GtoPdb is requesting financial support from commercial users. Please see our sustainability page for more information.
| 
                               
                            
                                
                                                                Synonyms: cytokine Zcyto10 | interleukin-20
                                 
                                                         
                            
                            
                            
                                Compound class: 
                                                            Endogenous peptide in human, mouse or rat
                                 
                                
                                    
                                        Comment: IL-20 is an IL-10 related type II cytokine. The IL-20 pathway is a pharmacological target with potential therapeutic benefit for patients wth rheumatoid arthritis [1].
                                    
                                 
                            
                                
                                    Species: Human
                                 
                            
                            
                          
                                
                                    
                                
                          
                                   
                                   
                                  
                                    
                                    
                                     | 
                                    
| Immunopharmacology Comments | 
| IL-20 is produced by monocytes and keratinocytes [3]. It stimulates the JAK/STAT signalling pathway via interaction with the IL-20 or IL-22 receptors. It is involved in inflammation, hematopoiesis and skin development.  An anti-IL-20 monoclonal antibody called fletikumab (NNC0109-0012 or NN-8226) reached Phase 2 clinical trial as a potential anti-rheumatoid arthritis therapy, especially those patients who have an inadequate response to DMARD therapy (methotrexate) or anti-TNFα biologics like adalimumab, but all trials were terminated despite favourable results having been published [2,5]. Fletikumab is claimed in Novo Nordisk patent US8287861B2 [4]. In vitro fletikumab inhibits activation of IL20R1/IL20R2 and IL22R1/IL20R2 receptor complexes and inhibits IL-20-induced proliferation of human IL-20R-expressing BaF-3 B cells [4]. The rationale for inhibiting the IL-20 pathway in rheumatoid arthritis is reviewed by Hsu and Chang (2017) [1].  |