IL-35 ameliorates psoriasis by suppressing the accumulation of
iNOS-expressing myeloid-derived suppressor cells
Abstract
Background and Purpose: Psoriasis is an immune-associated disease,
however, the pathogenesis of psoriasis remains unclear. We investigated
the mechanism of IL-35 in psoriasis treatment. Experimental Approach:
PASI and Baker scores were used to evaluate the Imiquimod-induced
psoriasis mouse model. Flow cytometry is used to detect changes in
immune cells and to select target cells. The changes of inflammatory
factors were detected by ELISA. Adoptive transfused was used to
demonstrate the effect of the corresponding cells. Key Results: IL-35
expression in patients with psoriasis was significantly increased. The
number of myeloid-derived suppressor cells (MDSCs) in patients was also
significantly increased. Similar results were obtained in mice with
imiquimod (IMQ)-induced psoriasis. IL-35 had potent immunosuppressive
effects on psoriasis model mouse, leading to a decrease in the total
number of MDSCs and its subtypes in the spleen and psoriatic skin
lesions. The level of inducible nitric oxide synthase (iNOS) secreted by
MDSCs also decreased significantly; however, there was no difference in
the level of IL-10 in MDSCs. Adoptive transfer of MDSCs from
IMQ-challenged mice weakened the effect of IL-35. When MDSCs were
isolated from iNOS knockout mice that were established with IMQ and
transfected into IMQ-induced WT mice, there was no significant
difference in psoriasis area and severity index scores between IL-35 +
iNOS-/–MDSC and IL-35 treatment groups. Conclusions and Implications:
IL-35 plays an important immunosuppressive role in psoriasis by
inhibiting the counts of MDSCs expressing iNOS. This study may serve as
a new therapeutic strategy for patients with chronic psoriasis or other
cutaneous inflammatory diseases.