Accumulation of FLT3(+) CD11c (+) dendritic cells in psoriatic lesions and the anti-psoriatic effect of a selective FLT3 inhibitor

Immunol Res. 2014 Oct;60(1):112-26. doi: 10.1007/s12026-014-8521-4.

Abstract

Psoriasis is a common chronic T-cell-mediated autoimmune skin disease, and traditional immunotherapies for psoriasis have focused on the direct inhibition of T cells, which often causes toxicity and lacks long-term effectiveness. Safe and effective therapeutic strategies are strongly needed for psoriasis. In this study, we show for the first time a significant accumulation of FLT3(+) CD11c(+) dendritic cells (DCs) in human psoriatic lesions and in the skin of experimental preclinical K14-VEGF transgenic homozygous mice, our animal model, although not an exact match for human psoriasis, displays many characteristics of inflammatory skin inflammation. SKLB4771, a potent and selective FLT3 inhibitor that we designed and synthesised, was used to treat cutaneous inflammation and psoriasis-like symptoms of disease in mice and almost completely cured the psoriasis-like disease without obvious toxicity. Mechanistic studies indicated that SKLB4771 treatment significantly decreased the number and activation of pDCs and mDCs in vitro and in vivo, and subsequent T-cell cascade reactions mediated by Th1/Th17 pathways. These findings show that targeted inhibition of FLT3, and hence direct interference with DCs, may be a novel therapeutic approach for the treatment of psoriasis.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Anti-Inflammatory Agents / pharmacology
  • Anti-Inflammatory Agents / therapeutic use
  • CD11c Antigen / immunology*
  • Dendritic Cells / immunology*
  • Dermatitis / immunology
  • Disease Models, Animal
  • Humans
  • Keratin-14 / genetics
  • Mice, Inbred BALB C
  • Mice, Transgenic
  • Phenylurea Compounds / pharmacology
  • Phenylurea Compounds / therapeutic use
  • Protein Kinase Inhibitors / pharmacology
  • Protein Kinase Inhibitors / therapeutic use
  • Psoriasis / drug therapy
  • Psoriasis / immunology*
  • Thiadiazoles / pharmacology
  • Thiadiazoles / therapeutic use
  • Vascular Endothelial Growth Factor A / genetics
  • fms-Like Tyrosine Kinase 3 / antagonists & inhibitors
  • fms-Like Tyrosine Kinase 3 / immunology*

Substances

  • 1-(5-(7-(3-morpholinopropoxy)quinazolin-4-ylthio)-(1,3,4)thiadiazol-2-yl)-3-p-tolylurea
  • Anti-Inflammatory Agents
  • CD11c Antigen
  • Keratin-14
  • Krt14 protein, mouse
  • Phenylurea Compounds
  • Protein Kinase Inhibitors
  • Thiadiazoles
  • Vascular Endothelial Growth Factor A
  • vascular endothelial growth factor A, mouse
  • Flt3 protein, mouse
  • fms-Like Tyrosine Kinase 3