Repurposing the anthelmintic praziquantel to treat psoriasis

Background and Purpose The anthelmintic drug praziquantel has been used as a standard treatment for schistosomiasis for over 40 years. This study aimed to repurpose praziquantel to treat psoriasis. Experimental Approach Psoriasis‐like skin inflammation was induced in mice (C57 and Balb/C) by topical...

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Veröffentlicht in:British journal of pharmacology 2021-12, Vol.178 (23), p.4726-4740
Hauptverfasser: Hao, Lihua, Mao, Yuancheng, Park, Jin, Bae, Eun Ju, Park, Byung‐Hyun
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container_end_page 4740
container_issue 23
container_start_page 4726
container_title British journal of pharmacology
container_volume 178
creator Hao, Lihua
Mao, Yuancheng
Park, Jin
Bae, Eun Ju
Park, Byung‐Hyun
description Background and Purpose The anthelmintic drug praziquantel has been used as a standard treatment for schistosomiasis for over 40 years. This study aimed to repurpose praziquantel to treat psoriasis. Experimental Approach Psoriasis‐like skin inflammation was induced in mice (C57 and Balb/C) by topical application of imiquimod or intradermal injection of recombinant IL‐23. Praziquantel was either orally or topically administered during the psoriasis induction period. Key Results Mice treated with either oral or topical praziquantel exhibited markedly improved psoriasiform skin symptoms when compared with control mice, as judged by disease severity score, epidermal thickening, inflammatory cell infiltration and spleen size. Flow cytometric analysis of infiltrating immune cells from mouse skin displayed reduced infiltration of Th17 cells. In vitro experiments revealed that praziquantel inhibited STAT3 phosphorylation and RORγt expression in splenic CD4+ T‐cells. Praziquantel also decreased STAT3 phosphorylation in HEK‐A/F cells. Down‐regulation of STAT3 phosphorylation in these cells accounts for the decreased number of Th17 cells and keratinocytes. Conclusion and Implications These results provide the first preclinical evidence that praziquantel may effectively treat psoriasis, and suggest that praziquantel alleviates symptoms in mice by inhibiting STAT3 phosphorylation, thereby suppressing Th17 immune responses. ▪▪
doi_str_mv 10.1111/bph.15652
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This study aimed to repurpose praziquantel to treat psoriasis. Experimental Approach Psoriasis‐like skin inflammation was induced in mice (C57 and Balb/C) by topical application of imiquimod or intradermal injection of recombinant IL‐23. Praziquantel was either orally or topically administered during the psoriasis induction period. Key Results Mice treated with either oral or topical praziquantel exhibited markedly improved psoriasiform skin symptoms when compared with control mice, as judged by disease severity score, epidermal thickening, inflammatory cell infiltration and spleen size. Flow cytometric analysis of infiltrating immune cells from mouse skin displayed reduced infiltration of Th17 cells. In vitro experiments revealed that praziquantel inhibited STAT3 phosphorylation and RORγt expression in splenic CD4+ T‐cells. Praziquantel also decreased STAT3 phosphorylation in HEK‐A/F cells. Down‐regulation of STAT3 phosphorylation in these cells accounts for the decreased number of Th17 cells and keratinocytes. Conclusion and Implications These results provide the first preclinical evidence that praziquantel may effectively treat psoriasis, and suggest that praziquantel alleviates symptoms in mice by inhibiting STAT3 phosphorylation, thereby suppressing Th17 immune responses. ▪▪</description><identifier>ISSN: 0007-1188</identifier><identifier>EISSN: 1476-5381</identifier><identifier>DOI: 10.1111/bph.15652</identifier><identifier>PMID: 34363611</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Animals ; Anthelmintic agents ; Anthelmintics - adverse effects ; Antiviral drugs ; CD4 antigen ; Cell size ; Disease Models, Animal ; Drug Repositioning ; Flow cytometry ; Helper cells ; IL‐23 ; Imiquimod ; Immune response ; Infiltration ; Inflammation ; Keratinocytes ; Lymphocytes T ; Mice ; Mice, Inbred BALB C ; Phosphorylation ; Praziquantel ; Praziquantel - pharmacology ; Praziquantel - therapeutic use ; Psoriasis ; Psoriasis - drug therapy ; Psoriasis - metabolism ; Schistosomiasis ; Skin - metabolism ; Spleen ; STAT3 ; Stat3 protein ; Th17 cell ; Th17 Cells ; Topical application</subject><ispartof>British journal of pharmacology, 2021-12, Vol.178 (23), p.4726-4740</ispartof><rights>2021 The British Pharmacological Society</rights><rights>2021 The British Pharmacological Society.