Anthralin is still the most effective and safest therapeutic agent for
treatment of psoriasis. Our data mag assist toward an understanding o
f its mode of action and introduce new derivatives, more antiprolifera
tive and less toxic than anthralin in vitro. Anthralin exerts a direct
effect on keratinocytes and leukocytes. In time-lapse studies it sign
ificantly prolonged the prophase of mitotic keratinocytes in subtoxic
doses and suppressed the expression of keratin 6 mRNA in the immediate
ly suprabasal layer of psoriatic epidermis in vivo. Anthralin inhibits
the transformation of lymphocytes and the release of reactive oxygen
species from activated leukocytes, in vitro. We provide evidence that
these effects of anthralin are mediated by protein kinase C. Twelve ne
w hydrophilic derivatives of anthralin, including a 1,8-dimethosy comp
ound, as well as C-2 and C-10 substituted anthrones were tested on hum
an keratinocytes. The antiproliferative effect of those derivatives be
aring lacton rings at a C-10, consisting of 4, 5, or 6 C atoms, exceed
ed that of anthralin and were equally or less cytotoxic than the paren
t drug. These compounds had no pro-drug character in vitro, since they
did not metabolize via anthralin, as shown by HPLC. These data indica
te that there may be anthralin derivatives with more favourable proper
ties for topical therapy than anthralin itself.