). Upon activation by their respective ligands, these heterodimers bind to specific DNA sequences called response elements in the promoter regions of target genes, leading to modulation of transcription. RXRs are involved in various biological processes, including cell differentiation, development, metabolism, and homeostasis. Dysregulation of RXR-mediated signaling pathways has been implicated in several diseases, such as cancer, diabetes, and inflammatory disorders.

Keratolytic agents are substances that cause the softening and sloughing off of excess keratin, the protein that makes up the outermost layer of the skin (stratum corneum). These agents help to break down and remove dead skin cells, increase moisture retention, and promote the growth of new skin cells. They are commonly used in the treatment of various dermatological conditions such as psoriasis, eczema, warts, calluses, and ichthyosis. Examples of keratolytic agents include salicylic acid, urea, lactic acid, and retinoic acid.

Retinol-binding proteins (RBPs) are specialized transport proteins that bind and carry retinol (vitamin A alcohol) in the bloodstream. The most well-known and studied RBP is serum retinol-binding protein 4 (RBP4), which is primarily produced in the liver and circulates in the bloodstream.

RBP4 plays a crucial role in delivering retinol to target tissues, where it gets converted into active forms of vitamin A, such as retinal and retinoic acid, which are essential for various physiological functions, including vision, immune response, cell growth, and differentiation. RBP4 binds to retinol in a 1:1 molar ratio, forming a complex that is stable and soluble in the bloodstream.

Additionally, RBP4 has been identified as an adipokine, a protein hormone produced by adipose tissue, and has been associated with insulin resistance, metabolic syndrome, and type 2 diabetes. However, the precise mechanisms through which RBP4 contributes to these conditions are not yet fully understood.

Etretinate is a oral retinoid medication that is primarily used in the treatment of severe forms of acne, such as recalcitrant cystic acne or nodular acne. It works by decreasing the production of sebum (oil) and promoting the shedding of skin cells, which helps to prevent the formation of comedones (blackheads and whiteheads) and reduce inflammation in the skin.

Etretinate is a derivative of vitamin A and is known for its long-term persistence in the body, with a half-life of approximately 120 days. This means that it can take several months for the drug to be completely eliminated from the body after stopping treatment. As a result, etretinate is usually considered a second-line treatment option for acne and is typically reserved for cases that have not responded to other therapies.

It's important to note that etretinate is a teratogenic medication, which means that it can cause birth defects if taken during pregnancy. Therefore, it should not be used by women who are pregnant or planning to become pregnant, and effective contraception must be used during treatment and for several months after stopping the drug.

Other potential side effects of etretinate include dry skin, dry mouth, nosebleeds, hair loss, muscle aches, and elevated liver enzymes. It may also increase the risk of bone fractures and can interact with other medications, such as tetracyclines, that can increase the risk of intracranial hypertension.

Tetrahydronaphthalenes are organic compounds that consist of a naphthalene ring with two hydrogens replaced by saturated carbon chains. It is a polycyclic aromatic hydrocarbon (PAH) with a chemical formula C10H12. Tetrahydronaphthalenes can be found in various natural sources, including coal tar and some essential oils. They also have potential applications in the synthesis of pharmaceuticals and other organic compounds.

Retinaldehyde, also known as retinal, is a form of vitamin A that is essential for vision. It is the aldehyde form of retinol (vitamin A alcohol) and is involved in the visual cycle, where it plays a crucial role in the process of converting light into electrical signals that are sent to the brain.

When light hits the retina, it activates a protein called rhodopsin, which contains retinaldehyde as one of its components. This activation causes a chemical change in retinaldehyde, leading to the generation of an electrical signal that is transmitted to the brain via the optic nerve.

Retinaldehyde is also involved in other physiological processes, including the regulation of gene expression and cell growth and differentiation. It can be synthesized in the body from beta-carotene, a pigment found in fruits and vegetables, or obtained directly from animal sources such as liver, fish liver oil, and dairy products.

Fenretinide is a synthetic retinoid, which is a class of compounds related to vitamin A. It is a medication that has been studied in clinical trials for the prevention and treatment of various types of cancer. Fenretinide works by interfering with the way that cancer cells grow and multiply.

Fenretinide has been shown to have anti-cancer effects in laboratory studies, and it has been tested in several clinical trials as a potential cancer treatment. However, the results of these studies have been mixed, and fenretinide is not currently approved by the U.S. Food and Drug Administration (FDA) for the treatment of any type of cancer.