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3882-bb81ac2013cc45ae47822ce59faec10c855d81e876dcf70e17ebc8ae1ae1c30e3</citedby><cites>FETCH-LOGICAL-c3882-bb81ac2013cc45ae47822ce59faec10c855d81e876dcf70e17ebc8ae1ae1c30e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fbph.15652$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fbph.15652$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,1433,27924,27925,45574,45575,46409,46833</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34363611$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hao, Lihua</creatorcontrib><creatorcontrib>Mao, Yuancheng</creatorcontrib><creatorcontrib>Park, Jin</creatorcontrib><creatorcontrib>Bae, Eun Ju</creatorcontrib><creatorcontrib>Park, Byung‐Hyun</creatorcontrib><title>Repurposing the anthelmintic praziquantel to treat psoriasis</title><title>British journal of pharmacology</title><addtitle>Br J Pharmacol</addtitle><description>Background and Purpose The anthelmintic drug praziquantel has been used as a standard treatment for schistosomiasis for over 40 years. This study aimed to repurpose praziquantel to treat psoriasis. Experimental Approach Psoriasis‐like skin inflammation was induced in mice (C57 and Balb/C) by topical application of imiquimod or intradermal injection of recombinant IL‐23. Praziquantel was either orally or topically administered during the psoriasis induction period. Key Results Mice treated with either oral or topical praziquantel exhibited markedly improved psoriasiform skin symptoms when compared with control mice, as judged by disease severity score, epidermal thickening, inflammatory cell infiltration and spleen size. Flow cytometric analysis of infiltrating immune cells from mouse skin displayed reduced infiltration of Th17 cells. In vitro experiments revealed that praziquantel inhibited STAT3 phosphorylation and RORγt expression in splenic CD4+ T‐cells. Praziquantel also decreased STAT3 phosphorylation in HEK‐A/F cells. Down‐regulation of STAT3 phosphorylation in these cells accounts for the decreased number of Th17 cells and keratinocytes. 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Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of pharmacology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hao, Lihua</au><au>Mao, Yuancheng</au><au>Park, Jin</au><au>Bae, Eun Ju</au><au>Park, Byung‐Hyun</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Repurposing the anthelmintic praziquantel to treat psoriasis</atitle><jtitle>British journal of pharmacology</jtitle><addtitle>Br J Pharmacol</addtitle><date>2021-12</date><risdate>2021</risdate><volume>178</volume><issue>23</issue><spage>4726</spage><epage>4740</epage><pages>4726-4740</pages><issn>0007-1188</issn><eissn>1476-5381</eissn><abstract>Background and Purpose The anthelmintic drug praziquantel has been used as a standard treatment for schistosomiasis for over 40 years. This study aimed to repurpose praziquantel to treat psoriasis. Experimental Approach Psoriasis‐like skin inflammation was induced in mice (C57 and Balb/C) by topical application of imiquimod or intradermal injection of recombinant IL‐23. Praziquantel was either orally or topically administered during the psoriasis induction period. Key Results Mice treated with either oral or topical praziquantel exhibited markedly improved psoriasiform skin symptoms when compared with control mice, as judged by disease severity score, epidermal thickening, inflammatory cell infiltration and spleen size. Flow cytometric analysis of infiltrating immune cells from mouse skin displayed reduced infiltration of Th17 cells. In vitro experiments revealed that praziquantel inhibited STAT3 phosphorylation and RORγt expression in splenic CD4+ T‐cells. Praziquantel also decreased STAT3 phosphorylation in HEK‐A/F cells. Down‐regulation of STAT3 phosphorylation in these cells accounts for the decreased number of Th17 cells and keratinocytes. Conclusion and Implications These results provide the first preclinical evidence that praziquantel may effectively treat psoriasis, and suggest that praziquantel alleviates symptoms in mice by inhibiting STAT3 phosphorylation, thereby suppressing Th17 immune responses. ▪▪</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>34363611</pmid><doi>10.1111/bph.15652</doi><tpages>15</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Access via Wiley Online Library; Wiley Online Library (Open Access Collection); Alma/SFX Local Collection
subjects Animals
Anthelmintic agents
Anthelmintics - adverse effects
Antiviral drugs
CD4 antigen
Cell size
Disease Models, Animal
Drug Repositioning
Flow cytometry
Helper cells
IL‐23
Imiquimod
Immune response
Infiltration
Inflammation
Keratinocytes
Lymphocytes T
Mice
Mice, Inbred BALB C
Phosphorylation
Praziquantel
Praziquantel - pharmacology
Praziquantel - therapeutic use
Psoriasis
Psoriasis - drug therapy
Psoriasis - metabolism
Schistosomiasis
Skin - metabolism
Spleen
STAT3
Stat3 protein
Th17 cell
Th17 Cells
Topical application
title Repurposing the anthelmintic praziquantel to treat psoriasis
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