<p>Psoriasis affects over 125 million people globally. Biologics targeting the IL-17/IL-17RA axis are effective but require systemic administration, are costly, and are unsuitable for some patients. Developing topical small-molecule alternatives requires a better understanding of how IL-17 receptor A (IL17RA) is regulated in keratinocytes, the principal effector cells of psoriatic lesions. Here, we report a genome-wide CRISPR knockout screen for regulators of surface IL17RA in primary human epidermal keratinocytes. We prioritize hits using experimental enrichment together with VirtualCRISPR, a language-model framework trained on functional-genomics data, and validate two regulators with minimal prior connection to IL17RA: 5-lipoxygenase (ALOX5) and the oxytocin receptor (OXTR), which act through distinct cell-intrinsic mechanisms. Topical zileuton, an ALOX5 inhibitor, and cligosiban, an OXTR antagonist, suppress imiquimod-induced psoriasiform dermatitis in mice, mirroring systemic anti-IL17RA antibody efficacy. By linking AI- guided selection to genetic perturbation screening, this study provides an efficient route from candidate gene nomination to biological validation and therapeutic discovery.</p>

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AI-guided CRISPR screening reveals therapeutic targets in psoriasis

  • Chenlin Zhao,
  • Mushaine Shih,
  • Sharif Ahmed,
  • Steven Song,
  • Amber Lennon,
  • Julia M. Mayes,
  • Mengqi Jonathan Fan,
  • Pei-Ying Lo,
  • Jason Perera,
  • Alanur Tutar,
  • Andrew Kang,
  • Elizabeth Warren,
  • Ryan McClure,
  • Aly A. Khan,
  • Shana O. Kelley,
  • Abdalla M. Abdrabou

摘要

Psoriasis affects over 125 million people globally. Biologics targeting the IL-17/IL-17RA axis are effective but require systemic administration, are costly, and are unsuitable for some patients. Developing topical small-molecule alternatives requires a better understanding of how IL-17 receptor A (IL17RA) is regulated in keratinocytes, the principal effector cells of psoriatic lesions. Here, we report a genome-wide CRISPR knockout screen for regulators of surface IL17RA in primary human epidermal keratinocytes. We prioritize hits using experimental enrichment together with VirtualCRISPR, a language-model framework trained on functional-genomics data, and validate two regulators with minimal prior connection to IL17RA: 5-lipoxygenase (ALOX5) and the oxytocin receptor (OXTR), which act through distinct cell-intrinsic mechanisms. Topical zileuton, an ALOX5 inhibitor, and cligosiban, an OXTR antagonist, suppress imiquimod-induced psoriasiform dermatitis in mice, mirroring systemic anti-IL17RA antibody efficacy. By linking AI- guided selection to genetic perturbation screening, this study provides an efficient route from candidate gene nomination to biological validation and therapeutic discovery.