Like other retinoids, fenretinide can cause side effects such as dry skin, dry eyes, and changes in vision. It may also cause more serious side effects, such as liver damage and increased pressure in the brain. Fenretinide should be used with caution and under the close supervision of a healthcare provider.

Benzoates are the salts and esters of benzoic acid. They are widely used as preservatives in foods, cosmetics, and pharmaceuticals to prevent the growth of microorganisms. The chemical formula for benzoic acid is C6H5COOH, and when it is combined with a base (like sodium or potassium), it forms a benzoate salt (e.g., sodium benzoate or potassium benzoate). When benzoic acid reacts with an alcohol, it forms a benzoate ester (e.g., methyl benzoate or ethyl benzoate).

Benzoates are generally considered safe for use in food and cosmetics in small quantities. However, some people may have allergies or sensitivities to benzoates, which can cause reactions such as hives, itching, or asthma symptoms. In addition, there is ongoing research into the potential health effects of consuming high levels of benzoates over time, particularly in relation to gut health and the development of certain diseases.

In a medical context, benzoates may also be used as a treatment for certain conditions. For example, sodium benzoate is sometimes given to people with elevated levels of ammonia in their blood (hyperammonemia) to help reduce those levels and prevent brain damage. This is because benzoates can bind with excess ammonia in the body and convert it into a form that can be excreted in urine.

Retinol-binding proteins (RBPs) are a group of proteins found in the body that play a crucial role in transporting and delivering retinol (vitamin A alcohol) to various tissues and cells. RBPs are synthesized primarily in the liver and then secreted into the bloodstream, where they bind to retinol and form a complex called holo-RBP.

Cellular RBPs, also known as intracellular RBPs or CRBPs (cellular retinol-binding proteins), are a subclass of RBPs that function inside cells. They are responsible for transporting retinol within the cell and facilitating its conversion to retinal and then to retinoic acid, which are active forms of vitamin A involved in various physiological processes such as vision, immune function, and embryonic development.

CRBPs have a high affinity for retinol and help regulate its intracellular concentration by preventing its degradation and promoting its uptake into the cell. There are several isoforms of CRBPs, including CRBP-I, CRBP-II, CRBP-III, and CRBP-IV, each with distinct expression patterns and functions in different tissues and cells.

Overall, CRBPs play a critical role in maintaining the homeostasis of vitamin A metabolism and ensuring its proper utilization in various physiological processes.

Beta-Carotene 15,15'-Monooxygenase is an enzyme that catalyzes the conversion of beta-carotene to retinal, which is a form of vitamin A. This enzyme adds a single oxygen atom to the beta-carotene molecule at the 15,15' position, creating two molecules of retinal.

Retinal is an essential nutrient that plays a critical role in vision, immune function, and cell growth and differentiation. Deficiency in vitamin A can lead to various health issues, including night blindness, impaired immunity, and growth retardation.

Beta-Carotene 15,15'-Monooxygenase is primarily found in the intestinal mucosa of humans and other mammals, where it helps convert dietary beta-carotene into a usable form of vitamin A. This enzyme is also present in some bacteria and fungi, where it plays a similar role in their metabolism of carotenoids.

Vitamin A deficiency (VAD) is a condition that occurs when there is a lack of vitamin A in the diet. This essential fat-soluble vitamin plays crucial roles in vision, growth, cell division, reproduction, and immune system regulation.

In its severe form, VAD leads to xerophthalmia, which includes night blindness (nyctalopia) and keratomalacia - a sight-threatening condition characterized by dryness of the conjunctiva and cornea, with eventual ulceration and perforation. Other symptoms of VAD may include Bitot's spots (foamy, triangular, white spots on the conjunctiva), follicular hyperkeratosis (goose bump-like bumps on the skin), and increased susceptibility to infections due to impaired immune function.

Vitamin A deficiency is most prevalent in developing countries where diets are often low in animal source foods and high in plant-based foods with low bioavailability of vitamin A. It primarily affects children aged 6 months to 5 years, pregnant women, and lactating mothers. Prevention strategies include dietary diversification, food fortification, and supplementation programs.

Retinal dehydrogenase, also known as Aldehyde Dehydrogenase 2 (ALDH2), is an enzyme involved in the metabolism of alcohol and other aldehydes in the body. In the eye, retinal dehydrogenase plays a specific role in the conversion of retinaldehyde to retinoic acid, which is an important molecule for the maintenance and regulation of the visual cycle and overall eye health.

Retinoic acid is involved in various physiological processes such as cell differentiation, growth, and survival, and has been shown to have a protective effect against oxidative stress in the retina. Therefore, retinal dehydrogenase deficiency or dysfunction may lead to impaired visual function and increased susceptibility to eye diseases such as age-related macular degeneration and diabetic retinopathy.

Niacin, also known as nicotinic acid, is a form of vitamin B3 (B-complex vitamin) that is used by the body to turn food into energy. It is found in various foods including meat, fish, milk, eggs, green vegetables, and cereal grains. Niacin is also available as a dietary supplement and prescription medication.

As a medication, niacin is primarily used to treat high cholesterol levels. It works by reducing the production of LDL (bad) cholesterol in the body and increasing the levels of HDL (good) cholesterol. Niacin can also help lower triglycerides, another type of fat found in the blood.

Niacin is available in immediate-release, sustained-release, and extended-release forms. The immediate-release form can cause flushing of the skin, itching, tingling, and headaches, which can be uncomfortable but are not usually serious. The sustained-release and extended-release forms may have fewer side effects, but they can also increase the risk of liver damage and other serious side effects.

It is important to note that niacin should only be taken under the supervision of a healthcare provider, as it can interact with other medications and have potentially serious side effects.

Dermatologic agents are medications, chemicals, or other substances that are applied to the skin (dermis) for therapeutic or cosmetic purposes. They can be used to treat various skin conditions such as acne, eczema, psoriasis, fungal infections, and wounds. Dermatologic agents include topical corticosteroids, antibiotics, antifungals, retinoids, benzoyl peroxide, salicylic acid, and many others. They can come in various forms such as creams, ointments, gels, lotions, solutions, and patches. It is important to follow the instructions for use carefully to ensure safety and effectiveness.

Anticarcinogenic agents are substances that prevent, inhibit or reduce the development of cancer. They can be natural or synthetic compounds that interfere with the process of carcinogenesis at various stages, such as initiation, promotion, and progression. Anticarcinogenic agents may work by preventing DNA damage, promoting DNA repair, reducing inflammation, inhibiting cell proliferation, inducing apoptosis (programmed cell death), or modulating immune responses.

Examples of anticarcinogenic agents include chemopreventive agents, such as nonsteroidal anti-inflammatory drugs (NSAIDs) and retinoids; phytochemicals found in fruits, vegetables, and other plant-based foods; and medications used to treat cancer, such as chemotherapy, radiation therapy, and targeted therapies.

It is important to note that while some anticarcinogenic agents have been shown to be effective in preventing or reducing the risk of certain types of cancer, they may also have potential side effects and risks. Therefore, it is essential to consult with a healthcare professional before using any anticarcinogenic agent for cancer prevention or treatment purposes.

Cell division is the process by which a single eukaryotic cell (a cell with a true nucleus) divides into two identical daughter cells. This complex process involves several stages, including replication of DNA, separation of chromosomes, and division of the cytoplasm. There are two main types of cell division: mitosis and meiosis.

Mitosis is the type of cell division that results in two genetically identical daughter cells. It is a fundamental process for growth, development, and tissue repair in multicellular organisms. The stages of mitosis include prophase, prometaphase, metaphase, anaphase, and telophase, followed by cytokinesis, which divides the cytoplasm.

Meiosis, on the other hand, is a type of cell division that occurs in the gonads (ovaries and testes) during the production of gametes (sex cells). Meiosis results in four genetically unique daughter cells, each with half the number of chromosomes as the parent cell. This process is essential for sexual reproduction and genetic diversity. The stages of meiosis include meiosis I and meiosis II, which are further divided into prophase, prometaphase, metaphase, anaphase, and telophase.

In summary, cell division is the process by which a single cell divides into two daughter cells, either through mitosis or meiosis. This process is critical for growth, development, tissue repair, and sexual reproduction in multicellular organisms.

Beta-carotene is a type of carotenoid, which is a pigment found in plants that gives them their vibrant colors. It is commonly found in fruits and vegetables, such as carrots, sweet potatoes, and spinach.

