Yu Yanxia, Wang Yirui, Chen Weiwei, Zhang Chang, Li Zhuo, Yu Jing, Wang Minhao, Song Can, Yan Sihao, Lu Jiayi, Sun Liangdan
Department of Dermatology, the First Affiliated Hospital of Anhui Medical University, Hefei 230032, China.
Key Laboratory of Dermatology (Anhui Medical University), Ministry of Education, Hefei 230032, China.
Acta Pharm Sin B. 2025 Jul;15(7):3575-3590. doi: 10.1016/j.apsb.2025.05.004. Epub 2025 May 14.
Interferon regulatory factor 4 (IRF4) is a critical transcription factor that governs the differentiation of cluster of differentiation 4 (CD4) T cells. The pathogenesis and progression of psoriasis are primarily attributed to an immune imbalance stemming from the overproduction of interleukin-17A (IL-17A) by T lymphocytes. However, the role of IRF4 in psoriasis remains unexplored. In this study, we found that IRF4 activity is increased in the cutaneous lesions of patients with psoriasis in response to stimulation by IL-23A and IL-1. This IRF4 elevation heightens its binding to the E1A binding protein p300 (EP300) promoter, triggering the transcription of downstream retinoic acid receptor-related orphan receptor-t (RORt) and increasing the secretion of IL-17A, thereby establishing the IL-1/IL-23A-IRF4-EP300--IL-17A inflammatory cascade in psoriasis. The alleviation of imiquimod (IMQ)-induced psoriatic-like symptoms was achieved through the creation of a gene deletion mouse model and pharmacological inhibition using antisense oligonucleotides targeted for . This amelioration was accompanied by a decreased number of IL-17A-producing CD4 T cells in the skin. The findings of this study suggest that IRF4 plays a crucial role in the promotion of inflammation and exacerbation of IMQ-induced psoriasiform dermatitis. Consequently, IRF4 targeting could be a promising therapeutic strategy.
干扰素调节因子4(IRF4)是一种关键的转录因子,可调控分化簇4(CD4)T细胞的分化。银屑病的发病机制和进展主要归因于T淋巴细胞过度产生白细胞介素-17A(IL-17A)导致的免疫失衡。然而,IRF4在银屑病中的作用仍未得到探索。在本研究中,我们发现银屑病患者皮肤病变中,IRF4活性在受到IL-23A和IL-1刺激后增加。这种IRF4升高增强了其与E1A结合蛋白p300(EP300)启动子的结合,触发下游视黄酸受体相关孤儿受体-t(RORt)的转录,并增加IL-17A的分泌,从而在银屑病中建立了IL-1/IL-23A-IRF4-EP300-IL-17A炎症级联反应。通过构建基因缺失小鼠模型和使用针对该基因的反义寡核苷酸进行药理学抑制,可减轻咪喹莫特(IMQ)诱导的银屑病样症状。这种改善伴随着皮肤中产生IL-17A的CD4 T细胞数量减少。本研究结果表明,IRF4在促进IMQ诱导的银屑病样皮炎炎症和加重过程中起关键作用。因此,靶向IRF4可能是一种有前景的治疗策略。
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