Topical TYK2 inhibitor ameliorates psoriasis-like dermatitis via the AKT-SP1-NGFR-AP1 pathway in keratinocytes
Zhiqin Fang
Department of Dermatology, Hunan Engineering Research Center of Skin Health and Disease, Hunan Key Laboratory of Skin Cancer and Psoriasis, Xiangya Hospital, Central South University, Changsha, Hunan, China
National Engineering Research Center of Personalized Diagnostic and Therapeutic Technology, Central South University, Changsha, Hunan, China
Search for more papers by this authorRundong Jiang
Department of Dermatology, Hunan Engineering Research Center of Skin Health and Disease, Hunan Key Laboratory of Skin Cancer and Psoriasis, Xiangya Hospital, Central South University, Changsha, Hunan, China
National Engineering Research Center of Personalized Diagnostic and Therapeutic Technology, Central South University, Changsha, Hunan, China
Department of Dermatology, University of Michigan, Ann Arbor, Michigan, USA
Search for more papers by this authorYutong Wang
Department of Dermatology, Hunan Engineering Research Center of Skin Health and Disease, Hunan Key Laboratory of Skin Cancer and Psoriasis, Xiangya Hospital, Central South University, Changsha, Hunan, China
Clinical Medicine Eight-Year Program, Xiangya School of Medicine, Central South University, Changsha, Hunan, China
Search for more papers by this authorWangqing Chen
Department of Dermatology, Hunan Engineering Research Center of Skin Health and Disease, Hunan Key Laboratory of Skin Cancer and Psoriasis, Xiangya Hospital, Central South University, Changsha, Hunan, China
National Engineering Research Center of Personalized Diagnostic and Therapeutic Technology, Central South University, Changsha, Hunan, China
Search for more papers by this authorCorresponding Author
Xiang Chen
Department of Dermatology, Hunan Engineering Research Center of Skin Health and Disease, Hunan Key Laboratory of Skin Cancer and Psoriasis, Xiangya Hospital, Central South University, Changsha, Hunan, China
National Engineering Research Center of Personalized Diagnostic and Therapeutic Technology, Central South University, Changsha, Hunan, China
Correspondence
Xiang Chen and Mingzhu Yin, Department of Dermatology, Hunan Engineering Research Center of Skin Health and Disease, Hunan Key Laboratory of Skin Cancer and Psoriasis, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Email: [email protected] and [email protected]
Search for more papers by this authorCorresponding Author
Mingzhu Yin
Department of Dermatology, Hunan Engineering Research Center of Skin Health and Disease, Hunan Key Laboratory of Skin Cancer and Psoriasis, Xiangya Hospital, Central South University, Changsha, Hunan, China
National Engineering Research Center of Personalized Diagnostic and Therapeutic Technology, Central South University, Changsha, Hunan, China
Clinical Research Center, Medical Pathology Center, Cancer Early Detection and Treatment Center, Chongqing University Three Gorges Hospital, Chongqing University, Wanzhou, Chongqing, China
Correspondence
Xiang Chen and Mingzhu Yin, Department of Dermatology, Hunan Engineering Research Center of Skin Health and Disease, Hunan Key Laboratory of Skin Cancer and Psoriasis, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Email: [email protected] and [email protected]
Search for more papers by this authorZhiqin Fang
Department of Dermatology, Hunan Engineering Research Center of Skin Health and Disease, Hunan Key Laboratory of Skin Cancer and Psoriasis, Xiangya Hospital, Central South University, Changsha, Hunan, China
National Engineering Research Center of Personalized Diagnostic and Therapeutic Technology, Central South University, Changsha, Hunan, China
Search for more papers by this authorRundong Jiang
Department of Dermatology, Hunan Engineering Research Center of Skin Health and Disease, Hunan Key Laboratory of Skin Cancer and Psoriasis, Xiangya Hospital, Central South University, Changsha, Hunan, China
National Engineering Research Center of Personalized Diagnostic and Therapeutic Technology, Central South University, Changsha, Hunan, China
