The CDK4/6-EZH2 pathway is a potential therapeutic target for psoriasis
Anne Müller1, Antje Dickmanns2, Claudia Resch1
1Interfaculty Institute for Biochemistry, University of Tübingen, Tübingen, Germany.
The Journal of Clinical Investigation
|July 24, 2020
Summary
Researchers discovered a new inflammatory pathway involving CDK4/6 and EZH2 in psoriasis. Inhibiting this pathway, particularly with topical treatments, shows promise for preventing psoriasis development.
Area of Science:
- Dermatology
- Molecular Biology
- Immunology
Background:
- Psoriasis is a common inflammatory skin condition.
- It involves keratinocyte hyperproliferation and immune cell infiltration.
- Current therapies aim to manage symptoms but novel targets are needed.
Purpose of the Study:
- To identify and characterize a novel proinflammatory signaling pathway in psoriasis.
- To evaluate the therapeutic potential of targeting this pathway.
- To investigate the role of CDK4/6, EZH2, STAT3, and IκBζ in psoriasis pathogenesis.
Main Methods:
- Pathway analysis in keratinocytes.
- Pharmacological and genetic inhibition of CDK4/6 and EZH2.
- Topical drug application in mouse models of psoriasis.
- Analysis of human and mouse psoriatic skin lesions.
Main Results:
- A novel pathway involving CDK4/6-mediated phosphorylation of EZH2, leading to STAT3 activation and IκBζ induction, was identified.
- Inhibition of CDK4/6 or EZH2 suppressed psoriasis-related gene expression by blocking IκBζ.
- Topical inhibitors of CDK4/6 or EZH2 prevented psoriasis development in mouse models.
- The CDK4/6-EZH2 pathway was hyperactivated in human and mouse psoriatic lesions.
Conclusions:
- The CDK4/6-EZH2-STAT3-IκBζ pathway is a key driver of inflammation in psoriasis.
- Targeting this pathway with CDK4/6 or EZH2 inhibitors offers a potential new therapeutic strategy.
- Repurposing existing inhibitors for topical psoriasis treatment is a promising avenue.
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