IL-17 produced by Paneth cells drives TNF-induced shock

N Takahashi, I Vanlaere, R De Rycke… - The Journal of …, 2008 - rupress.org
N Takahashi, I Vanlaere, R De Rycke, A Cauwels, LAB Joosten, E Lubberts…
The Journal of experimental medicine, 2008rupress.org
Tumor necrosis factor (TNF) has very potent antitumor activity, but it also provokes a
systemic inflammatory response syndrome that leads to shock, organ failure, and death.
Here, we demonstrate that interleukin (IL)-17, a proinflammatory cytokine known to be
produced mainly by activated T cells, has a critical role in this process. Antiserum against IL-
17 or deletion of Il17r protected mice against a lethal TNF challenge. Serum levels of TNF-
induced IL-6 and nitric oxide metabolites were significantly reduced in mice deficient in the …
Tumor necrosis factor (TNF) has very potent antitumor activity, but it also provokes a systemic inflammatory response syndrome that leads to shock, organ failure, and death. Here, we demonstrate that interleukin (IL)-17, a proinflammatory cytokine known to be produced mainly by activated T cells, has a critical role in this process. Antiserum against IL-17 or deletion of Il17r protected mice against a lethal TNF challenge. Serum levels of TNF-induced IL-6 and nitric oxide metabolites were significantly reduced in mice deficient in the IL-17R. TNF-induced leukocyte influx in the small intestine was reduced, and there was no injury to the small intestine. Surprisingly, electron microscopy showed that IL-17 was constitutively present in Paneth cells of the crypts. Upon TNF challenge, the intracellular pool of IL-17 in these cells was drastically reduced, suggesting rapid release of IL-17 from the granules of Paneth cells. Our findings assign a novel role for IL-17 in an acute inflammation and identify Paneth cells as a source of the IL-17 that plays a role in this process. These data indicate that innate immune cytokine responses in the local mucosa may participate in rapidly amplifying responses to systemic inflammatory challenges.
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