Department of Dermatology, University of Michigan, Ann Arbor, Michigan, USA
Search for more papers by this authorYutong Wang
Department of Dermatology, Hunan Engineering Research Center of Skin Health and Disease, Hunan Key Laboratory of Skin Cancer and Psoriasis, Xiangya Hospital, Central South University, Changsha, Hunan, China
Clinical Medicine Eight-Year Program, Xiangya School of Medicine, Central South University, Changsha, Hunan, China
Search for more papers by this authorWangqing Chen
Department of Dermatology, Hunan Engineering Research Center of Skin Health and Disease, Hunan Key Laboratory of Skin Cancer and Psoriasis, Xiangya Hospital, Central South University, Changsha, Hunan, China
National Engineering Research Center of Personalized Diagnostic and Therapeutic Technology, Central South University, Changsha, Hunan, China
Search for more papers by this authorCorresponding Author
Xiang Chen
Department of Dermatology, Hunan Engineering Research Center of Skin Health and Disease, Hunan Key Laboratory of Skin Cancer and Psoriasis, Xiangya Hospital, Central South University, Changsha, Hunan, China
National Engineering Research Center of Personalized Diagnostic and Therapeutic Technology, Central South University, Changsha, Hunan, China
Correspondence
Xiang Chen and Mingzhu Yin, Department of Dermatology, Hunan Engineering Research Center of Skin Health and Disease, Hunan Key Laboratory of Skin Cancer and Psoriasis, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Email: [email protected] and [email protected]
Search for more papers by this authorCorresponding Author
Mingzhu Yin
Department of Dermatology, Hunan Engineering Research Center of Skin Health and Disease, Hunan Key Laboratory of Skin Cancer and Psoriasis, Xiangya Hospital, Central South University, Changsha, Hunan, China
National Engineering Research Center of Personalized Diagnostic and Therapeutic Technology, Central South University, Changsha, Hunan, China
Clinical Research Center, Medical Pathology Center, Cancer Early Detection and Treatment Center, Chongqing University Three Gorges Hospital, Chongqing University, Wanzhou, Chongqing, China
Correspondence
Xiang Chen and Mingzhu Yin, Department of Dermatology, Hunan Engineering Research Center of Skin Health and Disease, Hunan Key Laboratory of Skin Cancer and Psoriasis, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Email: [email protected] and [email protected]
Search for more papers by this authorZhiqin Fang, Rundong Jiang and Yutong Wang contributed equally to this work.
Abstract
Introduction
Tyrosine kinase 2 (TYK2)-dependent cytokine signalling is integral to the pathogenesis of psoriasis. While BMS-986165, a highly selective TYK2 inhibitor, has recently been approved for oral treatment of psoriasis, its therapeutic potential via topical application remains unexplored.
Objectives
We aim to investigate the efficacy of topically applying TYK2 inhibitor in psoriasis and to elucidate the underlying mechanisms driving the therapeutic effects of this delivery approach.
Methods
1.5% BMS-986165 ointment was applied topically to the back skin of imiquimod (IMQ)-induced psoriatic mice. To identify potential target cells influenced by the topical TYK2 inhibitor, we performed single cell RNA sequencing (scRNA-seq) and flow cytometry on mouse lesions. The role of TYK2 in vitro was assessed by silencing its expression or administering BMS-986165 in human keratinocytes (KCs). Mechanistic insights into TYK2 function in KCs were further investigated using RNA-seq, dual luciferase reporter assay and ChIP-qPCR.
Results
External use of 1.5% BMS-986165 ointment significantly ameliorated the IMQ-induced psoriasis-like dermatitis. Importantly, topical TYK2 inhibitor attenuated proinflammatory capability of KCs. In vitro, TYK2 inhibition suppressed the transcription of nerve growth factor receptor (NGFR) by disrupting the AKT-SP1 signalling pathway. This impairment hindered the activation of activator protein 1 (AP1), thereby weakening the proinflammatory potential of KCs.
