The invention relates to the field of pharmaceutical technology for treating skin diseases, in particular, to an use/application of an agent in preparation of a medicine for treating/inhibiting (i.e., treating or inhibiting) psoriasis.
Psoriasis, also known as psora, is a common, chronic, and recurrent autoimmune skin disease. The appearances of scaly erythema and plaques in the affected area due to keratinocyte hyperproliferation are the main clinical manifestations of psoriasis. The course of the disease is long, and in some cases, psoriasis would never heal for almost a lifetime of a patient. This disease, commonly occurred in young and middle-aged people, has a relatively great impact on the physical health and mental status of patients. Current studies have shown that cytokine IL17A/F is an important effector in psoriasis. Biological agents targeting IL17A/F have a good therapeutic effect on psoriasis in clinical. However, relevant biological agents are expensive and need to be used continuously in the later period, the cost of treatment is high, and psoriasis cannot be eradicated. The affected area of patients with psoriasis is mainly the skin, and the level of IL17A/F in the circulatory system is not strongly correlated with the disease. Therefore, finding the source of IL17A/F in patients with psoriasis and finding the key factors that target the pathway of IL17A/F are of great significance for the effective treatment of patients with psoriasis.
In view of this, the purpose of the invention is to provide the use of an agent in the preparation of a medicine for treating/inhibiting psoriasis. By research on psoriasis pathogenesis, the present inventors have identified the dsDNA-AIM2-Caspase1-IL1b signaling pathway in psoriasis which causes the occurrence or exacerbation of psoriasis. The invention achieves the purpose of treating or inhibiting psoriasis by inhibiting or enhancing various relevant signals in this signaling pathway.
The agent is at least one selected from the following: (1) interleukin 1b (shorted as IL 1b, IL-1b, IL-1B, or IL 1B) antagonists and biological activity inhibitors or functional analogues thereof; (2) dsDNA antagonists and biological activity inhibitors or functional analogues thereof or dsDNA (i.e., double-stranded deoxyribonucleic acid) degrading agents; (3) AIM2 (i.e., absent-in-melanoma-2, or Aim2) antagonists and biological activity inhibitors or functional analogues thereof; (4) caspase1 antagonists and biological activity inhibitors or functional analogues thereof; (5) interleukin 1b expression inhibitors, dsDNA production inhibitors, AIM2 expression inhibitors or caspase1 expression inhibitors; (6) AIM2 polymerization inhibitors or dsDNA binding agents or functional analogues thereof; (7) Aim2 gene DNA methylation promoting agents; (8) interleukin 1r1 binding agents or interleukin 1r2 binding agents; (9) interleukin 1ra expression promoting agents; (10) interleukin 17a expression promoting agents or interleukin 17f expression promoting agents.
Further, the agent is selected from IL-1β monoclonal antibodies.
Further, the dosage form of the medicine for treating/inhibiting psoriasis is a dressing, an oral medicament, a subcutaneous injection, or an intravenous injection.
Further, the invention also provides the use of an agent in the preparation of inhibitors for inhibiting the IL17 secretion by γδ T cells. The IL17 secretion activity of γδ T cells is particularly strong in the epidermis and dermis of patients with psoriasis. Therefore, IL17 secretion by γδ T cells can also be inhibited through the inhibition of the dsDNA-AIM2-Caspase1-IL1b signaling pathway.
The agent is at least one selected from the following: (1) interleukin 1b antagonists and biological activity inhibitors or functional analogues thereof; (2) dsDNA antagonists and biological activity inhibitors or functional analogues thereof or dsDNA degrading agents; (3) AIM2 antagonists and biological activity inhibitors or functional analogues thereof; (4) caspase1 antagonists and biological activity inhibitors or functional analogues thereof; (5) interleukin 1b expression inhibitors, dsDNA production inhibitors, AIM2 expression inhibitors or caspase1 expression inhibitors; (6) AIM2 polymerization inhibitors or dsDNA binding agents or functional analogues thereof; (7) Aim2 gene DNA methylation promoting agents; (8) interleukin 1r1 binding agents or interleukin 1r2 binding agents; (9) interleukin 1ra expression promoting agents; (10) interleukin 17a expression promoting agents or interleukin 17f expression promoting agents.
Further, the purpose of the invention is to provide the use of an agent in the preparation of a medicine for inhibiting the spread of skin tissue lesions. The dsDNA-AIM2-Caspase1-IL1b signaling pathway is also intensely expressed in the activity of skin tissue lesions in vitro.
