The CDK4/6-EZH2 pathway is a potential therapeutic target for psoriasis

Psoriasis is a frequent, inflammatory skin disease characterized by keratinocyte hyperproliferation and a disease-related infiltration of immune cells. Here, we identified a novel proinflammatory signaling pathway driven by cyclin-dependent kinase 4 (CDK4) and CDK6 and the methyltransferase EZH2 as...

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Main Authors: Müller, Anne (Author) , Dickmanns, Antje (Author) , Resch, Claudia (Author) , Schäkel, Knut (Author) , Hailfinger, Stephan (Author) , Dobbelstein, Matthias (Author) , Schulze-Osthoff, Klaus (Author) , Kramer, Daniela (Author)
Format: Article (Journal)
Language:English
Published: July 23, 2020
In: The journal of clinical investigation
Year: 2020, Volume: 130, Issue: 11, Pages: 5765-5781
ISSN:1558-8238
DOI:10.1172/JCI134217
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1172/JCI134217
Verlag, lizenzpflichtig, Volltext: https://www.jci.org/articles/view/134217
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Author Notes:Anne Müller, Antje Dickmanns, Claudia Resch, Knut Schäkel, Stephan Hailfinger, Matthias Dobbelstein, Klaus Schulze-Osthoff, and Daniela Kramer
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Summary:Psoriasis is a frequent, inflammatory skin disease characterized by keratinocyte hyperproliferation and a disease-related infiltration of immune cells. Here, we identified a novel proinflammatory signaling pathway driven by cyclin-dependent kinase 4 (CDK4) and CDK6 and the methyltransferase EZH2 as a valid target for psoriasis therapy. Delineation of the pathway revealed that CDK4/6 phosphorylated EZH2 in keratinocytes, thereby triggering a methylation-induced activation of STAT3. Subsequently, active STAT3 resulted in the induction of IκBζ, which is a key proinflammatory transcription factor required for cytokine synthesis in psoriasis. Pharmacological or genetic inhibition of CDK4/6 or EZH2 abrogated psoriasis-related proinflammatory gene expression by suppressing IκBζ induction in keratinocytes. Importantly, topical application of CDK4/6 or EZH2 inhibitors on the skin was sufficient to fully prevent the development of psoriasis in various mouse models by suppressing STAT3-mediated IκBζ expression. Moreover, we found a hyperactivation of the CDK4/6-EZH2 pathway in human and mouse psoriatic skin lesions. Thus, this study not only identifies a novel psoriasis-relevant proinflammatory pathway, but also proposes the repurposing of CDK4/6 or EZH2 inhibitors as a new therapeutic option for patients with psoriasis.
Item Description:Gesehen am 03.05.2021
Physical Description:Online Resource
ISSN:1558-8238
DOI:10.1172/JCI134217