Conclusion
This study reveals a novel therapeutic potential for selective TYK2 inhibitor in topical manner on psoriasis therapy, which might prompt the development of topical treatment for psoriasis. Crucially, our findings provide an underexplored regulatory mechanism of TYK2 inhibitor in psoriasis.
Key points
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Topical TYK2 inhibitor alleviates psoriasis-like dermatitis.
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Topical TYK2 inhibitor reduces psoriasis progression through restraining the inflammatory responses of keratinocytes.
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The inhibition of TYK2 regulates the inflammatory response of keratinocytes through AKT-SP1-NGFR-AP1 pathway.
CONFLICT OF INTEREST STATEMENT
The authors declare no conflicts of interest.
Open Research
DATA AVAILABILITY STATEMENT
The data underlying this article will be shared on reasonable request from the corresponding author.
Supporting Information
Filename | Description |
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ctm270256-sup-0001-SuppMat.docx1.3 MB | Supporting information |
Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.
REFERENCES
- 1Armstrong AW, Read C. Pathophysiology, clinical presentation, and treatment of psoriasis: a review. JAMA. 2020; 323: 1945-1960. doi:10.1001/jama.2020.4006
- 2Greb JE, Goldminz AM, Elder JT, et al. Psoriasis. Nat Rev Dis Prim. 2016; 2:16082. doi:10.1038/nrdp.2016.82
- 3Diani M, Altomare G, Reali E. T cell responses in psoriasis and psoriatic arthritis. Autoimmunity Rev. 2015; 14: 286-292. doi:10.1016/j.autrev.2014.11.012
- 4Griffiths CEM, Armstrong AW, Gudjonsson JE, Barker J. Psoriasis. Lancet. 2021; 397: 1301-1315. doi:10.1016/s0140-6736(20)32549-6
- 5Griffiths CE, Barker JN. Pathogenesis and clinical features of psoriasis. Lancet. 2007; 370: 263-271. doi:10.1016/s0140-6736(07)61128-3
- 6Nogueira M, Puig L, Torres T. JAK inhibitors for treatment of psoriasis: focus on selective TYK2 inhibitors. Drugs. 2020; 80: 341-352. doi:10.1007/s40265-020-01261-8
- 7Ghoreschi K, Balato A, Enerbäck C, Sabat R. Therapeutics targeting the IL-23 and IL-17 pathway in psoriasis. Lancet. 2021; 397: 754-766. doi:10.1016/s0140-6736(21)00184-7
- 8O'Shea JJ, Plenge R. JAK and STAT signaling molecules in immunoregulation and immune-mediated disease. Immunity. 2012; 36: 542-550. doi:10.1016/j.immuni.2012.03.014
- 9Clark JD, Flanagan ME, Telliez JB. Discovery and development of janus kinase (JAK) inhibitors for inflammatory diseases. J Med Chem. 2014; 57: 5023-5038. doi:10.1021/jm401490p
- 10Pasparakis M, Haase I, Nestle FO. Mechanisms regulating skin immunity and inflammation. Nat Rev Immunol. 2014; 14: 289-301. doi:10.1038/nri3646
- 11Roskoski R. Janus kinase (JAK) inhibitors in the treatment of inflammatory and neoplastic diseases. Pharmacol Res. 2016; 111: 784-803. doi:10.1016/j.phrs.2016.07.038
- 12Kim HO. Development of JAK inhibitors for the treatment of immune-mediated diseases: kinase-targeted inhibitors and pseudokinase-targeted inhibitors. Arch Pharm Res. 2020; 43: 1173-1186. doi:10.1007/s12272-020-01282-7
- 13Burke JR, Cheng L, Gillooly KM, et al. Autoimmune pathways in mice and humans are blocked by pharmacological stabilization of the TYK2 pseudokinase domain. Sci Transl Med. 2019; 11:eaaw1736. doi:10.1126/scitranslmed.aaw1736
- 14Renauld JC. Class II cytokine receptors and their ligands: key antiviral and inflammatory modulators. Nat Rev Immunol. 2003; 3: 667-676. doi:10.1038/nri1153
- 15Zheng Y, Danilenko DM, Valdez P, et al. Interleukin-22, a T(H)17 cytokine, mediates IL-23-induced dermal inflammation and acanthosis. Nature. 2007; 445: 648-651. doi:10.1038/nature05505
- 16Sabat R, Wolk K, Loyal L, Döcke W, Ghoreschi K. T cell pathology in skin inflammation. Semin Immunopathol. 2019; 41: 359-377. doi:10.1007/s00281-019-00742-7
- 17Katz HI. Combined topical calcipotriene ointment 0.005% and various systemic therapies in the treatment of plaque-type psoriasis vulgaris: review of the literature and results of a survey sent to 100 dermatologists. J Am Acad Dermatol. 1997; 37: S62-S68.
