Abstract
Although the actions of cyclosporin (CyA) on keratinocyte are well established, little is known about its effects on dermal fibroblasts. Interleukin-6 (IL-6) is one of the inflammatory cytokines playing a pivotal role in certain skin diseases such as psoriasis. The aim of this study has been to determine whether CyA modifies the metabolism of extracellular matrix (ECM) by human fibroblasts in vitro. CyA altered the morphology of fibroblasts in the collagen matrix. Fibroblast proliferation was suppressed by CyA at 100 and 10 ng/ml. The production of type I collagen and tissue inhibitor of metalloproteinase 1 was also suppressed by CyA at 1000 ng/ml, and co-stimulation with IL-6 enhanced decreased production at 1000 and 100 ng/ml CyA. The production of matrix metalloproteinase 1 (MMP-1) was also suppressed by CyA in a dose-dependent manner. In contrast, the decreased production of MMP-1 was restored at 0.1–100 ng/ml CyA in the presence of IL-6. Regardless of the presence or absence of IL-6, the production of MMP-2 decreased at 1000 and 100 ng/ml, whereas the production of MMP-9 was unchanged. The production of transforming growth factor-β decreased at 100 ng/ml CyA. This study thus indicates that CyA influences ECM metabolism and the proliferation of human dermal fibroblasts, and that the effects of CyA are modulated by IL-6. CyA might also, in part, improve psoriatic skin by regulating the remodeling of ECM and by its action on immunocompetent cells.
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References
Abe M, Ishikawa O, Miyachi Y (1997) Changes in peripheral blood lymphocyte subsets during cyclosporin administration in patients with psoriasis vulgaris. Eur J Dermatol 7:417–420
Abe M, Kan C, Zaw KK, Ishikawa O (2001) Induction of matrix metalloproteinase-1 in in vitro experimental wound model using a novel three-dimensional culture system. Eur J Dermatol 11:111–116
Abe M, Ho CH, Kamm KE, Grinnell F (2003) Different molecular motors mediate platelet-derived growth factor and lysophosphatidic acid-stimulated floating collagen matrix contraction. J Biol Chem 278:47707–47712
Bianchi R, Rodella L, Rezzani R (2003) Cyclosporin A up-regulates expression of matrix metalloproteinase 2 and vascular endothelial growth factor in rat heart. Int Immunophamacol 3:427–433
Bodo M, Becchetti E, Giammarioli M, Baroni T, Bellucci C, Pezzetti F, Calvitti M, Carinci P (1994) Interleukin-1 and interleukin-6 differentially regulate the accumulation of newly synthesized extracellular matrix components and the cytokine release by developing chick embryo skin fibroblasts. Int J Dev Biol 38:535–542
Boltchi FE, Rees TE, Iacopino AM (1999) Cyclosporine A-induced gingival overgrowth: a comprehensive review. Quintessence Int 30:775–783
Bolzani G, Della Coletta R, Martelli Junlor H, Graner E (2000) Cyclosporin A inhibits production and activity of matrix metalloproteinases by gingival fibroblasts. J Periodontal Res 35:51–58
Borel JF (1990) Mechanism of action and rationale for cyclosporin A in psoriasis. Br J Dermatol 122 (Suppl 36):5–12
Borel JF, Feurer C, Gubler HU, Stahelin H (1976) Biological effects of cyclosporin A: a new antilymphocytic agent. Agents Actions 6:468–475
Bostorm A, Bharath H, Saulewicz A, Narayanan AS (2005) Cyclosporin a affects signaling events differentially in human gingival fibroblasts. J Dent Res 84:532–536
Bullon P, Gallardo I, Goteri G, Rubini C, Battino M, Ribas J, Newman HN (2007) Nifedipine and cyclosporin affect fibroblast calcium and gingival. J Dent Res 86:357–362
Erkko P, Granlund H, Nuutinen M, Reitamo S (1997) Comparison of cyclosporin A pharmacokinetics of a new microemulsion formulation and standard oral preparation in patients with psoriasis. Br J Dermatol 136:82–88
Finzi AF, Mozzanica N, Cattaneo A, Chiappino G, Pigatto PD (1989) Effectiveness of cyclosporin treatment in severe psoriasis: a clinical and immunologic study. J Am Acad Dermatol 21:91–97
Fornoni A, Cornacchia F, Howard GA, Roos BA, Striker GE, Striker LJ (2001) Cyclosporin A affects extracellular matrix synthesis and degradation by mouse MC3T3-E1 osteoblasts in vitro. Nephrol Dial Transplant 16:500–505
