Histone deacetylase inhibitors in psoriasis therapy

Fiona McLaughlin1, Nicholas B La Thangue

  • 1Division of Biochemistry and Molecular Biology, Davidson Building, University of Glasgow, Glasgow, G12 8QQ, UK.

Current Drug Targets. Inflammation and Allergy
|June 8, 2004
PubMed

Insights

Histone deacetylase inhibitors (HDAC inhibitors) show promise for treating psoriasis by reducing inflammation and cell proliferation. These agents, initially for cancer, may offer new therapeutic options for this complex skin condition.

Area of Science:

  • Dermatology and Molecular Biology
  • Oncology
  • Immunology

Background:

  • Psoriasis is a complex, multifactorial skin disease involving inflammation, proliferation, and genetic factors.
  • Current treatments for psoriasis have limitations, highlighting the need for novel therapeutic strategies.
  • Histone deacetylase inhibitors (HDAC inhibitors) are a class of drugs developed for cancer treatment.

Purpose of the Study:

  • To explore the potential therapeutic application of HDAC inhibitors in managing psoriasis.
  • To focus on the anti-proliferative and anti-inflammatory effects of HDAC inhibitors relevant to psoriasis.
  • To discuss the emerging role of HDAC inhibitors beyond oncology.

Main Methods:

  • Review of existing literature on psoriasis pathology.
  • Analysis of the known mechanisms of action for HDAC inhibitors, including anti-proliferative and differentiation-inducing effects.
  • Discussion of preclinical and clinical data suggesting HDAC inhibitor efficacy in inflammatory and proliferative conditions.

Main Results:

  • HDAC inhibitors demonstrate significant anti-proliferative properties, counteracting keratinocyte hyperproliferation characteristic of psoriasis.
  • HDAC inhibitors exhibit anti-inflammatory effects, potentially modulating immune responses involved in psoriasis pathogenesis.
  • Emerging evidence suggests HDAC inhibitors can induce cellular differentiation, which is impaired in psoriatic skin.

Conclusions:

  • HDAC inhibitors represent a promising new therapeutic class for psoriasis due to their anti-proliferative and anti-inflammatory actions.
  • The application of HDAC inhibitors in psoriasis warrants further investigation and clinical trials.
  • HDAC inhibitors are poised to become important therapeutic agents for non-oncological diseases like psoriasis.

Related Concept Videos

Acne Infection01:27

Acne Infection

Acne is a multifactorial skin condition primarily affecting adolescents and young adults, with a global prevalence estimated to exceed 75% in this demographic. The condition is characterized by the formation of comedones (blackheads and whiteheads), papules, pustules, nodules, and, in severe cases, cysts, particularly in areas rich in sebaceous glands such as the face, neck, chest, and back. The pathogenesis involves increased sebum production, follicular hyperkeratinization, colonization by...
The JAK-STAT Signaling Pathway01:20

The JAK-STAT Signaling Pathway

Several cytokine receptors have tightly bound Janus kinase or JAK proteins attached at their cytosolic tail. Small signaling molecules such as cytokines, growth hormones, or prolactins bind to the cytokine receptors and initiate their dimerization. The dimerization brings the cytosolic JAKs together that trans-phosphorylate and activates each other. The activated JAKs now phosphorylate cytosolic tails of the cytokine receptors, which serve as binding sites for adaptor proteins such as  SH2...
Chromatin Modification in iPS Cells01:32

Chromatin Modification in iPS Cells

Chromatin modification alters gene expression; therefore, scientists can add histone-modifying enzymes, histone variants, and chromatin remodeling complexes to somatic cells to aid reprogramming into pluripotent stem (iPS) cells.
Compact chromatin makes reprogramming difficult. Enzymes, such as histone demethylases and acetyltransferases, are often added during reprogramming to loosen the chromatin, making the DNA more accessible to transcription factors. Molecules that inhibit histone...
Treatment for Pulmonary Arterial Hypertension: Phosphodiesterase Inhibitors01:28

Treatment for Pulmonary Arterial Hypertension: Phosphodiesterase Inhibitors

Phosphodiesterase 5 (PDE5) inhibitors are potent enzymes that function to hydrolyze cyclic nucleotides to their corresponding 5' monophosphates. Their unique biochemical properties have been applied in treating Pulmonary Arterial Hypertension (PAH).
Among the PDE5 inhibitors, sildenafil (Revatio) stands out as a competitive and selective inhibitor. It operates by elevating cellular levels of cGMP and augmenting signaling through the cGMP-PKG pathway, promoting vasodilation. Upon oral...
Drugs for Treatment of Crohn's Disease in IBD Using Immunomodulatory Agents01:29

Drugs for Treatment of Crohn's Disease in IBD Using Immunomodulatory Agents

Crohn's disease is an inflammatory bowel disorder marked by chronic inflammation of the GI tract. Various treatment strategies for Crohn's disease are employed, such as immunomodulatory agents, glucocorticoids, and biologics or anti-TNF therapy. Azathioprine (Imuran), a commonly used immunomodulatory drug for Crohn's disease, is converted in the body to mercaptopurine, which inhibits purine biosynthesis and cell proliferation. Both are utilized in severe cases of Inflammatory Bowel Disease...
Antiasthma Drugs: Leukotriene Modifiers01:19

Antiasthma Drugs: Leukotriene Modifiers

Leukotriene modifiers, or cysteinyl leukotriene receptor antagonists, are medications used to manage chronic asthma. These agents target specific inflammatory mediators produced during arachidonic acid metabolism, an essential process in generating inflammation in the body.
Leukotriene modifiers work through two distinct mechanisms: