JAK1/3 inhibition preserves epidermal morphology in full-thickness 3D skin models of atopic dermatitis and psoriasis.


Journal

Journal of the European Academy of Dermatology and Venereology : JEADV
ISSN: 1468-3083
Titre abrégé: J Eur Acad Dermatol Venereol
Pays: England
ID NLM: 9216037

Informations de publication

Date de publication:
Feb 2019
Historique:
received: 16 05 2018
accepted: 19 09 2018
pubmed: 26 10 2018
medline: 7 6 2019
entrez: 26 10 2018
Statut: ppublish

Résumé

Janus kinase (JAK) inhibition may be a promising new treatment modality for inflammatory (skin) diseases. However, little is known about direct effects of kinase inhibitors on keratinocyte differentiation and function as well as skin barrier formation. Our aim was to address the direct impact of kinase inhibition of the JAK1/3 pathways by tofacitinib on keratinocyte immune function and barrier formation in atopic dermatitis (AD) and psoriasis. 3D skin equivalents of both diseases were developed and concurrently pretreated with tofacitinib. To induce AD, 3D skin equivalents were stimulated with recombinant human IL-4 and IL-13. Psoriasis-like conditions were induced by incubation with IL-17A, IL-22 and tumour necrosis factor α (TNFα). The activation of signal transducer and activator of transcription (STAT)1, STAT3 and STAT6 was assessed by Western blot analysis. Microarray analysis and quantitative real-time PCR were used for gene expression analysis. Tofacitinib pretreatment preserved epidermal morphology and reduced STAT3 and STAT6 phosphorylation of AD-like and STAT3 phosphorylation of psoriasis-like culture conditions in 3D skin models compared to sham-controls. Filaggrin expression was fully maintained in the AD-like models, but only partially in psoriasis-like conditions after pretreatment with tofacitinib. In addition, tofacitinib upregulated DSC1, FLG and KRT1. Using gene expression analysis, downregulation of POSTN and IL24 was observed in AD-like conditions, whereas downregulation of IL20 and IL1B was observed in psoriasis-like conditions. JAK1/3 inhibition counteracted cytokine-induced AD- and psoriasis-like epidermal morphology and enhanced keratinocyte differentiation in 3D skin models. This effect was more pronounced in the AD-like models compared to the psoriasis-like 3D skin models.

Sections du résumé

BACKGROUND BACKGROUND
Janus kinase (JAK) inhibition may be a promising new treatment modality for inflammatory (skin) diseases. However, little is known about direct effects of kinase inhibitors on keratinocyte differentiation and function as well as skin barrier formation.
OBJECTIVE OBJECTIVE
Our aim was to address the direct impact of kinase inhibition of the JAK1/3 pathways by tofacitinib on keratinocyte immune function and barrier formation in atopic dermatitis (AD) and psoriasis.
METHODS METHODS
3D skin equivalents of both diseases were developed and concurrently pretreated with tofacitinib. To induce AD, 3D skin equivalents were stimulated with recombinant human IL-4 and IL-13. Psoriasis-like conditions were induced by incubation with IL-17A, IL-22 and tumour necrosis factor α (TNFα). The activation of signal transducer and activator of transcription (STAT)1, STAT3 and STAT6 was assessed by Western blot analysis. Microarray analysis and quantitative real-time PCR were used for gene expression analysis.
RESULTS RESULTS
Tofacitinib pretreatment preserved epidermal morphology and reduced STAT3 and STAT6 phosphorylation of AD-like and STAT3 phosphorylation of psoriasis-like culture conditions in 3D skin models compared to sham-controls. Filaggrin expression was fully maintained in the AD-like models, but only partially in psoriasis-like conditions after pretreatment with tofacitinib. In addition, tofacitinib upregulated DSC1, FLG and KRT1. Using gene expression analysis, downregulation of POSTN and IL24 was observed in AD-like conditions, whereas downregulation of IL20 and IL1B was observed in psoriasis-like conditions.
CONCLUSION CONCLUSIONS
JAK1/3 inhibition counteracted cytokine-induced AD- and psoriasis-like epidermal morphology and enhanced keratinocyte differentiation in 3D skin models. This effect was more pronounced in the AD-like models compared to the psoriasis-like 3D skin models.

Identifiants

pubmed: 30357932
doi: 10.1111/jdv.15301
doi:

Substances chimiques

FLG protein, human 0
Filaggrin Proteins 0
Intermediate Filament Proteins 0
Piperidines 0
Pyrimidines 0
Pyrroles 0
STAT6 Transcription Factor 0
STAT6 protein, human 0
tofacitinib 87LA6FU830
JAK1 protein, human EC 2.7.10.2
Janus Kinase 1 EC 2.7.10.2

Types de publication

Comparative Study Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

367-375

Subventions

Organisme : Wetenschappelijk Fonds Willy Gepts of the UZ Bruss

Informations de copyright

© 2018 European Academy of Dermatology and Venereology.

Auteurs

K Clarysse (K)

Vrije Universiteit Brussel (VUB), Universitair Ziekenhuis Brussel (UZ Brussel), Department of Dermatology, Brussels, Belgium.

C M Pfaff (CM)

Department of Dermatology and Allergology, Medical School, RWTH Aachen University, Aachen, Germany.
Institute of Biochemistry and Molecular Biology, Medical School, RWTH Aachen University, Aachen, Germany.

Y Marquardt (Y)

Department of Dermatology and Allergology, Medical School, RWTH Aachen University, Aachen, Germany.

L Huth (L)

Department of Dermatology and Allergology, Medical School, RWTH Aachen University, Aachen, Germany.

I Kortekaas Krohn (I)

Vrije Universiteit Brussel (VUB), Universitair Ziekenhuis Brussel (UZ Brussel), Department of Dermatology, Brussels, Belgium.

D Kluwig (D)

Department of Dermatology and Allergology, Medical School, RWTH Aachen University, Aachen, Germany.

B Lüscher (B)

Institute of Biochemistry and Molecular Biology, Medical School, RWTH Aachen University, Aachen, Germany.

J Gutermuth (J)

Vrije Universiteit Brussel (VUB), Universitair Ziekenhuis Brussel (UZ Brussel), Department of Dermatology, Brussels, Belgium.

J Baron (J)

Department of Dermatology and Allergology, Medical School, RWTH Aachen University, Aachen, Germany.

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Classifications MeSH