Niclosamide Prevents Systemic Sclerosis in a Reactive Oxygen Species-Induced Mouse Model

Florence Morin1,2, Niloufar Kavian1,2, Carole Nicco1

  • 1Institut Cochin, INSERM U1016, CNRS, UMR8104, Université Paris Descartes, Université Sorbonne Paris Cité, 75014 Paris, France; and.

Insights

Niclosamide, an antihelminthic drug, effectively reversed skin and lung fibrosis in a mouse model of Systemic Sclerosis (SSc). It also improved immune responses, suggesting potential for SSc patient treatment.

Area of Science:

  • Immunology
  • Rheumatology
  • Pharmacology

Background:

  • Systemic sclerosis (SSc) is a fibrotic connective tissue disease with vasculopathy and immune abnormalities.
  • STAT3, AKT, and Wnt/β-catenin pathways are implicated in SSc fibrosis.
  • A mouse model of ROS-induced SSc was established using hypochlorous acid (HOCl).

Purpose of the Study:

  • To investigate the therapeutic effects of niclosamide in a mouse model of Systemic Sclerosis.
  • To assess niclosamide's impact on fibrosis and immunological features in SSc.
  • To evaluate the role of STAT3, AKT, and Wnt/β-catenin pathways in SSc pathogenesis and niclosamide's inhibitory effects.

Main Methods:

  • BALB/c mice were induced with SSc using daily hypochlorous acid (HOCl) injections.
  • Mice were treated with niclosamide every other day for 6 weeks.
  • Skin and lung fibrosis, immunological markers, and specific signaling pathways were analyzed.

Main Results:

  • HOCl-induced SSc mice exhibited skin/lung fibrosis, autoantibodies, and hyperactivated STAT3, AKT, and Wnt/β-catenin pathways.
  • Niclosamide treatment significantly reversed skin and lung fibrosis.
  • Niclosamide reduced T cell activation, B cell activation, and IL-4/IL-13 production, indicating beneficial immunological effects.

Conclusions:

  • Niclosamide demonstrates significant therapeutic potential in ameliorating fibrosis and immune dysregulation in an SSc mouse model.
  • The drug's inhibitory effects on STAT3, AKT, and Wnt/β-catenin pathways contribute to its beneficial actions in SSc.
  • Given its safety profile, niclosamide warrants clinical evaluation for managing Systemic Sclerosis patients.

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