TY - JOUR TI - The effect of antioxidant and anti-inflammatory capacity of diet on psoriasis and psoriatic arthritis phenotype: Nutrition as therapeutic tool? AU - Katsimbri, P. AU - Korakas, E. AU - Kountouri, A. AU - Ikonomidis, I. AU - Tsougos, E. AU - Vlachos, D. AU - Papadavid, E. AU - Raptis, A. AU - Lambadiari, V. JO - Free Radicals and Antioxidants PY - 2021 VL - 10 TODO - 2 SP - 1-28 PB - MDPI SN - 2231-2536 TODO - 10.3390/antiox10020157 TODO - null TODO - Chronic inflammation and increased oxidative stress are contributing factors to many non-communicable diseases. A growing body of evidence indicates that dietary nutrients can activate the immune system and may lead to the overproduction of pro-inflammatory cytokines. Fatty acids as macronutrients are key players for immunomodulation, with n-3 polyunsaturated fatty acids having the most beneficial effect, while polyphenols and carotenoids seem to be the most promising antioxidants. Psoriasis is a chronic, immune-mediated inflammatory disease with multifactorial etiology. Obesity is a major risk factor for psoriasis, which leads to worse clinical outcomes. Weight loss interventions and, generally, dietary regimens such as gluten-free and Mediterranean diet or supplement use may potentially improve psoriasis’ natural course and response to therapy. However, data about more sophisticated nutritional patterns, such as ketogenic, very low-carb or specific macro-and micro-nutrient substitution, are scarce. This review aims to present the effect of strictly structured dietary nutrients, that are known to affect glucose/lipid metabolism and insulin responses, on chronic inflammation and immunity, and to discuss the utility of nutritional regimens as possible therapeutic tools for psoriasis and psoriatic arthritis. © 2021 by the authors. Licensee MDPI, Basel, Switzerland. ER -