Beta-carotene is converted into vitamin A in the body, which is an essential nutrient for maintaining healthy vision, immune function, and cell growth. It acts as an antioxidant, helping to protect cells from damage caused by free radicals.

According to the medical definition, beta-carotene is a provitamin A carotenoid that is converted into vitamin A in the body. It has a variety of health benefits, including supporting eye health, boosting the immune system, and reducing the risk of certain types of cancer. However, it is important to note that excessive consumption of beta-carotene supplements can lead to a condition called carotenemia, which causes the skin to turn yellow or orange.

'Tumor cells, cultured' refers to the process of removing cancerous cells from a tumor and growing them in controlled laboratory conditions. This is typically done by isolating the tumor cells from a patient's tissue sample, then placing them in a nutrient-rich environment that promotes their growth and multiplication.

The resulting cultured tumor cells can be used for various research purposes, including the study of cancer biology, drug development, and toxicity testing. They provide a valuable tool for researchers to better understand the behavior and characteristics of cancer cells outside of the human body, which can lead to the development of more effective cancer treatments.

It is important to note that cultured tumor cells may not always behave exactly the same way as they do in the human body, so findings from cell culture studies must be validated through further research, such as animal models or clinical trials.

Retinol-binding proteins (RBPs) are a group of transport proteins found in plasma that bind and carry retinol (vitamin A alcohol) in the bloodstream. The major form of RBP in humans is known as RBP4, which is synthesized primarily in the liver and secreted into the bloodstream bound to retinol.

RBP4 plays a critical role in delivering retinol from the liver to peripheral tissues, where it is converted to retinal and then to retinoic acid, which are essential for various physiological functions such as vision, immune response, and cell differentiation. RBP4 is also considered a potential biomarker for insulin resistance and metabolic syndrome.

In summary, Retinol-Binding Proteins, Plasma refer to the proteins in the blood that bind and transport retinol (vitamin A alcohol) to peripheral tissues for further metabolism and physiological functions.

Cell differentiation is the process by which a less specialized cell, or stem cell, becomes a more specialized cell type with specific functions and structures. This process involves changes in gene expression, which are regulated by various intracellular signaling pathways and transcription factors. Differentiation results in the development of distinct cell types that make up tissues and organs in multicellular organisms. It is a crucial aspect of embryonic development, tissue repair, and maintenance of homeostasis in the body.

Acne vulgaris is a common skin condition characterized by the formation of various types of blemishes on the skin, such as blackheads, whiteheads, papules, pustules, and cysts or nodules. These lesions typically appear on areas of the body that have a high concentration of sebaceous glands, including the face, neck, chest, back, and shoulders.

Acne vulgaris occurs when hair follicles become clogged with dead skin cells and excess oil (sebum) produced by the sebaceous glands. This blockage provides an ideal environment for bacteria, particularly Propionibacterium acnes, to multiply, leading to inflammation and infection. The severity of acne vulgaris can range from mild with only a few scattered comedones (blackheads or whiteheads) to severe cystic acne, which can cause significant scarring and emotional distress.

The exact causes of acne vulgaris are not fully understood, but several factors contribute to its development, including:

1. Hormonal changes during puberty, menstruation, pregnancy, or due to conditions like polycystic ovary syndrome (PCOS)
2. Genetic predisposition
3. Use of certain medications, such as corticosteroids and lithium
4. Excessive production of sebum due to overactive sebaceous glands
5. Accumulation of dead skin cells that clog pores
6. Bacterial infection (particularly Propionibacterium acnes)
7. Inflammation caused by the body's immune response to bacterial infection and clogged pores

Treatment for acne vulgaris depends on its severity and can include over-the-counter or prescription topical treatments, oral medications, chemical peels, light therapies, or even hormonal therapies in some cases. It is essential to seek professional medical advice from a dermatologist or healthcare provider to determine the most appropriate treatment plan for individual needs.

Isomerism is a term used in chemistry and biochemistry, including the field of medicine, to describe the existence of molecules that have the same molecular formula but different structural formulas. This means that although these isomers contain the same number and type of atoms, they differ in the arrangement of these atoms in space.

There are several types of isomerism, including constitutional isomerism (also known as structural isomerism) and stereoisomerism. Constitutional isomers have different arrangements of atoms, while stereoisomers have the same arrangement of atoms but differ in the spatial arrangement of their atoms in three-dimensional space.

