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The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis
Published on: July 11, 2013
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Targeting the IL-17 Receptor Using Liposomal Spherical Nucleic Acids as Topical Therapy for Psoriasis
Haoming Liu1, Richard S Kang2, Katherine Bagnowski1
1Departments of Dermatology and Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
The Journal of Investigative Dermatology
|August 18, 2019
Summary
Topical liposomal spherical nucleic acids (L-SNAs) targeting the IL-17 receptor gene effectively treat psoriasis-like skin conditions in mice. This novel gene-regulating nanoconstruct offers a promising new topical therapy for psoriasis.
Area of Science:
- Dermatology
- Nanotechnology
- Molecular Biology
Background:
- T helper 17 (Th17) signaling is crucial in psoriasis development.
- Systemic IL-17 inhibitors are effective but have limitations.
- Novel topical delivery systems are needed for targeted gene regulation in skin.
Purpose of the Study:
- To develop and evaluate topical gene-regulating nanoconstructs (L-SNAs) for psoriasis treatment.
- To assess the efficacy of L-SNAs targeting the IL-17 receptor in preclinical models.
- To investigate the potential of topical IL-17 receptor suppression as a psoriasis therapy.
Main Methods:
- Generation of liposomal spherical nucleic acids (L-SNAs) carrying antisense DNA.
- Topical application of L-SNAs targeting the mouse Il17ra gene in imiquimod-induced psoriasis-like mouse model.
- Evaluation of clinical, histological, and transcriptional changes, including gene and protein expression.
- Testing of human IL17RA L-SNAs in 3D skin cultures and human explants.
Main Results:
- Topical Il17ra L-SNAs significantly reversed psoriasis development in mice, reducing modified PASI by 74% and epidermal thickness by 56%.
- L-SNAs decreased Il17ra protein by 75% and key psoriasis marker gene expression.
- Human IL17RA L-SNAs effectively knocked down IL17RA mRNA in 3D cultures and explants, and reduced IL-17-induced genes in psoriatic skin rafts.
Conclusions:
- Targeted topical suppression of IL-17 receptor A (IL17RA) using L-SNAs is a viable therapeutic strategy for psoriasis.
- L-SNAs demonstrate efficient skin penetration and gene knockdown capabilities.
- This approach represents a promising advancement in topical psoriasis treatment.
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