IL-17A-driven psoriasis is critically dependent on IL-36 signaling.

Autor: Fischer, Berenice, Kübelbeck, Tanja, Kolb, Antonia, Ringen, Julia, Waisman, Ari, Wittmann, Miriam, Karbach, Susanne, Kölsch, Stephan Marcus, Kramer, Daniela
Předmět:
Zdroj: Frontiers in Immunology; 2023, p1-13, 13p
Abstrakt: Plaque psoriasis is an autoinflammatory and autoimmune skin disease, affecting 1-3% of the population worldwide. Previously, high levels of IL-36 family cytokines were found in psoriatic skin lesions, thereby contributing to keratinocyte hyperproliferation and infiltration of immune cells such as neutrophils. While treatment with anti-IL36 receptor (IL36R) antibodies was recently approved for generalized pustular psoriasis (GPP), it remains unclear, if targeting the IL36R might also inhibit plaque psoriasis. Here we show that antibody-mediated inhibition of IL36R is sufficient to suppress imiquimod-induced psoriasis-like skin inflammation and represses the disease’s development in a model that depends on IL-17A overexpression in the skin. Importantly, treatment with anti-IL36R antibodies inhibited skin inflammation and attenuated psoriasis-associated, systemic inflammation. This is possibly due to a widespread effect of IL36R inhibition, which not only suppresses proinflammatory gene expression in keratinocytes, but also the activation of other immune cells such as T-cells or dendritic cells. In conclusion, we propose that inhibition of the IL-36 signaling pathway might constitute an attractive, alternative approach for treating IL-17A-driven psoriasis and psoriasis-linked comorbidities. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index