[HTML][HTML] Induction of alternative proinflammatory cytokines accounts for sustained psoriasiform skin inflammation in IL-17C+ IL-6KO mice

Y Fritz, PA Klenotic, WR Swindell, ZQ Yin… - Journal of Investigative …, 2017 - Elsevier
Y Fritz, PA Klenotic, WR Swindell, ZQ Yin, SG Groft, L Zhang, J Baliwag, MI Camhi…
Journal of Investigative Dermatology, 2017Elsevier
IL-6 inhibition has been unsuccessful in treating psoriasis, despite high levels of tissue and
serum IL-6 in patients. In addition, de novo psoriasis onset has been reported after IL-6
blockade in patients with rheumatoid arthritis. To explore mechanisms underlying these
clinical observations, we backcrossed an established psoriasiform mouse model (IL-17C+
mice) with IL-6-deficient mice (IL-17C+ KO) and examined the cutaneous phenotype. IL-
17C+ KO mice initially exhibited decreased skin inflammation; however, this decrease was …
IL-6 inhibition has been unsuccessful in treating psoriasis, despite high levels of tissue and serum IL-6 in patients. In addition, de novo psoriasis onset has been reported after IL-6 blockade in patients with rheumatoid arthritis. To explore mechanisms underlying these clinical observations, we backcrossed an established psoriasiform mouse model (IL-17C+ mice) with IL-6-deficient mice (IL-17C+KO) and examined the cutaneous phenotype. IL-17C+KO mice initially exhibited decreased skin inflammation; however, this decrease was transient and reversed rapidly, concomitant with increases in skin Tnf, Il36α/β/γ, Il24, Epgn, and S100a8/a9 to levels higher than those found in IL-17C+ mice. A comparison of IL-17C+ and IL-17C+KO mouse skin transcriptomes with that of human psoriasis skin revealed significant correlation among transcripts of skin of patients with psoriasis and IL-17C+KO mouse skin, and confirmed an exacerbation of the inflammatory signature in IL-17C+KO mice that aligns closely with human psoriasis. Transcriptional analyses of IL-17C+ and IL-17C+KO primary keratinocytes confirmed increased expression of proinflammatory molecules, suggesting that in the absence of IL-6, keratinocytes increase production of numerous additional proinflammatory cytokines. These preclinical findings may provide insight into why patients with arthritis being treated with IL-6 inhibitors develop new onset psoriasis and why IL-6 blockade for the treatment of psoriasis has not been clinically effective.
Elsevier