The agent is at least one selected from the following: (1) interleukin 1b antagonists and biological activity inhibitors or functional analogues thereof; (2) dsDNA antagonists and biological activity inhibitors or functional analogues thereof or dsDNA degrading agents; (3) AIM2 antagonists and biological activity inhibitors or functional analogues thereof; (4) caspase1 antagonists and biological activity inhibitors or functional analogues thereof; (5) interleukin 1b expression inhibitors, dsDNA production inhibitors, AIM2 expression inhibitors or caspase1 expression inhibitors; (6) AIM2 polymerization inhibitors or dsDNA binding agents or functional analogues thereof; (7) Aim2 gene DNA methylation promoting agents; (8) interleukin 1r1 binding agents or interleukin 1r2 binding agents; (9) interleukin 1ra expression promoting agents; (10) interleukin 17a expression promoting agents or interleukin 17f expression promoting agents.
Further, the purpose of the invention is to provide the use of an agent in the preparation of an inhibitor for keratinocyte proliferation in skin tissue, and the agent is at least one selected from the following: (1) interleukin 1b antagonists and biological activity inhibitors or functional analogues thereof; (2) dsDNA antagonists and biological activity inhibitors or functional analogues thereof or dsDNA degrading agents; (3) AIM2 antagonists and biological activity inhibitors or functional analogues thereof; (4) caspase1 antagonists and biological activity inhibitors or functional analogues thereof; (5) interleukin 1b expression inhibitors, dsDNA production inhibitors, AIM2 expression inhibitors or caspase1 expression inhibitors; (6) AIM2 polymerization inhibitors or dsDNA binding agents or functional analogues thereof; (7) Aim2 gene DNA methylation promoting agents; (8) interleukin 1r1 binding agents or interleukin 1r2 binding agents; (9) interleukin 1ra expression promoting agents; (10) interleukin 17a expression promoting agents or interleukin 17f expression promoting agents.
Further, the purpose of the invention is to provide the use of an agent in the preparation of an inhibitor for AIM2 inflammasome response, and the agent is at least one selected from the following: (1) interleukin 1b antagonists and biological activity inhibitors or functional analogues thereof; (2) dsDNA antagonists and biological activity inhibitors or functional analogues thereof or dsDNA degrading agents; (3) AIM2 antagonists and biological activity inhibitors or functional analogues thereof; (4) caspase1 antagonists and biological activity inhibitors or functional analogues thereof; (5) interleukin 1b expression inhibitors, dsDNA production inhibitors, AIM2 expression inhibitors or caspase1 expression inhibitors; (6) AIM2 polymerization inhibitors or dsDNA binding agents or functional analogues thereof; (7) Aim2 gene DNA methylation promoting agents; (8) interleukin 1r1 binding agents or interleukin 1r2 binding agents; (9) interleukin 1ra expression promoting agents; (10) interleukin 17a expression promoting agents or interleukin 17f expression promoting agents.
Further, the purpose of the invention is to provide a method for inhibiting IL17 secretion by γδ T cells in vitro. The method comprises knocking out AIM2-expressing gene and/or IL1b-expressing gene and/or receptor IL1r-expressing in cells ex vivo. The method for knockout can use existing gene editing technology.
Further, the purpose of the invention is to provide a method for inhibiting AIM2 inflammasome response in vitro, wherein the method comprises using at least one of the following agents for interference: (1) interleukin 1b antagonists and biological activity inhibitors or functional analogues thereof; (2) dsDNA antagonists and biological activity inhibitors or functional analogues thereof or dsDNA degrading agents; (3) AIM2 antagonists and biological activity inhibitors or functional analogues thereof; (4) caspase1 antagonists and biological activity inhibitors or functional analogues thereof; (5) interleukin 1b expression inhibitors, dsDNA production inhibitors, AIM2 expression inhibitors or caspase1 expression inhibitors; (6) AIM2 polymerization inhibitors or dsDNA binding agents or functional analogues thereof; (7) Aim2 gene DNA methylation promoting agents; (8) interleukin 1r1 binding agents or interleukin 1r2 binding agents; (9) interleukin 1ra expression promoting agents; (10) interleukin 17a expression promoting agents or interleukin 17f expression promoting agents.
