Abstract
Psoriasis is a chronic autoimmune disease that is predominantly mediated by T-lymphocytes and keratinocytes. Tacrolimus is T cell-targeted immunosuppression drug that has been widely used in topical therapy of psoriasis; however, the pharmacologic effect of tacrolimus on human keratinocytes has not been fully clarified. This study aimed to investigate the potential regulatory effect of tacrolimus on TNF-α/ IL-17A-costimulated human keratinocytes in the mimic psoriatic microenvironment. The cultured normal human keratinocytes (NHKs) were divided into the following groups: control, TNF-α/IL-17A, tacrolimus, and TNF-α/IL-17A + tacrolimus. Cultured cells and supernatant were collected after 24 h, and then real-time quantitative PCR, western blot, and ELISA analysis were performed. Foreskin tissues were treated by using TNF-α, IL-17A, and tacrolimus 0.03% ointment and then cultured for 24 h, and immunohistochemistry was performed. NHKs expressed significant IL-36γ, CCL-20, IL-1β, S100-A9, and CXCL-1 mRNA after TNF-α/IL-17A treatment. Tacrolimus significantly inhibited TNF-α/IL-17A-induced IL-36γ, CCL-20, IL-1β, and S100-A9 expression at gene level and IL-36γ and CCL-20 expression at protein level. We further discovered TNF-α/IL-17A induced significant IκBζ mRNA and protein expression in NHKs, which could be inhibited by tacrolimus. Tacrolimus can inhibit pro-inflammatory synergistic action of TNF-α/IL-17A on human keratinocytes by regulating IκBζ expression.
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References
Johnston, A., X. Xing, L. Wolterink, D.H. Barnes, Z. Yin, L. Reingold, J.M. Kahlenberg, P.W. Harms, and J.E. Gudjonsson. 2017. IL-1 and IL-36 are dominant cytokines in generalized pustular psoriasis. The Journal of Allergy and Clinical Immunology 140: 109–120.
Baliwag, J., D.H. Barnes, and A. Johnston. 2015. Cytokines in psoriasis. Cytokine 73: 342–350.
Kirkham, B.W., A. Kavanaugh, and K. Reich. 2014. Interleukin-17A: A unique pathway in immune-mediated diseases: Psoriasis, psoriatic arthritis and rheumatoid arthritis. Immunology 141: 133–142.
Sedger, L.M., and M.F. McDermott. 2014. TNF and TNF-receptors: From mediators of cell death and inflammation to therapeutic giants—past, present and future. Cytokine & Growth Factor Reviews 25: 453–472.
Bissonnette, R., T. Luger, D. Thaçi, et al. 2018. Secukinumab demonstrates high sustained efficacy and a favourable safety profile in patients with moderate-to-severe psoriasis through 5 years of treatment (SCULPTURE extension study). Journal of the European Academy of Dermatology and Venereology 32: 1507–1514.
No, D.J., M. Amin, T. Bhutani, and J.J. Wu. 2018. A systematic review of active comparator controlled clinical trials in patients with moderate-to-severe psoriasis. The Journal of Dermatological Treatment 29: 467–474.
Blauvelt, A. 2016. Ixekizumab: A new anti-IL-17A monoclonal antibody therapy for moderate-to severe plaque psoriasis. Expert Opinion on Biological Therapy 16: 255–263.
Chiricozzi, A., E. Guttman-Yassky, M. Suárez-Fariñas, K.E. Nograles, S. Tian, I. Cardinale, S. Chimenti, and J.G. Krueger. 2011. Integrative responses to IL-17 and TNF-α in human keratinocytes account for key inflammatory pathogenic circuits in psoriasis. The Journal of Investigative Dermatology 131: 677–687.
Li, B., L.C. Tsoi, W.R. Swindell, et al. 2014. Transcriptome analysis of psoriasis in a large case-control sample: RNA-seq provides insights into disease mechanisms. The Journal of Investigative Dermatology 134: 1828–1838.
D'Erme, A.M., D. Wilsmann-Theis, J. Wagenpfeil, et al. 2015. IL-36γ (IL-1F9) is a biomarker for psoriasis skin lesions. The Journal of Investigative Dermatology 135: 1025–1032.
Schonthaler, H.B., J. Guinea-Viniegra, S.K. Wculek, et al. 2013. S100A8-S100A9 protein complex mediates psoriasis by regulating the expression of complement factor C3. Immunity 39: 1171–1181.
Foster, A.M., J. Baliwag, C.S. Chen, et al. 2014. IL-36 promotes myeloid cell infiltration, activation, and inflammatory activity in skin. Journal of Immunology 192: 6053–6061.
Nghiem, P., G. Pearson, and R.G. Langley. 2002. Tacrolimus and pimecrolimus: From clever prokaryotes to inhibiting calcineurin and treating atopic dermatitis. Journal of the American Academy of Dermatology 46: 228–241.
Tsuda, K., K. Yamanaka, H. Kitagawa, et al. 2012. Calcineurin inhibitors suppress cytokine production from memory T cells and differentiation of naïve T cells into cytokine-producing mature T cells. PLoS One 7: e31465.
