Selective oral ROCK2 inhibitor down-regulates IL-21 and IL-17 secretion in human T cells via STAT3-dependent mechanism

被引:188
作者
Zanin-Zhorov, Alexandra [1 ]
Weiss, Jonathan M. [1 ]
Nyuydzefe, Melanie S. [1 ]
Chen, Wei [1 ]
Scher, Jose U. [2 ]
Mo, Rigen [1 ]
Depoil, David [5 ]
Rao, Nishta [1 ]
Liu, Ben [3 ]
Wei, Jianlu [3 ,4 ]
Lucas, Sarah [1 ]
Koslow, Matthew [1 ]
Roche, Maria [1 ]
Schueller, Olivier [6 ]
Weiss, Sara [1 ]
Poyurovsky, Masha V. [1 ]
Tonra, James [1 ]
Hippen, Keli L. [7 ]
Dustin, Michael L. [5 ]
Blazar, Bruce R. [7 ]
Liu, Chuan-ju [3 ]
Waksal, Samuel D. [1 ]
机构
[1] Kadmon Res Inst, New York, NY 10016 USA
[2] NYU, Sch Med, Div Rheumatol, New York, NY 10003 USA
[3] NYU, Sch Med, Dept Orthopaed Surg, New York, NY 10003 USA
[4] New York Univ Hosp Joint Dis, New York, NY 10003 USA
[5] NYU, Skirball Inst Biomol Med, Mol Pathogenesis Program, Dept Pathol,Sch Med, New York, NY 10016 USA
[6] Nano Terra Life Sci, Brighton, MA 02135 USA
[7] Univ Minnesota, Ctr Canc, Dept Pediat, Div Blood & Marrow Transplantat, Minneapolis, MN 55455 USA
关键词
Human T cells; autoimmunity; proinflammatory cytokines; STAT3; STAT5; GROWTH-FACTOR-BETA; RHEUMATOID-ARTHRITIS; RHO-KINASE; TRANSCRIPTIONAL REGULATION; TH17; CELLS; DIFFERENTIATION; ACTIVATION; STAT3; PHOSPHORYLATION; AUTOIMMUNITY;
D O I
10.1073/pnas.1414189111
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Rho-associated kinase 2 (ROCK2) regulates the secretion of proinflammatory cytokines and the development of autoimmunity in mice. Data from a phase 1 clinical trial demonstrate that oral administration of KD025, a selective ROCK2 inhibitor, to healthy human subjects down-regulates the ability of T cells to secrete IL-21 and IL-17 by 90% and 60%, respectively, but not IFN-gamma in response to T-cell receptor stimulation in vitro. Pharmacological inhibition with KD025 or siRNA-mediated inhibition of ROCK2, but not ROCK1, significantly diminished STAT3 phosphorylation and binding to IL-17 and IL-21 promoters and reduced IFN regulatory factor 4 and nuclear hormone RAR-related orphan receptor gamma t protein levels in T cells derived from healthy subjects or rheumatoid arthritis patients. Simultaneously, treatment with KD025 also promotes the suppressive function of regulatory T cells through up-regulation of STAT5 phosphorylation and positive regulation of forkhead box p3 expression. The administration of KD025 in vivo down-regulates the progression of collagen-induced arthritis in mice via targeting of the Th17-mediated pathway. Thus, ROCK2 signaling appears to be instrumental in regulating the balance between proinflammatory and regulatory T-cell subsets. Targeting of ROCK2 in man may therefore restore disrupted immune homeostasis and have a role in the treatment of autoimmunity.
引用
收藏
页码:16814 / 16819
页数:6
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