Effective treatment of psoriasis with etanercept is linked to suppression of IL17 signaling, not immediate response TNF
Transcriptomics Dataset
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General Information
AccessionGSE11903
TitleEffective treatment of psoriasis with etanercept is linked to suppression of IL17 signaling, not immediate response TNF
DescriptionThe success of TNF inhibitors for treatment of psoriasis and other inflammatory diseases was previously attributed to blockade of innate immunity. In a clinical trial using etanercept TNF blocking agent to treat psoriasis vulgaris, we used affymetrix gene arrays to analyze broad gene profiles in lesional skin at multiple timepoints during drug treatment (baseline, and weeks 1, 2, 4 and 12) compared to non-lesional skin. This analysis created a temporal model of TNF-dependent gene regulation that informs molecular mechanisms of TNF-mediated inflammation. We identified four gene clusters that were differentially down-modulated during etanercept treatment: the cluster down-regulated most rapidly contained mostly dendritic cell activation genes. Culturing human keratinocytes with TNF, IFNg and IL-17 generated a list of keratinocyte genes regulated by each cytokine. The IL-17 pathway genes were strongly down-modulated early, whereas IFNg pathway genes were not down-modulated until final disease resolution at week 12. Finally, we show that TNF blockade rapidly inhibits IL-12/IL-23 p40 subunit expression, and that p40 neutralization inhibits psoriatic dermal migr-mediated Th17 polarization. We hypothesize that etanercept inhibits myeloid dendritic cell production of IL-23, a Th17 survival cytokine, resulting in rapid downregulation of IL-17 pathway genes. This data links effects of TNF blockade on the innate immune system with the adaptive immune system. Keywords: time-course experiment
Landing Pagehttps://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?acc=GSE11903
RepositoryGene Expression Omnibus
Tools used to analyze the dataset

Keyword
Dataset Accession

Enrichr
Published May 2016
A comprehensive gene set enrichment analysis web server 2016 update
7759
65
Characteristic Direction
Published March 2014
A geometrical multivariate approach to identify differentially expressed genes
26829
GeneMANIA
Published June 2010
Biological network integration for gene prioritization and predicting gene function
7435
L1000CDS2
Published August 2016
An ultra-fast LINCS L1000 Characteristic Direction signature search engine
7756
PAEA
Published November 2015
Enrichment analysis tool implementing the principal angle method
3879
Canned Analyses generated with the dataset

Dataset Accession
Tool Name
Direction
Geneset

Small molecules which mimic Etanercept treatment
The L1000 database was queried in order to identify small molecule perturbations which mim...
Small molecules which reverse Etanercept treatment
The L1000 database was queried in order to identify small molecule perturbations which rev...
Small molecules which mimic Etanercept treatment
The L1000 database was queried in order to identify small molecule perturbations which mim...
Small molecules which reverse Etanercept treatment
The L1000 database was queried in order to identify small molecule perturbations which rev...
Small molecules which mimic Etanercept treatment
The L1000 database was queried in order to identify small molecule perturbations which mim...
Small molecules which reverse Etanercept treatment
The L1000 database was queried in order to identify small molecule perturbations which rev...
Small molecules which mimic Etanercept treatment
The L1000 database was queried in order to identify small molecule perturbations which mim...
Small molecules which reverse Etanercept treatment
The L1000 database was queried in order to identify small molecule perturbations which rev...
Enrichment analysis of genes dysregulated following Etanercept treatment
An enrichment analysis was performed on the top most dyresgulated genes determined by appl...
Enrichment analysis of genes dysregulated following Etanercept treatment
An enrichment analysis was performed on the top most dyresgulated genes determined by appl...
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