Blockade of experimental atopic dermatitis via topical NF-κB decoy oligonucleotide

被引:43
作者
Dajee, Maya [1 ]
Muchamuel, Tony [1 ]
Schryver, Brian [1 ]
Oo, Aung [1 ]
Alleman-Sposeto, Jennifer [1 ]
De Vry, Christopher G. [1 ]
Prasad, Srinivasa [1 ]
Ruhrmund, Donald [1 ]
Shyamsundar, Radha [1 ]
Mutnick, Debra [1 ]
Mai, Kim [1 ]
Le, Tina [1 ]
Parham, Christi [1 ]
Zhang, Jie [1 ]
Komuves, Laszlo [1 ]
Colby, Timothy [1 ]
Hudak, Susan [1 ]
McEvoy, Leslie M. [1 ]
Ehrhardt, Rolf O. [1 ]
机构
[1] Corgentech Inc, Dept Res, San Francisco, CA USA
关键词
D O I
10.1038/sj.jid.5700307
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Atopic dermatitis (AD) is a common chronic skin inflammatory disease. Long-term use of topical corticosteroids in skin inflammation poses risks of systemic and local side effects. The NF-kappa B transcription factor family plays a central role in the progression and maintenance of AD. This study explores the possibility of using topical NF-kappa B Decoy as a novel therapeutic alternative for targeting Th1/Th2-driven skin inflammation in experimental AD. A high-affinity, topical NF-kB Decoy developed for human efficacy demonstrates: (i) efficient NF-kappa B Decoy penetration in pig skin, (ii) NF-kappa B Decoy nuclear localization in keratinocytes and key immune cells, and (iii) potent "steroid-like'' efficacy in a chronic dust-mite antigen skin inflammation treatment model. NF-kappa B Decoy exerts its anti-inflammatory action through the effective inhibition of essential regulators of inflammation and by induction of apoptosis of key immune cells. Unlike betamethasone valerate (BMV), long-term NF-kappa B Decoy treatment does not induce skin atrophy. Moreover, topical NF-kappa B Decoy, in contrast to BMV, restores compromised stratum corneum integrity and barrier function. Steroid withdrawal causes rapid rebound of inflammation, while the NF-kappa B Decoy therapeutic benefit was maintained for weeks. Thus, topical NF-kappa B Decoy provides a novel mechanism of reducing chronic skin inflammation with improved skin homeostasis and minimal side effects.
引用
收藏
页码:1792 / 1803
页数:12
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