Section of Immunology and Joint Immunology Program, the Second Clinical Medical College of Guangzhou University of Chinese Medicine, and Guangdong Provincial Academy of Chinese Medical Sciences, Guangzhou, Guangdong, China.
Department of Cancer Biology, Beckman Research Institute of the City of Hope, Duarte, CA, USA.
Clin Exp Immunol. 2019 Dec;198(3):403-415. doi: 10.1111/cei.13363. Epub 2019 Aug 26.
Psoriasis is an immune-mediated inflammatory skin disease that mainly affects the skin barrier. Treatment for psoriasis mainly includes conventional immunosuppressive drugs. However, long-term treatment with global immunosuppressive agents may cause a variety of side effects, including nephrotoxicity and infections. Kaempferol, a natural flavonol present in various plants, is known to possess potent anti-inflammatory, anti-oxidant and anti-cancerous properties. However, it is unknown whether kaempferol is also anti-psoriatic. Here we established an imiquimod (IMQ)-induced psoriatic mouse model to explore the potential therapeutic effects of kaempferol on psoriatic skin lesions and inflammation. In this study, we demonstrated that treatment with kaempferol protected mice from developing psoriasis-like skin lesions induced by topical administration of IMQ. Kaempferol reduced CD3 T cell infiltration and gene expression of major proinflammatory cytokines, including interleukin (IL)-6, IL-17A and tumor necrosis factor (TNF)-α, in the psoriatic skin lesion. It also down-regulated proinflammatory nuclear factor kappa B (NF-κB) signaling in the skin. The therapeutic effects were associated with a significant increase in CD4 forkhead box protein 3 (FoxP3) regulatory T cell (T ) frequency in the spleen and lymph nodes as well as FoxP3-positive staining in the skin lesion. Conversely, depletion of CD4 CD25 T reversed the therapeutic effects of kaempferol on the skin lesion. Kaempferol also lowered the percentage of IL-17A CD4 T cells in the spleen and lymph nodes of IMQ-induced psoriatic mice. Finally, kaempferol suppressed the proliferation of T cells in vitro and their mTOR signaling. Thus, our findings suggest that kaempferol may be a therapeutic drug for treating human psoriasis in the near future.
银屑病是一种主要影响皮肤屏障的免疫介导的炎症性皮肤病。银屑病的治疗主要包括常规免疫抑制剂。然而,长期使用全身性免疫抑制剂可能会引起多种副作用,包括肾毒性和感染。山奈酚是一种存在于各种植物中的天然类黄酮醇,具有很强的抗炎、抗氧化和抗癌特性。然而,目前尚不清楚山奈酚是否也具有抗银屑病作用。在这里,我们建立了咪喹莫特(IMQ)诱导的银屑病小鼠模型,以探索山奈酚对银屑病皮肤病变和炎症的潜在治疗作用。在这项研究中,我们证明了山奈酚治疗可保护小鼠免受 IMQ 局部给药诱导的银屑病样皮肤病变的影响。山奈酚减少了 CD3 T 细胞浸润和主要促炎细胞因子(包括白细胞介素(IL)-6、IL-17A 和肿瘤坏死因子(TNF)-α)在银屑病皮肤病变中的基因表达。它还下调了皮肤中的促炎核因子 kappa B(NF-κB)信号通路。治疗效果与脾脏和淋巴结中 CD4 叉头框蛋白 3(FoxP3)调节性 T 细胞(Treg)频率以及皮肤病变中 FoxP3 阳性染色的显著增加有关。相反,CD4 CD25 T 细胞耗竭逆转了山奈酚对皮肤病变的治疗作用。山奈酚还降低了 IMQ 诱导的银屑病小鼠脾脏和淋巴结中 IL-17A CD4 T 细胞的百分比。最后,山奈酚抑制了体外 T 细胞的增殖及其 mTOR 信号。因此,我们的研究结果表明,山奈酚可能是治疗人类银屑病的一种有前途的药物。