A clinical trial for psoriasis with novel single-cell genomic techniques to understand regulatory immunity behind long-term disease remission off drug induced by short-term IL-23 inhibition

使用新型单细胞基因组技术进行银屑病临床试验，以了解短期 IL-23 抑制诱导的药物长期疾病缓解背后的调节免疫

• 批准号: 10685945
• 负责人: Jaehwan Kim
• 金额: $ 16.89万
• 依托单位: UNIVERSITY OF CALIFORNIA AT DAVIS
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-08-18 至 2027-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10685945
• 关键词: Aftercare; Anatomy; Antibodies; Antigen-Presenting Cells; Biological; Biological Markers; Biological Products; Biopsy; Biopsy Specimen; CD4 Positive T Lymphocytes; CD8-Positive T-Lymphocytes; Cell Communication; Cells; Chromatin; Clinical; Clinical Trials; Data; Dendritic Cells; Digestion; Disease; Disease Progression; Disease remission; Dose; Emigrations; Enzymes; Epidermis; FOXP3 gene; Gene Expression; Genomics; Goals; Hour; Human; Immune; Immune System Diseases; Immune Tolerance; Immune response; Immunity; Immunobiology; Incubated; Injections; KLRB1 gene; Lesion; Machine Learning; Mentors; Messenger RNA; Microfluidics; Molecular; National Institute of Arthritis, and Musculoskeletal, and Skin Diseases; Natural Killer Cells; Outcome; Pathogenicity; Pathologic; Patients; Pharmaceutical Preparations; Phase; Phenotype; Prediction of Response to Therapy; Psoriasis; Public Health; Recurrence; Recurrent disease; Regulation; Regulatory T-Lymphocyte; Research; Skin; T-Lymphocyte; Techniques; Testing; chronic inflammatory disease; clinical application; combinatorial; cytokine; drug clearance; empowerment; genetic signature; genomic data; healthy volunteer; indexing; innovation; interleukin-23; keratinocyte; melanocyte; novel; predictive modeling; prevent; programs; restoration; single-cell RNA sequencing; skin disorder; transcriptome sequencing; transcriptomic profiling

Although highly effective, biologics targeting IL-23/Th17 axis should be continuously injected to suppress recurrence of psoriasis. My long-term goal is to cure psoriasis without recurrence guided by personal immune tolerance. The overall objectives in this application are to (i) identify regulatory immune cell interactions induced by anti-IL-23p19 antibody administration in the skin of patients whose psoriasis is cleared without recurrence and (ii) develop pre-treatment predictive models for psoriasis patients that anticipate disease recurrence after short-term anti-IL-23p19 antibody injection. The central hypothesis is that IL-23p19 inhibition promotes regulatory immune cells in psoriasis patients whose disease is cleared without recurrence, and their pre-treatment single-cell immune signatures are different from those of patients whose disease recurs. The rationale for this project is that molecular evidence of immune tolerance induction by IL-23p19 inhibition in human skin is likely to offer a strong clinical framework whereby new strategies to prevent recurrence of chronic inflammatory diseases can be developed. The central hypothesis will be tested by pursuing two specific aims: 1) Testing the hypothesis that regulatory immune cell interactions are promoted by short-term anti-IL-23p19 antibody administration in the skin of psoriasis patients whose disease becomes clear without recurrence; and 2) Developing predictive models with pretreatment skin biopsy single-cell genomic data that anticipate long-term disease clearance off drug after short-term anti-IL-23p19 antibody administration. To achieve the specific aims, we have recently developed two innovative complementary single-cell approaches to obtain gene expression profiles of heterogeneous immune cells from psoriasis and control skin without enzyme digestion. The first single-cell experimental approach is microfluidic partitioning of emigrating cells from human skin after 48-hour incubation in culture medium without enzyme digestion, which empowers single-cell transcriptomic profiling of heterogeneous immune cells and keratinocytes in different layers of epidermis under ex vivo condition. The second single-cell experimental approach is Combinatorial indexing RNA sequencing, developed by the co-mentor of the proposal, which enables co-profiling transcriptome and single-cell chromatin accessibility. At the completion of the proposed research, our expected outcomes are to have novel single-cell genomic techniques to study immune cell interactions in human skin, defined single-cell gene signatures of regulatory immune cells that are promoted by anti-IL-23p19 antibody administration in psoriasis skin, and the ability to elucidate how pathologic immunity is suppressed at the single-cell level by highly effective biologics. We also expect to have pre-treatment biomarkers that can predict long-term disease clearance off drugs after short-term anti-IL-23p19 antibody administration.

尽管非常有效，但针对IL-23/TH17轴的生物制剂应连续注入 抑制牛皮癣复发。我的长期目标是治愈牛皮癣而不复发。 个人免疫耐受性。本应用程序中的总体目标是（i）确定监管免疫 由牛皮癣的患者的皮肤中抗IL-23P19抗体诱导的细胞相互作用 在没有复发的情况下清除，（ii）为牛皮癣患者开发预处理预测模型 预测短期抗IL-23P19抗体注射后疾病复发。中心假设是 IL-23P19抑制作用促进了牛皮癣患者的调节性免疫细胞，其疾病被清除 没有复发，它们的预处理单细胞免疫特征与患者不同 疾病复发。该项目的理由是免疫耐受性的分子证据 IL-23P19抑制人类皮肤的诱导可能会提供一个强大的临床框架 可以制定防止慢性炎症疾病复发的策略。中心假设 将通过追求两个具体目标来测试：1）检验调节性免疫细胞的假设 牛皮癣患者皮肤中的短期抗IL-23P19抗体给予促进相互作用 没有复发的疾病变得明显； 2）使用预处理开发预测模型 皮肤活检单细胞基因组数据，可预期在 短期抗IL-23P19抗体给药。为了实现特定目标，我们最近开发了 两种创新的互补单细胞方法，以获得异质的基因表达谱 免疫细胞来自牛皮癣和控制皮肤，无酶消化。第一个单细胞实验 方法是在48小时孵育后从人体皮肤上移民细胞的微流体分配 在没有酶消化的培养基中，这赋予了单细胞转录组的能力 在离体情况下，在表皮不同层中的异质免疫细胞和角质形成细胞。 第二个单细胞实验方法是组合索引RNA测序，由 该提案的联合学者，可以实现副合定转录组和单细胞染色质的可及性。 拟议的研究完成时，我们的预期结果是具有新颖的单细胞 研究人皮肤中免疫细胞相互作用的基因组技术，定义的单细胞基因特征 由牛皮癣皮肤中抗IL-23P19抗体促进的调节性免疫细胞， 以及通过高效在单细胞水平抑制病理免疫的能力 生物制剂。我们还期望拥有可以预测长期疾病清除率的治疗前生物标志物 短期抗IL-23P19抗体给药后的药物。

项目成果

Multi-omics segregate different transcriptomic impacts of anti-IL-17A blockade on type 17 T-cells and regulatory immune cells in psoriasis skin.

• DOI: 10.3389/fimmu.2023.1250504
• 发表时间: 2023
• 期刊: FRONTIERS IN IMMUNOLOGY
• 影响因子: 7.3
• 作者: Kim, Jaehwan;Lee, Jongmi;Li, Xuan;Kunjravia, Norma;Rambhia, Darshna;Cueto, Inna;Kim, Katherine;Chaparala, Vasuma;Ko, Younhee;Garcet, Sandra;Zhou, Wei;Cao, Junyue;Krueger, James G.
• 通讯作者: Krueger, James G.