Monoclonal antibodies inhibiting IL-12, -23, and -17 for the treatment of psoriasis

Hum Vaccin Immunother. 2017 Oct 3;13(10):2247-2259. doi: 10.1080/21645515.2017.1356498.

Abstract

Psoriasis is a chronic, inflammatory, immune-mediated skin condition that affects 3 to 4% of the adult US population, characterized by well-demarcated, erythematous plaques with silver scale. Psoriasis is associated with many comorbidities including cardiometabolic disease and can have a negative impact on quality of life. The current armamentarium of psoriasis treatment includes topical therapies, phototherapy, oral immunosuppressive therapies, and biologic agents. Over the past 2 decades, there has been rapid development of novel biologic therapies for the treatment of moderate-to-severe plaque psoriasis. This article will review the role of IL-12, IL-23, and IL-17 in the pathogenesis of psoriasis and the monoclonal antibodies (ustekinumab, secukinumab, ixekizumab, brodalumab, guselkumab, tildrakizumab, and risankizumab) that target these cytokines in the treatment of this disease.

Publication types

  • Review

MeSH terms

  • Antibodies, Monoclonal / administration & dosage
  • Antibodies, Monoclonal / therapeutic use*
  • Antibodies, Monoclonal, Humanized / administration & dosage
  • Antibodies, Monoclonal, Humanized / therapeutic use
  • Clinical Trials as Topic
  • Comorbidity
  • Humans
  • Interleukin-12 / antagonists & inhibitors*
  • Interleukin-12 / immunology
  • Interleukin-17 / antagonists & inhibitors*
  • Interleukin-17 / immunology
  • Interleukin-23 / antagonists & inhibitors*
  • Interleukin-23 / immunology
  • Psoriasis / complications
  • Psoriasis / drug therapy*
  • Psoriasis / immunology
  • Psoriasis / physiopathology
  • Quality of Life
  • Signal Transduction
  • Ustekinumab / administration & dosage
  • Ustekinumab / therapeutic use

Substances

  • Antibodies, Monoclonal
  • Antibodies, Monoclonal, Humanized
  • IL17A protein, human
  • Interleukin-17
  • Interleukin-23
  • Interleukin-12
  • brodalumab
  • ixekizumab
  • secukinumab
  • Ustekinumab