Department of Dermatology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, 200437, China.
Institute of Dermatology, Shanghai Academy of Traditional Chinese Medicine, Shanghai, 201203, China.
Cell Mol Immunol. 2024 Jul;21(7):738-751. doi: 10.1038/s41423-024-01160-y. Epub 2024 May 28.
Psoriasis is a common chronic inflammatory skin disease driven by the aberrant activation of dendritic cells (DCs) and T cells, ultimately leading to increased production of cytokines such as interleukin (IL)-23 and IL-17A. It is established that the cGAS-STING pathway is essential for psoriatic inflammation, however, the specific role of cGAS-STING signaling in DCs within this context remains unclear. In this study, we demonstrated the upregulation of cGAS-STING signaling in psoriatic lesions by analyzing samples from both clinical patients and imiquimod (IMQ)-treated mice. Using a conditional Sting-knockout transgenic mouse model, we elucidated the impact of cGAS-STING signaling in DCs on the activation of IL-17- and IFN-γ-producing T cells in psoriatic inflammation. Ablation of the Sting hampers DC activation leads to decreased numbers of IL-17-producing T cells and Th1 cells, and thus subsequently attenuates psoriatic inflammation in the IMQ-induced mouse model. Furthermore, we explored the therapeutic potential of the STING inhibitor C-176, which reduces psoriatic inflammation and enhances the anti-IL-17A therapeutic response. Our results underscore the critical role of cGAS-STING signaling in DCs in driving psoriatic inflammation and highlight a promising psoriasis treatment.
银屑病是一种常见的慢性炎症性皮肤病,由树突状细胞(DCs)和 T 细胞的异常激活驱动,最终导致细胞因子如白细胞介素(IL)-23 和 IL-17A 的产生增加。现已证实,cGAS-STING 途径对于银屑病炎症是必不可少的,然而,在这种情况下,cGAS-STING 信号在 DC 中的具体作用仍不清楚。在这项研究中,我们通过分析来自临床患者和咪喹莫特(IMQ)治疗的小鼠的样本,证明了 cGAS-STING 信号在银屑病病变中的上调。使用条件性 Sting 敲除转基因小鼠模型,我们阐明了 cGAS-STING 信号在 DC 中对银屑病炎症中 IL-17 和 IFN-γ产生的 T 细胞的激活的影响。Sting 的缺失会阻碍 DC 的激活,导致产生 IL-17 的 T 细胞和 Th1 细胞数量减少,从而减轻 IMQ 诱导的小鼠模型中的银屑病炎症。此外,我们探索了 STING 抑制剂 C-176 的治疗潜力,它可以减轻银屑病炎症并增强抗 IL-17A 的治疗反应。我们的研究结果强调了 cGAS-STING 信号在 DC 中在驱动银屑病炎症中的关键作用,并突出了一种有前途的银屑病治疗方法。