TH17 cells contribute to uveitis and scleritis and are expanded by IL-2 and inhibited by IL-27/STAT1

A Amadi-Obi, CR Yu, X Liu, RM Mahdi, GL Clarke… - Nature medicine, 2007 - nature.com
A Amadi-Obi, CR Yu, X Liu, RM Mahdi, GL Clarke, RB Nussenblatt, I Gery, YS Lee…
Nature medicine, 2007nature.com
T-helper type 17 cells (TH17) are implicated in rodent models of immune-mediated
diseases. Here we report their involvement in human uveitis and scleritis, and validate our
findings in experimental autoimmune uveoretinitis (EAU), a model of uveitis. TH17 cells
were present in human peripheral blood mononuclear cells (PBMC), and were expanded by
interleukin (IL)-2 and inhibited by interferon (IFN)-γ. Their numbers increased during active
uveitis and scleritis and decreased following treatment. IL-17 was elevated in EAU and …
Abstract
T-helper type 17 cells (TH17) are implicated in rodent models of immune-mediated diseases. Here we report their involvement in human uveitis and scleritis, and validate our findings in experimental autoimmune uveoretinitis (EAU), a model of uveitis. TH17 cells were present in human peripheral blood mononuclear cells (PBMC), and were expanded by interleukin (IL)-2 and inhibited by interferon (IFN)-γ. Their numbers increased during active uveitis and scleritis and decreased following treatment. IL-17 was elevated in EAU and upregulated tumor necrosis factor (TNF)-α in retinal cells, suggesting a mechanism by which TH17 may contribute to ocular pathology. Furthermore, IL-27 was constitutively expressed in retinal ganglion and photoreceptor cells, was upregulated by IFN-γ and inhibited proliferation of TH17. These findings suggest that TH1 cells may mitigate uveitis by antagonizing the TH17 phenotype through the IFN-γ–mediated induction of IL-27 in target tissue. The finding that IL-2 promotes TH17 expansion provides explanations for the efficacy of IL-2R antibody therapy in uveitis, and suggests that antagonism of TH17 by IFN-γ and/or IL-27 could be used for the treatment of chronic inflammation.
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