Graduate School of Health and Sports Science, Juntendo University, Chiba, Japan.
Department of Therapy Development and Innovation for Immune Disorders and Cancers, Graduate School of Medicine, Juntendo University, Tokyo, Japan.
J Invest Dermatol. 2019 Apr;139(4):878-889. doi: 10.1016/j.jid.2018.09.037. Epub 2018 Nov 10.
Psoriasis is a chronic inflammatory skin disease characterized mainly by epidermal hyperplasia, scaling, and erythema; T helper 17 cells have a role in its pathogenesis. Although IL-26, known as a T helper 17 cytokine, is upregulated in psoriatic skin lesions, its precise role is unclear. We investigated the role of IL-26 in the imiquimod-induced psoriasis-like murine model using human IL-26 transgenic mice. Erythema symptoms induced by daily applications of imiquimod increased dramatically in human IL-26 transgenic mice compared with controls. Vascularization and immune cell infiltration were prominent in skin lesions of human IL-26 transgenic mice. Levels of fibroblast growth factor (FGF) 1, FGF2, and FGF7 were significantly upregulated in the skin lesions of imiquimod-treated human IL-26 transgenic mice and psoriasis patients. In vitro analysis demonstrated that FGF1, FGF2, and FGF7 levels were elevated in human keratinocytes and vascular endothelial cells following IL-26 stimulation. Furthermore, IL-26 acted directly on vascular endothelial cells, promoting proliferation and tube formation, possibly through protein kinase B, extracellular signal-regulated kinase, and NF-κB pathways. Moreover, similar effects of IL-26 were observed in the murine contact hypersensitivity model, indicating that these effects are not restricted to psoriasis. Altogether, our data indicate that IL-26 may be a promising therapeutic target in T cell-mediated skin inflammation, including psoriasis.
银屑病是一种慢性炎症性皮肤病,主要表现为表皮过度增生、脱屑和红斑;辅助性 T 细胞 17(Th17)在其发病机制中起作用。虽然白细胞介素 26(IL-26)作为 Th17 细胞因子在银屑病皮损中上调,但确切作用尚不清楚。我们使用人 IL-26 转基因小鼠研究了 IL-26 在咪喹莫特诱导的银屑病样小鼠模型中的作用。与对照组相比,每日应用咪喹莫特可使人类 IL-26 转基因小鼠的红斑症状明显加重。血管生成和免疫细胞浸润在人 IL-26 转基因小鼠的皮肤病变中很明显。在咪喹莫特处理的人 IL-26 转基因小鼠和银屑病患者的皮肤病变中,成纤维细胞生长因子(FGF)1、FGF2 和 FGF7 的水平显著上调。体外分析表明,IL-26 刺激后,人角质形成细胞和血管内皮细胞中 FGF1、FGF2 和 FGF7 的水平升高。此外,IL-26 直接作用于血管内皮细胞,通过蛋白激酶 B、细胞外信号调节激酶和 NF-κB 途径促进增殖和管形成,可能通过蛋白激酶 B、细胞外信号调节激酶和 NF-κB 途径促进增殖和管形成。此外,在小鼠接触超敏反应模型中也观察到了类似的 IL-26 作用,表明这些作用不仅限于银屑病。总之,我们的数据表明,IL-26 可能是 T 细胞介导的皮肤炎症(包括银屑病)的一个有前途的治疗靶点。