- 18Mason A, Mason J, Cork M, Hancock H, Dooley G. Topical treatments for chronic plaque psoriasis: an abridged Cochrane systematic review. J Am Acad Dermatol. 2013; 69: 799-807. doi:10.1016/j.jaad.2013.06.027
- 19Mitra A, Wu YH. Topical delivery for the treatment of psoriasis. Expert Opin Drug Deliv. 2010; 7: 977-992. doi:10.1517/17425247.2010.503953
- 20Guo J, Zhang H, Lin W, Lu L, Su J, Chen X. Signaling pathways and targeted therapies for psoriasis. Signal Transduct Target Ther. 2023; 8: 437. doi:10.1038/s41392-023-01655-6
- 21Roskoski R. Deucravacitinib is an allosteric TYK2 protein kinase inhibitor FDA-approved for the treatment of psoriasis. Pharmacol Res. 2023; 189:106642. doi:10.1016/j.phrs.2022.106642
- 22Srivastava M, Baig MS. NOS1 mediates AP1 nuclear translocation and inflammatory response. Biomed Pharmacother. 2018; 102: 839-847. doi:10.1016/j.biopha.2018.03.069
- 23Vukic V, Callaghan D, Walker D, et al. Expression of inflammatory genes induced by beta-amyloid peptides in human brain endothelial cells and in Alzheimer's brain is mediated by the JNK-AP1 signaling pathway. Neurobiol Dis. 2009; 34: 95-106. doi:10.1016/j.nbd.2008.12.007
- 24Xie L, Lv J, Saimaier K, et al. The novel small molecule TPN10518 alleviates EAE pathogenesis by inhibiting AP1 to depress Th1/Th17 cell differentiation. Int Immunopharmacol. 2023; 123:110787. doi:10.1016/j.intimp.2023.110787
- 25Zenz R, Eferl R, Kenner L, et al. Psoriasis-like skin disease and arthritis caused by inducible epidermal deletion of Jun proteins. Nature. 2005; 437: 369-375. doi:10.1038/nature03963
- 26Ahn SS, Yeo H, Jung E, Lim Y, Lee YH, Shin SY. FRA1:c-JUN:hDAC1 complex down-regulates filaggrin expression upon TNFα and IFNγ stimulation in keratinocytes. Proc Natl Acad Sci U S A. 2022; 119:e2123451119. doi:10.1073/pnas.2123451119
- 27Novoszel P, Holcmann M, Stulnig G, et al. Psoriatic skin inflammation is promoted by c-Jun/AP-1-dependent CCL2 and IL-23 expression in dendritic cells. Embo Mol Med. 2021; 13:e12409. doi:10.15252/emmm.202012409
- 28Figueira TG, Dos Santos FV, Yoshioka SA. Development, characterization and in vivo evaluation of the ointment containing hyaluronic acid for potential wound healing applications. J Biomater Sci Polym Ed. 2022; 33: 1511-1530. doi:10.1080/09205063.2022.2068946
- 29Fang Z, Wang Y, Huang B, Chen X, Jiang R, Yin M. Depletion of G9A attenuates imiquimod-induced psoriatic dermatitis via targeting EDAR-NF-κB signaling in keratinocyte. Cell Death Dis. 2023; 14: 627. doi:10.1038/s41419-023-06134-y
- 30Dura B, Choi J, Zhang K, et al. scFTD-seq: freeze-thaw lysis based, portable approach toward highly distributed single-cell 3' mRNA profiling. Nucleic Acids Res. 2019; 47:e16. doi:10.1093/nar/gky1173
- 31Butler A, Hoffman P, Smibert P, Papalexi E, Satija R. Integrating single-cell transcriptomic data across different conditions, technologies, and species. Nat Biotechnol. 2018; 36: 411-420. doi:10.1038/nbt.4096
