Galapagos NV, Mechelen, Belgium.
MorphoSys AG, Planegg, Germany.
J Invest Dermatol. 2018 Jul;138(7):1555-1563. doi: 10.1016/j.jid.2018.01.036. Epub 2018 Feb 21.
IL-17C is a functionally distinct member of the IL-17 family that was believed to play a role in the pathogenesis of psoriasis. Here we confirmed that IL-17C is involved in psoriasis and explored potential roles for IL-17C in atopic dermatitis (AD). An anti-IL-17C antibody, MOR106, was generated that potently and selectively binds to human and mouse IL-17C, thereby inhibiting the binding of IL-17C to its IL-17RE receptor. The antibody inhibited cutaneous inflammation in an IL-23-induced psoriatic-like skin inflammation model. In lesional skin of patients with AD, IL-17C expression levels were increased and localized to keratinocytes and infiltrating immune cells. To determine the contribution of IL-17C to AD pathogenesis, MOR106 was tested in two distinct in vivo models. In the calcipotriol-induced AD model, ear skin inflammation, TSLP, and IL-33 protein production in ears was suppressed by MOR106. Consistently, in the flaky tail strain mouse model, spontaneous development of AD-like skin inflammation was reduced by MOR106. Moreover, serum IgE levels, number of mast cells in skin and T helper type 2-related cytokines IL-4 and CCL17 in serum were all reduced. Overall, our results indicate that IL-17C is a central mediator of skin inflammation beyond psoriasis and is relevant in particular in AD.
IL-17C 是 IL-17 家族中的一个功能独特的成员,被认为在银屑病的发病机制中起作用。在这里,我们证实了 IL-17C 参与了银屑病,并探讨了 IL-17C 在特应性皮炎(AD)中的潜在作用。生成了一种抗 IL-17C 抗体 MOR106,该抗体能够强烈和选择性地结合人源和鼠源的 IL-17C,从而抑制 IL-17C 与其 IL-17RE 受体的结合。该抗体抑制了 IL-23 诱导的银屑病样皮肤炎症模型中的皮肤炎症。在 AD 患者的皮损皮肤中,IL-17C 的表达水平增加,并定位于角质形成细胞和浸润的免疫细胞。为了确定 IL-17C 对 AD 发病机制的贡献,在两个不同的体内模型中测试了 MOR106。在钙泊三醇诱导的 AD 模型中,MOR106 抑制了耳朵中的皮肤炎症、TSLP 和 IL-33 蛋白的产生。一致地,在鳞屑尾株小鼠模型中,MOR106 减少了 AD 样皮肤炎症的自发发展。此外,血清 IgE 水平、皮肤中的肥大细胞数量以及血清中的 T 辅助型 2 相关细胞因子 IL-4 和 CCL17 均降低。总体而言,我们的结果表明,IL-17C 是皮肤炎症的一个核心介质,不仅局限于银屑病,而且在 AD 中具有相关性。