The metabolites in the kynurenine (KYN) pathway which is a main metabolic pathway of tryptophan (TRP) are closely related with a lot of life phenomena and pathophysiology of the various diseases. There are 3 steps in KYN pathway; KYN generation from TRP, 3-hydroxyanthranilic acid (3HAA) generation from KYN, and the metabolism of 3HAA. Kynureninase, tryptophan 2,3-dioxygenase in the liver, and indoleamine 2,3-dioxygenase (IDO) in the extrahepatic organs are the rate‐limiting enzymes, and the differences of function between IDO1 and IDO2 have been focused in some diseases. The importance of KYN pathway has been shown mainly in the field of cranial neuropathy. It has been recently shown to be related with cancer, infection, and inflammatory diseases, and some clinical applications started in these fields. We review the correlation between TRP metabolism and some skin diseases, especially focusing on one of representative inflammatory skin diseases, psoriasis, in this article.
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