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Intracellular Delivery Of Nuclear Localization Signal Alleviates
                         Atopic Dermatitis By Regulating The Inflammatory Skin Environment
                              Jaehyeon Kim, Seokwon Lee, Hyunji Lee, Hyeontae Kang, Mingu Kang, Eunhee Yang,
                                                    Eunna Chung and Daewoong Jo
                                    Cellivery R&D Institute, Cellivery Therapeutics, Inc., Seoul 03929, Korea.
                                                BACKGROUND
   Atopic dermatitis (AD), which occurs on the skin, is a serious inflammatory autoimmune disease that many people suffer from. Production of
   pro-inflammatory cytokines/chemokines is regulated by a certain type of inflammation-associated transcription factors (IAFTs) such as NF-κB,
   STAT1/3, NFAT, and AP-1. Improved Cell-Permeable nuclear import inhibitor (iCP-NI) has been developed by fusing a cyclically-linked NLS of
   IATFs with advanced macromolecule transduction domain (aMTD), a sequence optimized hydrophobic cell-penetrating peptide (CPP). iCP-NI
   suppresses the nuclear transport of IRTFs by competitively binding to importin, reducing pro-inflammatory cytokines.
                     AIM                                               METHODS
   The aim of this study is to develop an iCP-NI as a  Nuclear fraction assay revealed suppressed nuclear translocation of IATFs after
   therapeutic  molecule  for  autoimmune  atopic  iCP-NI treatment. The therapeutic effect of iCP-NI cream (w/v, 5%) has been
   dermatitis by determining its mode of action and  verified with a dinitrochlorobenzene (DNCB)-induced AD mouse model. The
   efficacy on regulating expression of pro-inflammatory  cream-formulated iCP-NI was topically applied, twice a day, then expressions of
   cytokines.                                 inflammatory cytokines and histology of skin barrier were analyzed.
                                                   RESULTS

       Figure 1. Improved Cell-Permeable  Figure 2. Cell And Mouse Skin   Figure 5. iCP-NI Recovery Skin Lesion Of Atopic Dermatitis
        Nuclear Import Inhibitor (iCP-NI)  Dermal Layer Delivery Of iCP-NI
            Structure Of iCP-NI       Cell Permeability (Keratinocyte)  Scoring Atopic Dermatitis (SCORAD)  *p<0.05, **p<0.01
                                            HaCaT Cell                        DNCB          15  Error Bar: SD  *
                       R  K
                      Q   R                 (20 μM,  1 H)      No Treatment  -  Cream Only  iCP-NI Cream
                     V    Q             Non-CP-NI  iCP-NI
                    C
                          K                                                                 10
                      C  L                                                                               50%
                       P  M                                                                 Scoring Atopic Dermatitis (SCORAD)
          aMTD        cNLS           Cy5-Conjugated                                          5
      • 3 rd Generation Hydrophobic  • Nuclear Localization Sequence
       Cell Penetrating Peptide (CPP)   (NLS) Of NF-κB  10 μm
                                                                                             0
                                                                                               No   -  Cream   iCP-NI
                                                                                              Treatment  Only  Cream
                                         Dermal Transduction                                         DNCB
                                          Atopic Dermatitis Skin Lesion  Skin Thickness     160  *p<0.05, **p<0.01
                                         (25 mg/kg, 2 H, Cream, Topical)                        Error Bar: SD
                                                                               DNCB         120
                                                              No Treatment  -  Cream Only  iCP-NI Cream   39 %  *
                                      Non-CP-NI                                            Epidermal Thickness (μm)  80  68%
                                    Cy5-Conjugated                                  Scale bar = 200 μm  40
                                                                                               No
                                      iCP-NI          5 μm                                   0  Treatment  -  Cream   iCP-NI
                                                                                                         Cream
                                                                                                      Only
                                                                        CD4+ T Helper Cell            DNCB
                                           20 μm                                              *p<0.05, **p<0.01
                                                                                            300  Error Bar: SD  *