Fu E, Hsieh YD, Shen EC, Nieh S, Mao TK, Chiang CY (1999) Effects of cyclosporin A on alveolar bone: an experimental study in the rat. J Periodontol 70:189–194
Gagliano N, Moscheni C, Dellavia C, Stabellini G, Ferrario VF, Gioia M (2005) Immunosuppression and gingival overgrowth: gene and protein expression profiles of collagen turnover in FK506-treated human gingival fibroblasts. J Clin Periodontol 32:167–173
Griffiths CEM, Powles AV, Leonard JN, Fry L, Baker BS, Valdimarsson H (1986) Clearance of psoriasis with low dose cyclosporin. BMJ 293:731–732
Grinnell F (2003) Fibroblast biology in three-dimensional collagen matrices. Trends Cell Biol 13:264–269
Haydon GH, Hayes PC (1994) New immunosuppressive treatment in transplantation medicine. Baillieres Clin Gastroenterol 8:455–464
Ho VC, Griffiths CEM, Ellis CN, Gupta AK, McCuaig CC, Nickoloff BJ, Cooper KD, Hamilton TA, Voorhees JJ (1990) Intralesional cyclosporin in the treatment of psoriasis. A clinical, immunologic, and pharmacokinetic study. J Am Acad Dermatol 22:94–100
Ho VC, Griffiths CE, Berth-Jones J, Papp KA, Vanaclocha F, Dauden E, Beard A, Puvanarajan L, Paul C (2001) Intermittent short courses of cyclosporine microemulsion for the long-term management of psoriasis: a 2-year cohort study. J Am Acad Dermatol 44:643–651
Kato N, Halprin KM, Taylor JR (1987) Cyclosporin A does not inhibit epidermal cell growth at therapeutic levels. J Invest Dermatol 88:52–54
Lago E, Carneiro S, Cuzzi T, Magalhaes G, Gassia F, Pessanha F, Ramos-e-Silva M (2007) Clinical and immunohistochemical assessment of the effect of cyclosporin in keratinocytes and dermal dendrocytes in psoriasis. J Cutan Pathol 34:15–21
Lohi J, Kahari VM, Keski-Oja J (1994) Cyclosporin A enhances cytokine and phorbol ester-induced fibroblast collagenase expression. J Invest Dermatol 102:938–944
Mueller W, Herrmann B (1971) Cyclosporin A for psoriasis. N Engl J Med 301:555
Nickoloff BJ (1991) The cytokine network in psoriasis. Arch Dermatol 127:871–884
Nickoloff BJ, Fisher GJ, Mitra RS, Voorhees JJ (1988) Direct cytopathic effects of cyclosporin A on rapidly proliferating cultured keratinocytes and dermal fibroblasts. Transplant Proc 20 (Suppl):85–90
Ono M, Hatamochi A, Arakawa M, Ueki H (1991) Effects of cyclosporin A on cell proliferation and collagen production by human skin fibroblasts. J Dermatol Sci 2:273–280
Picascia DD, Garden JM, Freinkel RK, Roenigk HH Jr (1987) Treatment of resistant severe psoriasis with systemic cyclosporin. J Am Acad Dermatol 17:408–414
Priqnano F, Domenici-Lombardo L, Gerlini G, Pimpinelli N, Romangnoli P (1996) Cyclosporin-A affects the organization of cytoskeleton of normal human keratinocytes in culture. Histol Histopathol 11:889–894
Sasaki T, Ikezawa Z, Nakajima H (1988) Treatment of severe psoriasis with low dose cyclosporin A and effect on the helper-suppressor T cell ratio in peripheral blood. J Dermatol 15:480–486
Sfrent-Comateanu R, Mihai C, Balan S, Ionescu R, Moldoveanu E (2006) The IL-6 promoter polymorphism is associated with disease activity and disability in systemic sclerosis. J Cell Mol Med 10:955–959
Solís-Herruzo JA, Rippe RA, Schrum LW, La Torre P de, Garcia I, Jeffrey JJ, Munoz-Yague T, Brenner DR (1999) Interleukin-6 increases rat metalloproteinase-13 gene expression through stimulation of activator protein 1 transcription factor in cultured fibroblasts. J Biol Chem 274:30919–30926
Thomson AW (1992) The effects of cyclosporin A on non-T cell components of the immune system. J Autoimmun 5(Suppl):167–176
Umezawa Y, Ozawa A (2007) Pharmacology and therapeutics optimal time for therapeutic drug monitoring of cyclosporine microemulsion in patients with psoriasis. Int J Dermatol 36:763–766
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Abe, M., Yokoyama, Y., Syuto, T. et al. Interleukin-6 counteracts effects of cyclosporin A on extracellular matrix metabolism by human dermal fibroblasts. Cell Tissue Res 333, 281–288 (2008). https://doi.org/10.1007/s00441-008-0629-1
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DOI: https://doi.org/10.1007/s00441-008-0629-1