新型口服CCR6拮抗剂IDOR-1117-2520在临床前皮肤皮炎模型中的疗效

IF 6.8 2区 医学 Q1 PHARMACOLOGY & PHARMACY
Paulina Kulig, Pijus Brazauskas, Madeleine Suffiotti, Emilie Raoult, Ulrike Babilonski, Bérengère Renault, Ursula Grieder, Enrico Vezzali, Peter Blattmann, Marianne M Martinic, Mark J Murphy
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引用次数: 0

摘要

背景和目的:趋化因子受体CCR6通过趋化因子CCL20引导与牛皮癣等自身免疫性疾病相关的致病性T17细胞到达炎症部位。因此,药物抑制CCR6+免疫细胞迁移提供了一种新的治疗途径。这种干预的可译性尚未得到详细评估。我们评估了Aldara®小鼠模型诱导的皮肤炎症对牛皮癣的可翻译性,特别关注免疫细胞运输,并评估了IDOR-1117-2520(一种高选择性、有效且可口服的CCR6小抑制剂)的疗效。实验方法:使用流式细胞术、RNA测序和基于转录组的细胞类型反卷积方法研究IDOR-1117-2520在Aldara®和il - 23皮肤炎症小鼠模型中的作用,以表征免疫细胞迁移模式。这些结果与人类牛皮癣转录组学数据进行了比较。关键结果:IDOR-1117-2520剂量依赖性地减少CCR6+免疫细胞对炎症皮肤的浸润,并且在皮肤炎症模型中与IL-17和IL-23抑制同样有效。通路分析显示,人类牛皮癣和Aldara®小鼠模型之间的免疫反应分子相似。IL-17/IL-23通路基因在人银屑病和小鼠模型中均有表达。CCR6抑制调节了除近端IL-17/IL-23途径外与炎症相关的多种途径。趋化因子-趋化因子受体相互作用图谱表明,CCL20-CCR6在募集模型和人类牛皮癣致病性T17细胞中起主导作用。结论和意义:IDOR-1117-2520可能为治疗牛皮癣以及其他涉及CCR6/CCL20轴和IL-17/IL-23途径的自身免疫性疾病提供一种有前景的新型靶向方法。IDOR-1117-2520目前正在临床1期试验中进行评估(ISRCTN28892128)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Efficacy of IDOR-1117-2520, a novel, orally available CCR6 antagonist in preclinical models of skin dermatitis.

Background and purpose: The chemokine receptor CCR6 guides pathogenic T17 cells, implicated in autoimmune diseases including psoriasis, to sites of inflammation via the chemokine CCL20. Therefor, pharmacological inhibition of CCR6+ immune cell migration provides a novel therapeutic approach. Translatability of such an intervention has not yet been assessed in detail. We evaluated the translatability of the Aldara® mouse model induced skin inflammation to psoriasis, with particular focus on immune cell trafficking and assessed the efficacy of IDOR-1117-2520, a highly selective, potent and orally available CCR6 small inhibitor.

Experimental approach: Effects of IDOR-1117-2520 were investigated in the Aldara® and IL23 mouse models of skin inflammation using flow cytometry, RNA sequencing and transcriptome-based cell type deconvolution approaches to characterise immune cell migration patterns. These results were compared to human psoriasis transcriptomics data.

Key results: IDOR-1117-2520 dose dependently reduced infiltration of CCR6+ immune cells into inflamed skin, and was equally efficacious as IL-17 and IL-23 inhibition in models of skin inflammation. Pathway analysis showed molecular similarities in the immune response between human psoriasis and the Aldara® mouse model. IL-17/IL-23 pathway genes were expressed in both human psoriasis and the mouse model. CCR6 inhibition modulated multiple pathways associated with inflammation beyond the proximal IL-17/IL-23 pathway. A chemokine-chemokine receptor interaction map implicated CCL20-CCR6 as the dominant axis in recruiting pathogenic T17 cells in both the model and in human psoriasis.

Conclusion and implications: IDOR-1117-2520 could provide a promising novel targeted approach to treating psoriasis and, potentially, other autoimmune diseases involving the CCR6/CCL20 axis and the IL-17/IL-23 pathway. IDOR-1117-2520 is currently being evaluated in a clinical phase 1 trial (ISRCTN28892128).

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来源期刊
CiteScore
15.40
自引率
12.30%
发文量
270
审稿时长
2.0 months
期刊介绍: The British Journal of Pharmacology (BJP) is a biomedical science journal offering comprehensive international coverage of experimental and translational pharmacology. It publishes original research, authoritative reviews, mini reviews, systematic reviews, meta-analyses, databases, letters to the Editor, and commentaries. Review articles, databases, systematic reviews, and meta-analyses are typically commissioned, but unsolicited contributions are also considered, either as standalone papers or part of themed issues. In addition to basic science research, BJP features translational pharmacology research, including proof-of-concept and early mechanistic studies in humans. While it generally does not publish first-in-man phase I studies or phase IIb, III, or IV studies, exceptions may be made under certain circumstances, particularly if results are combined with preclinical studies.
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