Ming, M., B. Zhao, L. Qiang, and Y.Y. He. 2015. Effect of immunosuppressants tacrolimus and mycophenolate mofetil on the keratinocyte UVB response. Photochemistry and Photobiology 91: 242–247.
Wu, C.S., C.C. Lan, H.Y. Kuo, C.Y. Chai, W.T. Chen, and G.S. Chen. 2012. Differential regulation of nuclear factor-kappa B subunits on epidermal keratinocytes by ultraviolet B and tacrolimus. The Kaohsiung Journal of Medical Sciences 28: 577–585.
Xu, J., Y. Feng, G. Song, et al. 2018. Tacrolimus reverses UVB irradiation-induced epidermal Langerhans cell reduction by inhibiting TNF-α secretion in keratinocytes via regulation of NF-κB/p65. Frontiers in Pharmacology 9: 67.
Zare, S., M.A. Zarei, T. Ghadimi, F. Fathi, A. Jalili, and M.S. Hakhamaneshi. 2014. Isolation, cultivation and transfection of human keratinocytes. Cell Biology International 38: 444–451.
Yin, Z., J. Xu, Z. Zhang, and D. Luo. 2012. Effects of topical pimecrolimus 1% on high-dose ultraviolet B-irradiated epidermal Langerhans cells. International Immunopharmacology 14: 635–640.
Yin, L., Y. Hu, J. Xu, J. Guo, J. Tu, and Z. Yin. 2017. Ultraviolet B inhibits IL-17A/TNF-α-stimulated activation of human dermal fibroblasts by decreasing the expression of IL-17RA and IL-17RC on fibroblasts. Frontiers in Immunology 8: 91.
Carrier, Y., H.L. Ma, H.E. Ramon, et al. 2011. Inter-regulation of Th17 cytokines and the IL-36 cytokines in vitro and in vivo: Implications in psoriasis pathogenesis. The Journal of Investigative Dermatology 131: 2428–2437.
Shen, F., and S.L. Gaffen. 2008. Structure-function relationships in the IL-17 receptor: Implications for signal transduction and therapy. Cytokine 41: 92–104.
Zhang, X.J., Y.D. Kang, L. Xiao, et al. 2010. Effects and mechanisms of tacrolimus on development of murine Th17 cells. Transplantation Proceedings 42: 3779–3783.
Nishio, H., K. Matsui, H. Tsuji, A. Tamura, and K. Suzuki. 2000. Immunolocalization of calcineurin and FKBP12, the FK506-binding protein, in Hassall's corpuscles of human thymus and epidermis. Histochemistry and Cell Biology 114: 9–14.
Al-Daraji, W.I., K.R. Grant, K. Ryan, A. Saxton, and N.J. Reynolds. 2002. Localization of calcineurin/NFAT in human skin and psoriasis and inhibition of calcineurin/NFAT activation in human keratinocytes by cyclosporin a. The Journal of Investigative Dermatology 118: 779–788.
Kaplan, A., H. Matsue, A. Shibaki, T. Kawashima, H. Kobayashi, and A. Ohkawara. 1995. The effects of cyclosporin a and FK506 on proliferation and IL-8 production of cultured human keratinocytes. Journal of Dermatological Science 10: 130–138.
Johansen, C., M. Mose, P. Ommen, et al. 2015. IκBζ is a key driver in the development of psoriasis. Proceedings of the National Academy of Sciences of the United States of America 112: E5825–E5833.
Müller, A., A. Hennig, S. Lorscheid, P. Grondona, K. Schulze-Osthoff, S. Hailfinger, and D. Kramer. 2018. IκBζ is a key transcriptional regulator of IL-36-driven psoriasis-related gene expression in keratinocytes. Proceedings of the National Academy of Sciences of the United States of America 115: 10088–10093.
Johnston, A., X. Xing, A.M. Guzman, et al. 2011. IL-1F5, -F6, -F8, and -F9: A novel IL-1 family signaling system that is active in psoriasis and promotes keratinocyte antimicrobial peptide expression. Journal of Immunology 186: 2613–2622.
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This work was supported by the National Natural Science Foundation of China (81673062).
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YH and JG were responsible for cell and tissue culture, qRT-PCR, and western blot. LY was responsible for ELISA analysis and immunohistochemistry. JT was responsible for data analysis. ZY was responsible for the quality of the overall manuscript. YH, JG, and LY contributed equally to this work.
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Real-time quantitative PCR of pro-inflammatory cytokines in NHKs after 30 min and 2 h. statistical significance indicated *P < 0.05 and ***P < 0.001. Abbreviation: NHKs, normal human keratinocytes; TNF-α, tumor necrosis factor α; IL-17A, interleukin-17A; IL-36γ, interleukin-36γ; CCL20, chemokine (C-C motif) ligand 20; IL-1β, Interleukin-1β; S100-A9, S100 calcium-binding protein A9; CXCL1, chemokine (C-X-C motif) ligand 1
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Hu, Y., Guo, J., Yin, L. et al. Tacrolimus Inhibits TNF-α/IL-17A-Produced pro-Inflammatory Effect on Human Keratinocytes by Regulating IκBζ. Inflammation 43, 692–700 (2020). https://doi.org/10.1007/s10753-019-01151-6
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DOI: https://doi.org/10.1007/s10753-019-01151-6