The present application relates to the field of dermatosis treatment and
metabolic regulation, and discloses the use of a HAT modulator combined with an
isoprene metabolite in the preparation of a
drug for treating porokeratosis. The HAT modulator is preferably a p300 / CBP modulator, including an inhibitor, a degrader, a blocker, an
antagonist or a combination thereof. The
isoprene metabolite includes one or more of GGPP, FPP, IPP and DMAPP. The present application is based on the imbalance of metabolic flow of the mevalonate (MV) pathway and abnormal epigenetic regulation caused by MVD deficiency, establishes a metabolic-epigenetic
coupling imbalance mechanism model, and proposes a combined intervention strategy for metabolic pathways and epigenetic regulation. The combined intervention can improve
inflammatory response, abnormal
keratinocyte differentiation and imbalance of the PI3K-AKT
signal cascade. The combined intervention scheme provided by the present application has a clear mechanism and potential synergistic treatment advantages, and can be used for various types of PK and other inflammatory
keratosis related to MV pathway abnormalities.