Role of IL-23 in the pathogenesis of psoriasis: a novel potential therapeutic target?

Expert Opin Ther Targets. 2014 May;18(5):513-25. doi: 10.1517/14728222.2014.889686. Epub 2014 Feb 25.

Abstract

Introduction: Psoriasis is a chronic inflammatory skin disorder determined by the activation of several immune cells and resident tissue cells. Various cytokines mediate inflammatory signals, including IL-23, which is an important factor involved in the differentiation of T helper (Th17) cells.

Areas covered: Increasing evidence suggests that IL-23 is a central cytokine to the pathogenesis of psoriasis. An overview on both experimental and human data will be reported in order to support the hypothesis of a key pathogenic role of IL-23/Th17 axis.

Expert opinion: Targeting IL-23 might be a more selective, valid and effective therapeutic approach, which, potentially, may show important advantages in terms of long-term efficacy and safety in the treatment of psoriasis.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Antibodies, Monoclonal / therapeutic use*
  • Antigen-Presenting Cells / metabolism
  • Bacterial Infections / immunology
  • Cell Differentiation
  • Clinical Trials as Topic
  • Cytokines / physiology
  • Drug Evaluation, Preclinical
  • Genetic Predisposition to Disease
  • Humans
  • Interleukin-12 Subunit p40 / antagonists & inhibitors
  • Interleukin-12 Subunit p40 / genetics
  • Interleukin-23 / antagonists & inhibitors
  • Interleukin-23 / genetics
  • Interleukin-23 / physiology*
  • Interleukin-23 Subunit p19 / antagonists & inhibitors
  • Interleukin-23 Subunit p19 / genetics
  • Interleukin-23 Subunit p19 / physiology
  • Keratinocytes / metabolism
  • Mice
  • Mice, Knockout
  • Molecular Targeted Therapy*
  • Psoriasis / genetics
  • Psoriasis / immunology
  • Psoriasis / physiopathology*
  • Receptors, Interleukin / antagonists & inhibitors
  • Receptors, Interleukin / physiology
  • Signal Transduction
  • T-Lymphocyte Subsets / immunology
  • Th17 Cells / immunology

Substances

  • Antibodies, Monoclonal
  • Cytokines
  • IL23R protein, human
  • Interleukin-12 Subunit p40
  • Interleukin-23
  • Interleukin-23 Subunit p19
  • Receptors, Interleukin