- 32Yu G, Wang LG, Han Y, He QY. clusterProfiler: an R package for comparing biological themes among gene clusters. Omics. 2012; 16: 284-287. doi:10.1089/omi.2011.0118
- 33Wu T, Hu E, Xu S, et al. clusterProfiler 4.0: a universal enrichment tool for interpreting omics data. Innovation (Cambridge (Mass)). 2021; 2:100141. doi:10.1016/j.xinn.2021.100141
- 34Gangwar RS, Gudjonsson JE, Ward NL. Mouse models of psoriasis: a comprehensive review. J Invest Dermatol. 2022; 142: 884-897. doi:10.1016/j.jid.2021.06.019
- 35Ports W, Khan S, Lan S, et al. A randomized phase 2a efficacy and safety trial of the topical Janus kinase inhibitor tofacitinib in the treatment of chronic plaque psoriasis. Br J Dermatol. 2013; 169: 137-145. doi:10.1111/bjd.12266
- 36Wrobleski ST, Moslin R, Lin S, et al. Highly selective inhibition of tyrosine kinase 2 (TYK2) for the treatment of autoimmune diseases: discovery of the allosteric inhibitor BMS-986165. J Med Chem. 2019; 62: 8973-8995. doi:10.1021/acs.jmedchem.9b00444
- 37Catlett IM, Hu Y, Gao L, Banerjee S, Gordon K, Krueger JG. Molecular and clinical effects of selective tyrosine kinase 2 inhibition with deucravacitinib in psoriasis. J Allergy Clin Immunol. 2022; 149: 2010-2020.e2018. doi:10.1016/j.jaci.2021.11.001
- 38Waickman AT, Powell JD. mTOR, metabolism, and the regulation of T-cell differentiation and function. Immunol Rev. 2012; 249: 43-58. doi:10.1111/j.1600-065X.2012.01152.x
- 39Arumugham VB, Baldari CT. cAMP: a multifaceted modulator of immune synapse assembly and T cell activation. J Leukoc Biol. 2017; 101: 1301-1316. doi:10.1189/jlb.2RU1116-474R
- 40Billi AC, Ma F, Plazyo O, et al. Nonlesional lupus skin contributes to inflammatory education of myeloid cells and primes for cutaneous inflammation. Sci Transl Med. 2022; 14:eabn2263. doi:10.1126/scitranslmed.abn2263
- 41Ma F, Plazyo O, Billi AC, et al. Single cell and spatial sequencing define processes by which keratinocytes and fibroblasts amplify inflammatory responses in psoriasis. Nat Commun. 2023; 14: 3455. doi:10.1038/s41467-023-39020-4
- 42Wang Z, Sun Y, Lou F, et al. Targeting the transcription factor HES1 by L-menthol restores protein phosphatase 6 in keratinocytes in models of psoriasis. Nat Commun. 2022; 13: 7815. doi:10.1038/s41467-022-35565-y
- 43Yang LT, Fan XL, Cui TT, Dang EL, Wang G. Nrf2 promotes keratinocyte proliferation in psoriasis through up-regulation of keratin 6, keratin 16, and keratin 17. J Invest Dermatol. 2017; 137: 2168-2176. doi:10.1016/j.jid.2017.05.015
- 44Liang SC, Tan X, Luxenberg DP, et al. Interleukin (IL)-22 and IL-17 are coexpressed by Th17 cells and cooperatively enhance expression of antimicrobial peptides. J Exp Med. 2006; 203: 2271-2279. doi:10.1084/jem.20061308
- 45Wolk K, Witte E, Warszawska K, et al. The Th17 cytokine IL-22 induces IL-20 production in keratinocytes: a novel immunological cascade with potential relevance in psoriasis. Eur J Immunol. 2009; 39: 3570-3581. doi:10.1002/eji.200939687
- 46Dudakov JA, Hanash AM, van den Brink MRM. Interleukin-22: immunobiology and pathology. Annu Rev Immunol. 2015: 747-785.