Further, the purpose of the invention is to provide a method for inhibiting keratinocyte proliferation in skin tissue in vitro. The method comprises using at least one of the following agents for interference: (1) interleukin 1b antagonists and biological activity inhibitors or functional analogues thereof; (2) dsDNA antagonists and biological activity inhibitors or functional analogues thereof or dsDNA degrading agents; (3) AIM2 antagonists and biological activity inhibitors or functional analogues thereof; (4) caspase1 antagonists and biological activity inhibitors or functional analogues thereof; (5) interleukin 1b expression inhibitors, dsDNA production inhibitors, AIM2 expression inhibitors or caspase1 expression inhibitors; (6) AIM2 polymerization inhibitors or dsDNA binding agents or functional analogues thereof; (7) Aim2 gene DNA methylation promoting agents; (8) interleukin 1r1 binding agents or interleukin 1r2 binding agents; (9) interleukin 1ra expression promoting agents; (10) interleukin 17a expression promoting agents or interleukin 17f expression promoting agents.
In the invention, the term “comprise” is an open expression, that is, includes the content specified in the invention, but does not exclude other aspects.
In the invention, the term “functional analogue” refers to substances with similar functions, and their structures are not limited to the same, as long as they have the same or similar functions.
In the invention, the term “agonist” refers to a substance or drug that binds to the receptor of a certain biologically active substance and exhibits the effect of the active substance.
In the invention, the term “antagonist” refers to a class of substances that can bind to a receptor but do not have intrinsic activity. Antagonists are divided into competitive antagonists and non-competitive antagonists.
In the invention, the term “expression promoting agent” refers to a substance that can promote the expression of a certain protein or factor.
In the invention, the term “expression inhibitor” refers to a substance that can inhibit the expression of a certain protein or factor.
In the invention, the term “production inhibitor” refers to a substance that can inhibit the production of a certain substance.
In the invention, the term “biological activity inhibitor” refers to a substance capable of inhibiting the biological activity of a certain substance.
The agent provided by the invention can be used in the preparation of a medicine for treating/inhibiting psoriasis and can effectively inhibit the immune response caused by inflammasomes, thus realizing the therapeutic effect on psoriasis and autoimmune diseases. The agent can also promote the inflammasome response, enhance the body's immune response, and thus play a role in the treatment of immunodeficiency diseases.
The examples given are to better illustrate the invention, but the content of the invention is not limited to the examples given. Therefore, the non-essential improvements and adjustments made by those skilled in the art to the examples based on the above-mentioned content of the invention still belong to the protection scope of the invention.
Our previous research found that the free dsDNA in the circulatory system and skin of a patient with psoriasis increased significantly. In order to detect the effect of this change on the body, this example of the invention tested its downstream receptor AIM2 and effector pathways, and the results are shown in Table 1 below. The RNA-seq results of the inventors and the European population both showed that the dsDNA-AIM2-Caspase1-IL1b pathway was activated.
The protein levels were detected by Western and immunohistochemistry/fluorescence. The results are shown in
The IL1b level in a clinical serum sample was detected, the level of IL1b in the serum of a patient with psoriasis and normal people was compared. The results in
Single-cell sequencing of keratinocytes in the skin lesions of patients with psoriasis was performed. The results in
The nuclear dsDNA in the skin lesions of a patient with psoriasis and normal people was detected. The results are shown in
In order to verify the experimental results of clinical samples, this example of the invention used the classic imquimod-induced psoriasis mouse model (hereinafter referred to as imi mouse) to detect its skin tissue, and the detection is shown in
The number of dsDNA positive cells in the cytoplasm in the skin lesions was found to be significantly increased by the Tunel method (the results are shown in
In the clinical sample detection in Example 4, it was found that the free dsDNA content in the keratinocytes in the skin lesions of a patient with psoriasis was significantly higher than that of the control skin.
dsDNA can activate the dsDNA-Aim2 pathway in keratinocytes. In order to detect the effect of free dsDNA in keratinocytes on cells, this example of the invention used classic lipfectine3000 to package different concentrations of dsDNA, the packaged dsDNA was transferred into the skin keratinocyte cell line HaCaT, and then the signal expression in downstream pathways of dsDNA was detected. The results in
IL17 aggravates keratinocyte pyroptosis and IL1b release induced by dsDNA. IL17 is an important clinically relevant cytokine for psoriasis. The inventors found that the dsDNA-AIM2-IL1B pathway was activated in clinical samples, animal models, and keratinocyte models.
