Department of Dermatology, Binzhou Medical University Hospital, 661 Second Huanghe Road, Binzhou, 256603, China.
Department of Endocrinology and Metabolism, Binzhou Medical University Hospital, 661 Second Huanghe Road, Binzhou, 256603, China.
J Transl Med. 2018 Mar 10;16(1):59. doi: 10.1186/s12967-018-1442-6.
Th17 cells and its effective cytokine IL-17A play an important role in the pathogenesis of abnormal immune responses in psoriasis. Notch1 signaling has been implicated in Th17 cell differentiation and function. In this study, our aim was to evaluate the possible inhibitory effect of Notch1 signaling inhibitor, γ-secretase inhibitor DAPT, on psoriatic Th17 cell differentiation and function in a mouse model of psoriasis-like skin inflammation.
Mouse psoriasis-like skin inflammation model was established by topical 5% imiquimod (IMQ) application, and experimental mice were divided into control group, IMQ-treated group and IM + DAPT-treated group. DAPT and the equivalent amount of Dimethyl sulfoxide was intraperitoneally injected in IMQ + DAPT-treated group and the other two experimental groups respectively. Skin tissues of the three experimental groups were acquired and stained with haematoxylin and eosin (HE). Splenic single-cells and serum were collected to detect the percentage of Th17 cells, the mRNA expression levels of Notch1 and its target gene Hes-1, Th17-specific transcription factor RORγt and its effective cytokines IL-17A, as well as IL-17A serum concentration. In addition, splenic CD4 T cells from IMQ-treated mice were isolated and treated by DAPT to further measure the inhibitory effect of DAPT on the Th17 cell differentiation and IL-17A secretion in vitro.
DAPT treatment alleviated the severity of IMQ-induced mouse psoriasis-like skin inflammation and decreased the scores of erythema, scaling and thickening. HE stain reveals obviously reduced epidermal hyperplasia and dermal inflammatory cells infiltration in IMQ + DAPT-treated mice. The increased expression of splenic Th17 cell percentage, along with Notch1, Hes-1, RORγt and IL-17A mRNA and IL-17A serum concentration in IMQ-treated mice were significantly decreased when experimental mice were treated by IMQ and DAPT combinedly. Data obtained from in vitro study in IMQ-treated mice also demonstrated that blocking Notch1 signaling by DAPT can result in a dose-dependent decrease of Th17 cell proportion, mRNA expression of Notch1, Hes-1, RORγt and IL-17A as well as IL-17A secretion in splenic CD4 T cells.
These data suggest that Notch1 inhibition by DAPT can effectively alleviate the severity of mouse psoriasis-like skin inflammation by regulating the differentiation and function of Th17 cells, indicating that DAPT might be a potential therapeutic candidate for the treatment of psoriatic inflammation.
Th17 细胞及其有效细胞因子 IL-17A 在银屑病异常免疫反应的发病机制中发挥重要作用。Notch1 信号通路已被证实参与 Th17 细胞分化和功能。在这项研究中,我们的目的是评估 Notch1 信号通路抑制剂 γ-分泌酶抑制剂 DAPT 对银屑病样皮肤炎症小鼠模型中银屑病 Th17 细胞分化和功能的可能抑制作用。
通过外用 5%咪喹莫特(IMQ)建立小鼠银屑病样皮肤炎症模型,将实验小鼠分为对照组、IMQ 处理组和 IMQ+DAPT 处理组。DAPT 和等体积二甲基亚砜分别腹腔注射于 IMQ+DAPT 处理组和另外两组实验动物。采集三组实验动物的皮肤组织,行苏木精-伊红(HE)染色。收集脾单个核细胞和血清,检测 Th17 细胞的百分比、Notch1 及其靶基因 Hes-1、Th17 特异性转录因子 RORγt 及其有效细胞因子 IL-17A 的 mRNA 表达水平,以及 IL-17A 血清浓度。此外,分离 IMQ 处理小鼠的脾 CD4 T 细胞,并通过 DAPT 处理,进一步测量 DAPT 对体外 Th17 细胞分化和 IL-17A 分泌的抑制作用。
DAPT 治疗可减轻 IMQ 诱导的小鼠银屑病样皮肤炎症的严重程度,并降低红斑、鳞屑和增厚的评分。HE 染色显示,IMQ+DAPT 处理组小鼠的表皮过度增生和真皮炎症细胞浸润明显减少。与对照组相比,IMQ 处理组小鼠的脾 Th17 细胞比例增加,Notch1、Hes-1、RORγt 和 IL-17A 的 mRNA 及 IL-17A 血清浓度均显著升高,而联合应用 IMQ 和 DAPT 可显著降低其表达。在 IMQ 处理的小鼠中进行的体外研究结果表明,DAPT 阻断 Notch1 信号通路可导致脾 CD4 T 细胞中 Th17 细胞比例、Notch1、Hes-1、RORγt 和 IL-17A 的 mRNA 表达以及 IL-17A 分泌呈剂量依赖性下降。
这些数据表明,DAPT 通过调节 Th17 细胞的分化和功能,可有效减轻小鼠银屑病样皮肤炎症的严重程度,提示 DAPT 可能是治疗银屑病炎症的潜在治疗候选药物。