Overexpression of Glucocorticoid-induced Leucine Zipper (GILZ) increases susceptibility to Imiquimod-induced psoriasis and involves cutaneous activation of TGF-β1

Sci Rep. 2016 Dec 9:6:38825. doi: 10.1038/srep38825.

Abstract

Psoriasis vulgaris is a chronic inflammatory skin disease affecting millions of people. Its pathophysiology is complex and involves a skin compartment with epidermal and immune cells which produce cytokines, e.g. belonging to the IL-23-Th17-cell axis. Glucocorticoids (GCs) are the most common therapeutics used in cutaneous inflammatory disorders and GC-induced leucine zipper (GILZ) has emerged as a mediator of GCs due to its anti-inflammatory actions, theoretically lacking GC side-effects. We evaluated whether GILZ may provide a better therapeutic index in comparison to GCs during the onset and progression of psoriasis by generating and characterizing a mouse model with generalized overexpression of this protein (GILZ-Tg mice) and the imiquimod (IMQ) psoriasis model. Unexpectedly, in GILZ-Tg mice, the severity of IMQ-induced psoriasis-like skin lesions as well as induction of cytokines commonly up-regulated in human psoriasis (Il-17, Il-22, Il-23, Il-6, S100a8/a9, and Stat3) was significantly more pronounced relative to GILZ-Wt mice. The increased susceptibility to IMQ-induced psoriasis of GILZ-Tg mice was significantly associated with skin-specific over-activation of TGF-β1-mediated signaling via SMAD2/3. Our findings demonstrate that GILZ may behave as pro-inflammatory protein in certain tissues and that, similar to prolonged GC therapy, GILZ as an alternative treatment for psoriasis may also have adverse effects.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aminoquinolines / toxicity*
  • Animals
  • Calgranulin A / biosynthesis
  • Calgranulin A / genetics
  • Cytokines / biosynthesis
  • Cytokines / genetics
  • Dendritic Cells / metabolism
  • Gene Expression Regulation / drug effects
  • Gene Knock-In Techniques
  • Imiquimod
  • Keratinocytes / metabolism
  • Mice
  • Mice, Inbred C57BL
  • Mice, Inbred DBA
  • Mice, Transgenic
  • Neutrophils / metabolism
  • Psoriasis / chemically induced*
  • Psoriasis / metabolism
  • Recombinant Proteins / metabolism
  • Signal Transduction
  • Skin / metabolism
  • Smad2 Protein / metabolism
  • Smad3 Protein / metabolism
  • Specific Pathogen-Free Organisms
  • T-Lymphocytes / metabolism
  • Transcription Factors / biosynthesis
  • Transcription Factors / genetics
  • Transcription Factors / physiology*
  • Transforming Growth Factor beta1 / physiology*

Substances

  • Aminoquinolines
  • Calgranulin A
  • Cytokines
  • Dsip1 protein, mouse
  • Recombinant Proteins
  • S100a8 protein, mouse
  • Smad2 Protein
  • Smad2 protein, mouse
  • Smad3 Protein
  • Smad3 protein, mouse
  • Transcription Factors
  • Transforming Growth Factor beta1
  • Imiquimod