Abstract

Curcumin, a selective phosphorylase kinase inhibitor, is a naturally occurring phytochemical present in turmeric. Curcumin has been confirmed to have anti-inflammatory properties in addition to the ability to decrease the expression of pro-inflammatory cytokines in keratinocytes. The interleukin-23 (IL-23)/IL-17A cytokine axis plays a critical role in the pathogenesis of psoriasis. Here, we report that topical use of a curcumin gel formulation strongly inhibited imiquimod (IMQ)-induced psoriasis-like inflammation, the development of which was based on the IL-23/IL-17A axis. IMQ-induced epidermal hyperplasia and inflammation in BALB/c mouse ear was significantly inhibited following curcumin treatment. Real-time PCR showed that mRNA levels of IL-17A, IL-17F, IL-22, IL-1β, IL-6 and TNF-α cytokines were decreased significantly by curcumin in ear skin, an effect similar to that of clobetasol. In addition, we found that curcumin may enhance the proliferation of epidermis γδ T cells but inhibit dermal γδ T cell proliferation. We inferred that curcumin was capable of impacting the IL-23/IL-17A axis by inhibiting IL-1β/IL-6 and then indirectly down-regulating IL-17A/IL-22 production. In conclusion, curcumin can relieve the IMQ-induced psoriasis-like inflammation in a mouse model, similar to the effects of clobetasol. Therefore, we have every reason to expect that curcumin will be used in the treatment of psoriasis in the future.

Highlights

  • Psoriasis is one of the most common immune-mediated chronic inflammatory skin disorders characterized by hyperproliferative keratinocytes and massive infiltration of leukocytes [1]

  • The pathogenesis of psoriasis is not fully understood, there is growing evidence to indicate that the interleukin-23 (IL-23)/IL-17A cytokine axis plays a critical role in the disease development [2,3,4,5]

  • It is possible that curcumin inhibits cytokines, NF-kB and the activation STAT3, which contribute to inflammation and keratinocyte proliferation in psoriasis

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Summary

Introduction

Psoriasis is one of the most common immune-mediated chronic inflammatory skin disorders characterized by hyperproliferative keratinocytes and massive infiltration of leukocytes [1]. It affects approximately 25 million people in North America and Europe and is likely the most prevalent immune-mediated skin disease in adults. Molecular and cellular pharmacological research on curcumin has shown that it has inhibitory effects on NF-kB, MAPK, and cytokines [7,8,9]. It down-regulated the expression of various proinflammatory cytokines (TNF-a, IL-1, IL2, IL-6, IL-8, and IL-12) by inactivating NF-kB [10,11]. All of the above suggests that curcumin is of potential value for the treatment of psoriasis

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