In order to identify the relationship between the AIM2 pathway and IL17, this example of the invention used human and mouse primary keratinocyte lines and HaCaT tool keratinocyte lines stimulated with oligodAT, IL17, a combination of oligodAT and IL17, respectively. The stimulation results are shown in
In this example of the invention, the dsDNA in the isolated exosomes was labeled with DRQ5, and then co-cultured with PBMC. The culture results are shown in
Both apoptosis and necrosis of PBMC release dsDNA. Therefore, this example of the invention used flow cytometry to detect the death of PBMC in normal people and a patient with psoriasis. The results show that the PI-positive cells of PBMC in the patient with psoriasis are significantly higher than those in normal people (as shown in
The dsDNA in exosomes released by endothelial cells stimulated by cytokines TNFα and IL17 was detected. The results are shown in
This example of the invention used expression profile to detect the expression of GSDM family genes in a clinical sample and a psoriasis skin lesion and a normal skin in a mouse model. The results are shown in
In this example of the invention, a dsDNA (in vivo/in vitro administration) aggravation experiment was performed. The results are shown in
In this example of the invention, an IMQ mouse experiment and a dsDNA aggravation experiment after targeted knockout of the Aim2 and IL1b genes of the Aim2 pathway were performed. The results are shown in
dsDNA-AIM2 finally released the cytokine IL-1b to act on the body. Clinical tests also showed that the skin tissue lesions and serum of psoriasis and the results of animal experiments showed that IL-1b was significantly increased in psoriasis. In order to identify whether the cytokine IL-1b alone can cause psoriasis-like response in a mouse, this example of the invention used IL-1b to inject ears of the mouse so as to cause psoriasis-like skin phenotype, spleen enlargement and pathological changes. The results are shown in
Because dsDNA-AIM2 finally released the cytokine IL-1b to act on the body to aggravate psoriasis, if IL-1b played an important role in imiquimoud-induced mouse psoriasis phenotype, the phenotype would be weakened after reduction of IL-1b activity. For this reason, this example of the invention used an IL-1b antibody to neutralize IL-1b biological activity. The experimental results are shown in
In order to verify the important role of the signaling pathway of the cytokine IL1b released after activation of this pathway in the pathogenesis of psoriasis, this example of the invention knocked out the gene of mouse IL1b receptor IL1r, and again imiquimod was used for induction and the phenotype change was observed. The results in
IL17 is an important pathogenic factor for psoriasis. Studies have shown that γδ T cells are an important source of skin IL17, and are the most relevant T cell for psoriasis. This example of the invention was to find the effect of dsDNA-AIM2-IL1b activation in the skin on the IL17 secretion by γδ T cells, and the IL17 secretion by γδ T cells was detected on the psoriasis-induced mouse model and after knockout of genes of AIM2, IL1b and IL1b receptor IL1r, respectively. The results in
Transwell experiment showed that activation of the dsDNA-AIM2-ILIB pathway mainly affected the development of γδT-17. The mouse keratinocytes and immune cells were isolated for co-culture, and oligodAT and IL23 were added exogenously for in vitro stimulation (as shown in
Keratinocytes in skin tissue are the main source of IL1b, and the IL1B receptor system of the keratinocyte system is inhibited during the occurrence of psoriasis, while the IL1B receptor system of the immune cell system is activated.
In Example 16, immunofluorescence co-labeling reveals that IL1b is mainly located in keratinocytes. In order to determine the role of keratinocyte-derived IL1b in the pathogenesis of psoriasis, in this example of the invention, relevant detections were carried out through in vitro experiments, and the results are shown in
Flow cytometry was performed by isolating immune cells from the epidermis and dermis. It was found that γδT-17/RORγT in the epidermis of a patient with psoriasis and a mouse increased significantly (as shown in
In this example of the invention, the dsDNA-AIM2 pathway was found to be significantly associated with psoriasis by means of transcriptome sequencing (as shown in
Subsequently, through bioinformatics prediction and in vitro protein expression polymerization experiment, this example of the invention showed that the mutation of 32AA from an acidic amino acid to a basic amino acid affected the polymerization ability of AIM2 and weakened the active form of the polymer forming dsDNA-AIM2 (as shown in
Finally, it should be noted that the above examples are only used to illustrate the technical solutions of the invention and not to limit them. Although the invention has been described in detail with reference to the preferred examples, those of ordinary skill in the art should understand that the technical solutions of the invention can be modified or equivalently replaced without departing from the purpose and scope of the technical solutions of the invention, and all of them shall be covered by the scope of the claims of the invention.
Number | Date | Country | Kind |
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2021112384337 | Oct 2021 | CN | national |