Selective Immunomodulation of Inflammatory Pathways in Keratinocytes by the Janus Kinase (JAK) Inhibitor Tofacitinib: Implications for the Employment of JAK-Targeting Drugs in Psoriasis

IFN-γ and IL-22 are deeply involved in the pathogenesis of psoriasis, as they boost the expression of inflammatory genes and alter proliferative and differentiative programs in keratinocytes. The JAK1/JAK2/STAT1 and JAK1/TYK2/STAT3 pathways triggered by IFN-γ and IL-22, respectively, are aberrantly...

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Main Authors: Martina Morelli, Claudia Scarponi, Laura Mercurio, Francesco Facchiano, Sabatino Pallotta, Stefania Madonna, Giampiero Girolomoni, Cristina Albanesi
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Journal of Immunology Research
Online Access:http://dx.doi.org/10.1155/2018/7897263
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author Martina Morelli
Claudia Scarponi
Laura Mercurio
Francesco Facchiano
Sabatino Pallotta
Stefania Madonna
Giampiero Girolomoni
Cristina Albanesi
author_facet Martina Morelli
Claudia Scarponi
Laura Mercurio
Francesco Facchiano
Sabatino Pallotta
Stefania Madonna
Giampiero Girolomoni
Cristina Albanesi
author_sort Martina Morelli
collection DOAJ
description IFN-γ and IL-22 are deeply involved in the pathogenesis of psoriasis, as they boost the expression of inflammatory genes and alter proliferative and differentiative programs in keratinocytes. The JAK1/JAK2/STAT1 and JAK1/TYK2/STAT3 pathways triggered by IFN-γ and IL-22, respectively, are aberrantly activated in psoriasis, as highlighted by the peculiar STAT1 and STAT3 signatures in psoriatic skin lesions. To limit the detrimental consequences of IFN-γ and IL-22 excessive stimulation, psoriatic keratinocytes activate suppressor of cytokine signaling (SOCS)1 and SOCS3, which in turn dampen molecular signaling by inhibiting JAK1 and JAK2. Thus, JAK targeting appears to be a reasonable strategy to treat psoriasis. Tofacitinib is an inhibitor of JAK proteins, which, similarly to SOCS, impedes JAK phosphorylation. In this study, we evaluated the immunomodulatory effects of tofacitinib on epidermal keratinocytes in in vitro and in vivo models of psoriasis. We demonstrated the selectivity of tofacitinib inhibitory action on IFN-γ and IL-22, but not on TNF-γ or IL-17 proinflammatory signaling, with suppressed expression of IFN-γ-dependent inflammatory genes, and restoration of normal proliferative and differentiative programs altered by IL-22 in psoriatic keratinocyte cultures. Tofacitinib also potently reduced the psoriasiform phenotype in the imiquimod-induced murine model of psoriasis. Finally, we found that tofacitinib mimics SOCS1 or SOCS3 activities, as it impaired the same molecular pathways in IFN-γ or IL-22-activated keratinocytes.
