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IκBζ is a key driver in the development of psoriasis.

Abstract
Psoriasis is a common immune-mediated, chronic, inflammatory skin disease characterized by hyperproliferation and abnormal differentiation of keratinocytes and infiltration of inflammatory cells. Although TNFα- and IL-17A-targeting drugs have recently proven to be highly effective, the molecular mechanism underlying the pathogenesis of psoriasis remains poorly understood. We found that expression of the atypical IκB member IκB (inhibitor of NF-κB) ζ, a selective coactivator of particular NF-κB target genes, was strongly increased in skin of patients with psoriasis. Moreover, in human keratinocytes IκBζ was identified as a direct transcriptional activator of TNFα/IL-17A-inducible psoriasis-associated proteins. Using genetically modified mice, we found that imiquimod-induced psoriasis-like skin inflammation was completely absent in IκBζ-deficient mice, whereas skin inflammation was still inducible in IL-17A- and TNFα-deficient mice. IκBζ deficiency also conferred resistance against IL-23-induced psoriasis. In addition, local abrogation of IκBζ function by intradermal injection of IκBζ siRNA abolished psoriasis-like skin inflammation. Taken together, we identify IκBζ as a hitherto unknown key regulator of IL-17A-driven effects in psoriasis. Thus, targeting IκBζ could be a future strategy for treatment of psoriasis, and other inflammatory diseases for which IL-17 antagonists are currently tested in clinical trials.
AuthorsClaus Johansen, Maike Mose, Pernille Ommen, Trine Bertelsen, Hanne Vinter, Stephan Hailfinger, Sebastian Lorscheid, Klaus Schulze-Osthoff, Lars Iversen
JournalProceedings of the National Academy of Sciences of the United States of America (Proc Natl Acad Sci U S A) Vol. 112 Issue 43 Pg. E5825-33 (Oct 27 2015) ISSN: 1091-6490 [Electronic] United States
PMID26460049 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Aminoquinolines
  • I-kappa B Proteins
  • Imiquimod
Topics
  • Aminoquinolines (toxicity)
  • Animals
  • Humans
  • I-kappa B Proteins (physiology)
  • Imiquimod
  • Mice
  • Psoriasis (chemically induced, physiopathology)

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