065 CDK7 inhibitor suppresses psoriasis inflammation via inhibiting glycolysis to modulate Th17/Treg balance

Abstract

Psoriasis is a chronic inflammatory disease characterized by hyper-activated Th17 and suppressive Treg cells, but the mechanism of Th17/Treg cells imbalance is still unclear. Cyclin-dependent kinase 7(CDK7) which is known as a cell cycle regulator has been reported an anti-inflammatory effect in immuno-cells. Here we firstly found CD4+T cells of psoriasis patients expressed higher levels of CDK7 along with an increased glycolysis levels than those in healthy controls. The chemical inhibitor of CDK7 called THZ1 restricted glycolytic metabolism in CD4+T cells of psoriasis patients as well as typical glycolysis related genes. More importantly, THZ1 could suppress Th17 cell differentiation and promote Treg cell differentiation even under Th17 polarizing condition in vitro. Intraperitoneal injection of THZ1 in mice exhibited an alleviated epidermal hyperplasia and alleviated inflammation caused by imiquimod(IMQ) treatment. THZ1-treated IMQ mice had significantly lower ratio of Th17 cells and higher ratio of Treg cells from the splenocytes, in comparison with vehicle-treated IMQ mice. Furthermore, we identified IL-23 as an upstream regulator that stimulated CDK7 expression and glycolysis through p-AKT-Hif-1α signalling pathway. Taken together, our results showed that abnormal CDK7 expression induced by IL-23 in CD4+ T cells in psoriasis patients contributed to the enhanced glycolysis levels which lead to the imbalance of Th17/Treg cells. CDK7 inhibitor THZ1 may serve as an immuno-modulator for psoriasis therapy in the future.