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spelling doaj-art-6673f14836e0496b9500aeaabf88ef282025-02-03T01:02:20ZengWileyJournal of Immunology Research2314-88612314-71562018-01-01201810.1155/2018/78972637897263Selective Immunomodulation of Inflammatory Pathways in Keratinocytes by the Janus Kinase (JAK) Inhibitor Tofacitinib: Implications for the Employment of JAK-Targeting Drugs in PsoriasisMartina Morelli0Claudia Scarponi1Laura Mercurio2Francesco Facchiano3Sabatino Pallotta4Stefania Madonna5Giampiero Girolomoni6Cristina Albanesi7Section of Dermatology, Department of Medicine, University of Verona, Verona 37126, ItalyLaboratory of Experimental Immunology and V Division of Dermatology, Istituto Dermopatico dell’Immacolata, IDI-IRCCS, Rome 00167, ItalyLaboratory of Experimental Immunology and V Division of Dermatology, Istituto Dermopatico dell’Immacolata, IDI-IRCCS, Rome 00167, ItalyDepartment of Oncology and Molecular Medicine, Istituto Superiore di Sanità (ISS), Rome 00161, ItalyLaboratory of Experimental Immunology and V Division of Dermatology, Istituto Dermopatico dell’Immacolata, IDI-IRCCS, Rome 00167, ItalyLaboratory of Experimental Immunology and V Division of Dermatology, Istituto Dermopatico dell’Immacolata, IDI-IRCCS, Rome 00167, ItalySection of Dermatology, Department of Medicine, University of Verona, Verona 37126, ItalyLaboratory of Experimental Immunology and V Division of Dermatology, Istituto Dermopatico dell’Immacolata, IDI-IRCCS, Rome 00167, ItalyIFN-γ and IL-22 are deeply involved in the pathogenesis of psoriasis, as they boost the expression of inflammatory genes and alter proliferative and differentiative programs in keratinocytes. The JAK1/JAK2/STAT1 and JAK1/TYK2/STAT3 pathways triggered by IFN-γ and IL-22, respectively, are aberrantly activated in psoriasis, as highlighted by the peculiar STAT1 and STAT3 signatures in psoriatic skin lesions. To limit the detrimental consequences of IFN-γ and IL-22 excessive stimulation, psoriatic keratinocytes activate suppressor of cytokine signaling (SOCS)1 and SOCS3, which in turn dampen molecular signaling by inhibiting JAK1 and JAK2. Thus, JAK targeting appears to be a reasonable strategy to treat psoriasis. Tofacitinib is an inhibitor of JAK proteins, which, similarly to SOCS, impedes JAK phosphorylation. In this study, we evaluated the immunomodulatory effects of tofacitinib on epidermal keratinocytes in in vitro and in vivo models of psoriasis. We demonstrated the selectivity of tofacitinib inhibitory action on IFN-γ and IL-22, but not on TNF-γ or IL-17 proinflammatory signaling, with suppressed expression of IFN-γ-dependent inflammatory genes, and restoration of normal proliferative and differentiative programs altered by IL-22 in psoriatic keratinocyte cultures. Tofacitinib also potently reduced the psoriasiform phenotype in the imiquimod-induced murine model of psoriasis. Finally, we found that tofacitinib mimics SOCS1 or SOCS3 activities, as it impaired the same molecular pathways in IFN-γ or IL-22-activated keratinocytes.http://dx.doi.org/10.1155/2018/7897263
spellingShingle Martina Morelli
Claudia Scarponi
Laura Mercurio
Francesco Facchiano
Sabatino Pallotta
Stefania Madonna
Giampiero Girolomoni
Cristina Albanesi
Selective Immunomodulation of Inflammatory Pathways in Keratinocytes by the Janus Kinase (JAK) Inhibitor Tofacitinib: Implications for the Employment of JAK-Targeting Drugs in Psoriasis
Journal of Immunology Research
title Selective Immunomodulation of Inflammatory Pathways in Keratinocytes by the Janus Kinase (JAK) Inhibitor Tofacitinib: Implications for the Employment of JAK-Targeting Drugs in Psoriasis
title_full Selective Immunomodulation of Inflammatory Pathways in Keratinocytes by the Janus Kinase (JAK) Inhibitor Tofacitinib: Implications for the Employment of JAK-Targeting Drugs in Psoriasis
title_fullStr Selective Immunomodulation of Inflammatory Pathways in Keratinocytes by the Janus Kinase (JAK) Inhibitor Tofacitinib: Implications for the Employment of JAK-Targeting Drugs in Psoriasis
title_full_unstemmed Selective Immunomodulation of Inflammatory Pathways in Keratinocytes by the Janus Kinase (JAK) Inhibitor Tofacitinib: Implications for the Employment of JAK-Targeting Drugs in Psoriasis
title_short Selective Immunomodulation of Inflammatory Pathways in Keratinocytes by the Janus Kinase (JAK) Inhibitor Tofacitinib: Implications for the Employment of JAK-Targeting Drugs in Psoriasis
title_sort selective immunomodulation of inflammatory pathways in keratinocytes by the janus kinase jak inhibitor tofacitinib implications for the employment of jak targeting drugs in psoriasis
url http://dx.doi.org/10.1155/2018/7897263
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