                                                                              DNCB
                                                               No Treatment  -  Cream Only  iCP-NI Cream
      Figure 3. iCP-NI Inhibits Nuclear Import Of IATFs In Human Keratinocyte (HaCaT Cell)  200
                                                                                            150
             Atopic Dermatitis Related   TARC Secretion In Conditioned Media               Helper T Cells Number  250  95%
              Signaling Pathways                                                            100
           Nucleus       Cytoplasm                  *p<0.05, **p<0.01
                                        800           Error Bar: SD                  Scale bar = 50 μm  50
   TNF-α /IFN-γ  -  +  +  +  -  +  +  +            **
                                                                                             0
   iCP-NI (μM)  -  -  1  10  -  -  1  10                                                       No   -  Cream   iCP-NI
                  p-p65         p-p65                                     Mast Cell           Treatment  Only  Cream
                                        600
                  p-STAT6       p65                  37%                      DNCB          150  *p<0.05, **p<0.01  DNCB
                  GATA3         GAPDH                                                           Error Bar: SD  *
                  Lamin B1             Human TARC (pg/ml)   400  No Treatment  -  Cream Only  iCP-NI Cream   120
                     TNF-α + IFN-γ                                                          90           66%
         No Treatment  -  iCP-NI                                                            Mast Cells Number
                                        200                                                 60
       NF-κB (p-p65)                    0                                            Scale bar = 100 μm  30
                                           No
                                                     iCP-NI
                                         Treatment  -  iCP-NI   (10 uM)                      0  No   -  Cream   iCP-NI
                                                 (1 uM)
                                                                                              Treatment  Only  Cream
                         Scale Bar = 10 μm    TNF-α / IFN-γ (10 ng/ml)
                                                                                                      DNCB
        Figure 4. iCP-NI Reduces IgE Levels In Plasma And Pro-Inflammatory Cytokines   CONCLUSION
              IgE In Plasma        Inflammatory Cytokines In Skin Tissue  These results suggest that iCP-NI restored AD-like skin lesion
                    *p<0.05, **p<0.01
    10000.0           Error Bar: SD  TNF-α          IL-6    (50%), as assessed by SCORAD, and the levels of serum IgE (71%),
                    **       2.5 3  *p<0.05, **p<0.01  6  *p<0.05, **p<0.01  *  and iCP-NI reduced the upregulated cytokines level such as IL-6
    Total IgE in Plasma (ng/mL)  6000.0  55%  68%  TNF-α (pg/ml)  1.5 2  *  IL-6 (pg/ml)  5 4 3  (66%), TNF-α (87%). In conclusion, these results suggest that iCP-
     8000.0
                   *
                                      Error Bar: SD
                                                 Error Bar: SD
                                                            NI has a significant therapeutic effect on AD, an inflammatory
     4000.0
                                                            skin disease, through immune system control.
     2000.0
                             0.5 1       87%  2 1        66%
      0.0                                                                     REFERENCES
         No   -  Cream   2%  5%  10%  0
        Treatment  Only         No    Cream   iCP-NI  0  No   Cream   iCP-NI
                    iCP-NI Cream    -              -
                               Treatment  Only  Cream  Treatment  Only  Cream  Chung et al. (2020) Science Advances
                  DNCB
                                      DNCB           DNCB
                                                             Lim et al. (2013) Clinical Cancer Research
                        Filaggrin Expression (In Vivo)
                                             TNF-α/IFN-γ     Lim et al. (2013) Biomaterials
           No       DNCB-Induced AD Model
                                       iCP-NI
         Treatment  -       iCP-NI   48 (kDa)  -  -  1  10  (μM)          Contact Information
      Filaggrin                    Epidermis       Filaggrin
                                     35 (kDa)                Dongho Kim, Cellivery Therapeutics, Inc.
                                                   α-tubulin
                                                             kimdh@cellivery.com, +82-2-3151-8900
                           Scale Bar = 100 μm                                                   S4-3 신진과학자
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