Stereoisomerism can be further divided into subcategories such as enantiomers (mirror-image stereoisomers), diastereomers (non-mirror-image stereoisomers), and conformational isomers (stereoisomers that can interconvert by rotating around single bonds).

In the context of medicine, isomerism can be important because different isomers of a drug may have different pharmacological properties. For example, some drugs may exist as pairs of enantiomers, and one enantiomer may be responsible for the desired therapeutic effect while the other enantiomer may be inactive or even harmful. In such cases, it may be important to develop methods for producing pure enantiomers of the drug in order to maximize its efficacy and minimize its side effects.

Carotenoids are a class of pigments that are naturally occurring in various plants and fruits. They are responsible for the vibrant colors of many vegetables and fruits, such as carrots, pumpkins, tomatoes, and leafy greens. There are over 600 different types of carotenoids, with beta-carotene, alpha-carotene, lycopene, lutein, and zeaxanthin being some of the most well-known.

Carotenoids have antioxidant properties, which means they can help protect the body's cells from damage caused by free radicals. Some carotenoids, such as beta-carotene, can be converted into vitamin A in the body, which is important for maintaining healthy vision, skin, and immune function. Other carotenoids, such as lycopene and lutein, have been studied for their potential role in preventing chronic diseases, including cancer and heart disease.

In addition to being found in plant-based foods, carotenoids can also be taken as dietary supplements. However, it is generally recommended to obtain nutrients from whole foods rather than supplements whenever possible, as food provides a variety of other beneficial compounds that work together to support health.

Transcription factors are proteins that play a crucial role in regulating gene expression by controlling the transcription of DNA to messenger RNA (mRNA). They function by binding to specific DNA sequences, known as response elements, located in the promoter region or enhancer regions of target genes. This binding can either activate or repress the initiation of transcription, depending on the properties and interactions of the particular transcription factor. Transcription factors often act as part of a complex network of regulatory proteins that determine the precise spatiotemporal patterns of gene expression during development, differentiation, and homeostasis in an organism.

Hypervitaminosis A is a condition that results from excessive consumption or accumulation of Vitamin A in the body beyond its storage capacity. This can occur due to ingesting large amounts of animal-derived vitamin A sources (like liver and fish liver oil) or through excessive intake of synthetic retinoids found in supplements.

Clinical symptoms of hypervitaminosis A include nausea, dizziness, headaches, skin irritation, joint pain, hair loss, and, in severe cases, liver damage, bone abnormalities, and neurological issues. It's important to note that unlike fat-soluble vitamin D, vitamin E, or K, vitamin A is not needed in as high quantities by the human body, making it easier to reach toxic levels.

However, it's worth noting that while excessive intake of preformed vitamin A can lead to hypervitaminosis A, consuming an excess of provitamin A carotenoids (found abundantly in fruits and vegetables) does not pose the same risk because the body converts these compounds into active vitamin A only as needed.

Retinol O-fatty-acyltransferase is not a widely recognized or established term in medical literature. However, I can provide information on the related concepts that might help you understand the term.

The enzyme likely being referred to here is lecithin-retinol acyltransferase (LRAT), which is involved in the visual cycle and is responsible for the esterification of retinol (vitamin A alcohol) into retinyl esters. This reaction occurs in the eye's pigment epithelium, where LRAT adds a fatty acid to retinol, forming retinyl palmitate, which is then stored in the retinal pigment epithelium (RPE).

The term "Retinol O-fatty-acyltransferase" seems to be an attempt to describe LRAT's function more generally. However, it is not a standard or widely accepted term for this enzyme in medical and scientific literature.

Messenger RNA (mRNA) is a type of RNA (ribonucleic acid) that carries genetic information copied from DNA in the form of a series of three-base code "words," each of which specifies a particular amino acid. This information is used by the cell's machinery to construct proteins, a process known as translation. After being transcribed from DNA, mRNA travels out of the nucleus to the ribosomes in the cytoplasm where protein synthesis occurs. Once the protein has been synthesized, the mRNA may be degraded and recycled. Post-transcriptional modifications can also occur to mRNA, such as alternative splicing and addition of a 5' cap and a poly(A) tail, which can affect its stability, localization, and translation efficiency.