- 47Farina L, Minnone G, Alivernini S, et al. Pro nerve growth factor and its receptor p75NTR activate inflammatory responses in synovial fibroblasts: a novel targetable mechanism in arthritis. Front Immunol. 2022; 13:818630. doi:10.3389/fimmu.2022.818630
- 48Jiang RD, Xu J, Zhang Y, et al. Ligustrazine alleviates psoriasis-like inflammation through inhibiting TRAF6/c-JUN/NF kappa B signaling pathway in keratinocyte. Biomed Pharmacother. 2022; 150:113010. doi:10.1016/j.biopha.2022.113010
- 49Iraci N, Diolaiti D, Papa A, et al. A SP1/MIZ1/MYCN repression complex recruits HDAC1 at the TRKA and p75NTR promoters and affects neuroblastoma malignancy by inhibiting the cell response to NGF. Cancer Res. 2011; 71: 404-412. doi:10.1158/0008-5472.Can-10-2627
- 50Huang D, Li T, Wang L, et al. Hepatocellular carcinoma redirects to ketolysis for progression under nutrition deprivation stress. Cell Res. 2016; 26: 1112-1130. doi:10.1038/cr.2016.109
- 51Hong I, Byun H, Lee J, et al. The tetraspanin CD81 protein increases melanoma cell motility by up-regulating metalloproteinase MT1-MMP expression through the pro-oncogenic Akt-dependent Sp1 activation signaling pathways. J Biol Chem. 2014; 289: 15691-15704. doi:10.1074/jbc.M113.534206
- 52Jiang Q, Yang G, Xiao F, et al. Role of Th22 cells in the pathogenesis of autoimmune diseases. Front Immunol. 2021; 12:688066. doi:10.3389/fimmu.2021.688066
- 53Papp KA, Bissonnette R, Gooderham M, et al. Treatment of plaque psoriasis with an ointment formulation of the Janus kinase inhibitor, tofacitinib: a phase 2b randomized clinical trial. BMC Dermatol. 2016; 16: 15. doi:10.1186/s12895-016-0051-4
- 54Jensen LT, Attfield KE, Feldmann M, Fugger L. Allosteric TYK2 inhibition: redefining autoimmune disease therapy beyond JAK1-3 inhibitors. Ebiomedicine. 2023; 97:104840. doi:10.1016/j.ebiom.2023.104840
- 55Punwani N, Scherle P, Flores R, et al. Preliminary clinical activity of a topical JAK1/2 inhibitor in the treatment of psoriasis. J Am Acad Dermatol. 2012; 67: 658-664. doi:10.1016/j.jaad.2011.12.018
- 56Boehncke WH, Schön MP. Psoriasis. Lancet (Lond, Engl). 2015; 386: 983-994. doi:10.1016/s0140-6736(14)61909-7
- 57Meyer M, Ben-Yehuda Greenwald M, Rauschendorfer T, et al. Mouse genetics identifies unique and overlapping functions of fibroblast growth factor receptors in keratinocytes. J Cell Mol Med. 2020; 24: 1774-1785. doi:10.1111/jcmm.14871