Article ; Online: Tranexamic acid improves psoriasis-like skin inflammation: Evidence from in vivo and in vitro studies.
Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie
2023 Volume 166, Page(s) 115307
Abstract: The chronic disease psoriasis is associated with severe inflammation and abnormal keratinocyte propagation in the skin. Tranexamic acid (TXA), a plasmin inhibitor, is used to cure serious bleeding. We investigated whether TXA ointment mitigated Imiquimod ...
Abstract | The chronic disease psoriasis is associated with severe inflammation and abnormal keratinocyte propagation in the skin. Tranexamic acid (TXA), a plasmin inhibitor, is used to cure serious bleeding. We investigated whether TXA ointment mitigated Imiquimod (IMQ)-induced psoriasis-like inflammation. Furthermore, this study investigated the effect of noncytotoxic concentrations of TXA on IL-17-induced human keratinocyte (HaCaT) cells to determine the status of proliferative psoriatic keratinocytes. We found that TXA reduced IMQ-induced psoriasis-like erythema, thickness, scaling, and cumulative scores (erythema plus thickness plus scaling) on the back skin of BALB/c mice. Additionally, TXA decreased ear thickness and suppressed hyperkeratosis, hyperplasia, and inflammation of the ear epidermis in IMQ-induced BALB/c mice. Furthermore, TXA inhibited IMQ-induced splenomegaly in BALB/c mouse models. In IL-17-induced HaCaT cells, TXA inhibited ROS production and IL-8 secretion. Interestingly, TXA suppressed the IL-17-induced NFκB signaling pathway via IKK-mediated IκB degradation. TXA inhibited IL-17-induced activation of the NLRP3 inflammasome through caspase-1 and IL1β expression. TXA inhibited IL-17-induced NLRP3 inflammasome activation by enhancing autophagy, as indicated by LC3-II accumulation, p62/SQSTM1 expression, ATG4B inhibition, and Beclin-1/Bcl-2 dysregulation. Notably, TXA suppressed IL-17-induced Nrf2-mediated keratin 17 expression. N-acetylcysteine pretreatment reversed the effects of TXA on NFκB, NLRP3 inflammasomes, and the Nrf2-mediated keratin 17 pathway in IL-17-induced HaCaT cells. Results further confirmed that in the ear skin of IMQ-induced mice, psoriasis biomarkers such as NLRP3, IL1β, Nrf2, and keratin 17 expression were downregulated by TXA treatment. TXA improves IMQ-induced psoriasis-like inflammation in vivo and psoriatic keratinocytes in vitro. Tranexamic acid is a promising future treatment for psoriasis. |
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MeSH term(s) | Humans ; Animals ; Mice ; Interleukin-17/metabolism ; Tranexamic Acid/pharmacology ; Tranexamic Acid/therapeutic use ; Inflammasomes ; NLR Family, Pyrin Domain-Containing 3 Protein ; Keratin-17 ; NF-E2-Related Factor 2 ; Psoriasis/chemically induced ; Psoriasis/drug therapy ; Psoriasis/metabolism ; Dermatitis ; Skin ; Keratinocytes ; Inflammation/drug therapy ; Inflammation/chemically induced ; Imiquimod/pharmacology ; NF-kappa B/metabolism ; Mice, Inbred BALB C ; Disease Models, Animal |
Chemical Substances | Interleukin-17 ; Tranexamic Acid (6T84R30KC1) ; Inflammasomes ; NLR Family, Pyrin Domain-Containing 3 Protein ; Keratin-17 ; NF-E2-Related Factor 2 ; Imiquimod (P1QW714R7M) ; NF-kappa B |
Language | English |
Publishing date | 2023-08-11 |
Publishing country | France |
Document type | Journal Article |
ZDB-ID | 392415-4 |
ISSN | 1950-6007 ; 0753-3322 ; 0300-0893 |
ISSN (online) | 1950-6007 |
ISSN | 0753-3322 ; 0300-0893 |
DOI | 10.1016/j.biopha.2023.115307 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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