16th National and 2nd International Congress of Histology and Embryology (NICHE2024), Sakarya, Türkiye, 26 - 28 Eylül 2024, ss.1
Introduction: Psoriasis is a chronic inflammatory skin
disease involving complex immune cell and keratinocyte interactions, with no
definitive treatment due to its complex pathogenesis. The development of
anti-psoriatic drugs is lengthy, costly, and marked by high clinical phase
failure rates, underscoring the need for in vitro models with high
predictive accuracy. Existing models inadequately reflect keratinocyte
properties, highlighting the potential of new models simulating keratinocyte
differentiation and psoriatic inflammation to enhance drug efficacy and reduce
time and cost in clinical trials.
Objective: The aim of the present study was to
investigate the mechanisms of imiquimod (IMQ)-induced inflammation and
cell-cell interactions in CaCl2-differentiated human keratinocytes (HaCaT)
using morphological, biochemical, and molecular methods in a modified in
vitro psoriasis-like model.
Material &Method: To establish an in
vitro psoriasis-like model, HaCaT cells were first differentiated with 2 mM
CaCl2 for 48 h and then stimulated with 25 μM IMQ for 24 h to induce
psoriasis-like inflammation. The experimental groups were divided into four
categories: Ca-free control, 2 mM CaCl2, 25 μM IMQ, and 2 mM CaCl2
+ 25 μM IMQ. Cell morphology in all groups was evaluated using an inverted
microscope. Hematoxylin and eosin (H&E) staining was used to examine cell
morphology, while immunofluorescence (IF) staining for cytokeratin 17 (CK17)
and proliferating cell nuclear antigen (PCNA) was performed to assess
proliferation. Actin and prohibitin IF staining was conducted to analyze
intercellular connections. Psoriasis-associated inflammatory cytokines were
measured using ELISA, and the expression of Toll-like receptors (TLRs),
NOD-like receptor protein 3 (NLRP3) inflammasome, angiogenic, hypoxia, and
transforming growth factor (TGF)-β/Smads genes was analyzed using qRT-PCR.
Results: IMQ-stimulated HaCaT cells exhibited
morphological features and structural changes similar to psoriatic
keratinocytes. IF staining revealed that the expression levels of CK17, PCNA,
actin, prohibitin, and pro-inflammatory cytokines were significantly elevated
in the IMQ group compared to the control. Additionally, angiogenic, hypoxia,
and TGF-β/Smads gene expressions were markedly increased in the IMQ group,
primarily through the activation of the TLR and NLRP3 inflammasome pathways,
compared to other groups.
Conclusion: The findings demonstrate that the IMQ-induced
in vitro psoriasis-like model in CaCl2-differentiated HaCaT
cells successfully replicated the inflammatory responses observed in psoriatic
tissue at the microscopic, molecular, and biochemical levels in human
keratinocytes. Moreover, the ability of this in vitro model to mimic psoriatic
inflammation offers a practical and valuable tool for evaluating the
antipsoriatic efficacy of new drug candidates.
Keywords: Psoriasis, CaCl2, Imiquimod,
Keratinocyte, Inflammation, In Vitro Model
Acknowledgement: This research was
conducted as part of the doctoral project numbered TDK-2022-10132 and was
supported by the VAN YYU Scientific Research Projects Unit.