Antineoplastic agents are a class of drugs used to treat malignant neoplasms or cancer. These agents work by inhibiting the growth and proliferation of cancer cells, either by killing them or preventing their division and replication. Antineoplastic agents can be classified based on their mechanism of action, such as alkylating agents, antimetabolites, topoisomerase inhibitors, mitotic inhibitors, and targeted therapy agents.

Alkylating agents work by adding alkyl groups to DNA, which can cause cross-linking of DNA strands and ultimately lead to cell death. Antimetabolites interfere with the metabolic processes necessary for DNA synthesis and replication, while topoisomerase inhibitors prevent the relaxation of supercoiled DNA during replication. Mitotic inhibitors disrupt the normal functioning of the mitotic spindle, which is essential for cell division. Targeted therapy agents are designed to target specific molecular abnormalities in cancer cells, such as mutated oncogenes or dysregulated signaling pathways.

It's important to note that antineoplastic agents can also affect normal cells and tissues, leading to various side effects such as nausea, vomiting, hair loss, and myelosuppression (suppression of bone marrow function). Therefore, the use of these drugs requires careful monitoring and management of their potential adverse effects.

Cis-trans isomeres are molecules that have the same molecular formula and skeletal structure, but differ in the arrangement of their atoms around a double bond. In a cis isomer, the two larger groups or atoms are on the same side of the double bond, while in a trans isomer, they are on opposite sides.

Cis-trans isomerases are enzymes that catalyze the interconversion between cis and trans isomers of various molecules, such as fatty acids, steroids, and retinals. These enzymes play important roles in various biological processes, including membrane fluidity, vision, and the biosynthesis of hormones and other signaling molecules.

Examples of cis-trans isomerases include:

* Fatty acid desaturases, which introduce double bonds into fatty acids and can convert trans isomers to cis isomers
* Retinal isomerases, which interconvert the cis and trans isomers of retinal, a molecule involved in vision
* Steroid isomerases, which catalyze the interconversion of various steroids, including cholesterol and its derivatives.

Dibenzazepines are a class of chemical compounds that contain a dibenzazepine structure, which is a fusion of a benzene ring with a diazepine ring. Dibenzazepines have a wide range of pharmacological activities and are used in the treatment of various medical conditions.

Some of the medically relevant dibenzazepines include:

1. Antipsychotics: Some antipsychotic drugs, such as clozapine and olanzapine, have a dibenzazepine structure. These drugs are used to treat schizophrenia and other psychotic disorders.
2. Antidepressants: Mianserin and mirtazapine are dibenzazepine antidepressants that work by blocking the uptake of serotonin and noradrenaline in the brain. They are used to treat depression, anxiety, and insomnia.
3. Anticonvulsants: Some anticonvulsant drugs, such as levetiracetam and brivaracetam, have a dibenzazepine structure. These drugs are used to treat epilepsy and other seizure disorders.
4. Anxiolytics: Prazepam is a benzodiazepine derivative with a dibenzazepine structure that is used to treat anxiety disorders.
5. Analgesics: Tramadol is a centrally acting analgesic with a dibenzazepine structure that is used to treat moderate to severe pain.

It's important to note that while these drugs have a dibenzazepine structure, they may also contain other functional groups and have different mechanisms of action. Therefore, it's essential to consider the specific pharmacological properties of each drug when prescribing or administering them.

Retinoid X Receptor alpha (RXR-alpha) is a type of nuclear receptor protein that plays a crucial role in the regulation of gene transcription. It binds to specific sequences of DNA, known as response elements, and regulates the expression of target genes involved in various biological processes such as cell differentiation, development, and homeostasis.

RXR-alpha can form heterodimers with other nuclear receptors, including retinoic acid receptors (RARs), vitamin D receptor (VDR), thyroid hormone receptor (THR), and peroxisome proliferator-activated receptors (PPARs). The formation of these heterodimers allows RXR-alpha to modulate the transcriptional activity of its partner nuclear receptors, thereby regulating a wide range of physiological functions.

Retinoid X Receptor alpha is widely expressed in various tissues and organs, including the liver, kidney, heart, brain, and retina. Mutations in the RXR-alpha gene have been associated with several human diseases, such as metabolic disorders, developmental abnormalities, and cancer. Therefore, RXR-alpha is an important therapeutic target for the treatment of various diseases.

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