IL-12 protects from psoriasiform skin inflammation

Nat Commun. 2016 Nov 28:7:13466. doi: 10.1038/ncomms13466.

Abstract

Neutralization of the common p40-subunit of IL-12/23 in psoriasis patients has led to a breakthrough in the management of moderate to severe disease. Aside from neutralizing IL-23, which is thought to be responsible for the curative effect, anti-p40 therapy also interferes with IL-12 signalling and type 1 immunity. Here we dissect the individual contribution of these two cytokines to the formation of psoriatic lesions and understand the effect of therapeutic co-targeting of IL-12 and IL-23 in psoriasis. Using a preclinical model for psoriatic plaque formation we show that IL-12, in contrast to IL-23, has a regulatory function by restraining the invasion of an IL-17-committed γδT (γδT17) cell subset. We discover that IL-12 receptor signalling in keratinocytes initiates a protective transcriptional programme that limits skin inflammation, suggesting that collateral targeting of IL-12 by anti-p40 monoclonal antibodies is counterproductive in the therapy of psoriasis.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aminoquinolines / pharmacology
  • Aminoquinolines / therapeutic use
  • Animals
  • Female
  • Humans
  • Imiquimod
  • Inflammation / complications
  • Inflammation / drug therapy
  • Inflammation / pathology
  • Inflammation / prevention & control*
  • Interleukin-12 / metabolism*
  • Interleukin-23 / metabolism
  • Keratinocytes / drug effects
  • Keratinocytes / metabolism
  • Keratinocytes / pathology
  • Mice, Inbred C57BL
  • Psoriasis / complications
  • Psoriasis / drug therapy
  • Psoriasis / pathology
  • Psoriasis / prevention & control*
  • Receptors, Antigen, T-Cell, gamma-delta / metabolism
  • Skin / drug effects
  • Skin / pathology*

Substances

  • Aminoquinolines
  • Interleukin-23
  • Receptors, Antigen, T-Cell, gamma-delta
  • Interleukin-12
  • Imiquimod