2021
DOI: 10.3390/ijms22094344
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Exploring the Role of IL-36 Cytokines as a New Target in Psoriatic Disease

Abstract: Unmet needs in the treatment of psoriasis call for novel therapeutic strategies. Pustular psoriasis and psoriatic arthritis often represent a therapeutic challenge. Focus on IL-36 cytokines offers an interesting approach, as the IL-36 axis has been appointed a critical driver of the autoinflammatory responses involved in pustular psoriasis. Two IL-36R blocking antibodies, imsidolimab and spesolimab, are currently undergoing phase II and III clinical trials, with promising results.

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Cited by 49 publications
(41 citation statements)
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“…IL-36 cytokines are expressed in various cell types, including keratinocytes and immune cells [ 58 , 59 ], and are abundantly present in the skin [ 60 ]. They are released as a precursor and require processing by specific proteases, especially derived from neutrophils, to become bioactive [ 61 , 62 , 63 , 64 ]. IL-36α, -β, and -γ through the IL-36 receptor (IL-36R) activate nuclear factor-κB (NF-κB) and mitogen activated protein kinase (MAPK), thus inducing the activation of downstream pathways responsible for the production of pro-inflammatory cytokines, chemokines and costimulatory molecules.…”
Section: Pathogenesismentioning
confidence: 99%
“…IL-36 cytokines are expressed in various cell types, including keratinocytes and immune cells [ 58 , 59 ], and are abundantly present in the skin [ 60 ]. They are released as a precursor and require processing by specific proteases, especially derived from neutrophils, to become bioactive [ 61 , 62 , 63 , 64 ]. IL-36α, -β, and -γ through the IL-36 receptor (IL-36R) activate nuclear factor-κB (NF-κB) and mitogen activated protein kinase (MAPK), thus inducing the activation of downstream pathways responsible for the production of pro-inflammatory cytokines, chemokines and costimulatory molecules.…”
Section: Pathogenesismentioning
confidence: 99%
“…Most recently, administration of the monoclonal antibody “Spesolimab” (BI-655130) significantly improved GPP patient outcomes by targeting IL-36R. In phase I clinical trials, BI-655130 administration drastically improved GPP patient’s skin symptoms by 80% [ 55 ], with Spesolimab also showing positive effects in phase II trials for palmoplantar pustulosis [ 56 ]. In addition to directly targeting the IL-36R, there is evidence emerging that the upstream activators of IL-36 cytokines, namely the proteases Cathepsin G and elastase, also represent possible therapeutic targets for this disease.…”
Section: The Role Of Il-36 In the Pathogenesis Of Inflammatory Diseasesmentioning
confidence: 99%
“…This therapeutic approach has promoted the research of specific cytokine markers characteristic of the different autoinflammatory pathologies [ 127 , 128 ]: these studies have also enabled the definition of the cross-talk between the different cytokines and the kinetics of secretion during the activation of inflammation ( Figure 1 ).…”
Section: Autoinflammatory Disease: Since the Beginning Of ’90s A New Branch Of Medicinementioning
confidence: 99%