Induction of TGF-β1 and TGF-β1–dependent predominant Th17 differentiation by group A streptococcal infection

B Wang, T Dileepan, S Briscoe… - Proceedings of the …, 2010 - National Acad Sciences
B Wang, T Dileepan, S Briscoe, KA Hyland, J Kang, A Khoruts, PP Cleary
Proceedings of the National Academy of Sciences, 2010National Acad Sciences
Recurrent group A Streptococcus (GAS) tonsillitis and associated autoimmune diseases
indicate that the immune response to this organism can be ineffective and pathological. TGF-
β1 is recognized as an essential signal for generation of regulatory T cells (Tregs) and T
helper (Th) 17 cells. Here, the impact of TGF-β1 induction on the T-cell response in mouse
nasal-associated lymphoid tissue (NALT) following intranasal (in) infections is investigated.
ELISA and TGF-β1-luciferase reporter assays indicated that persistent infection of mouse …
Recurrent group A Streptococcus (GAS) tonsillitis and associated autoimmune diseases indicate that the immune response to this organism can be ineffective and pathological. TGF-β1 is recognized as an essential signal for generation of regulatory T cells (Tregs) and T helper (Th) 17 cells. Here, the impact of TGF-β1 induction on the T-cell response in mouse nasal-associated lymphoid tissue (NALT) following intranasal (i.n.) infections is investigated. ELISA and TGF-β1-luciferase reporter assays indicated that persistent infection of mouse NALT with GAS sets the stage for TGF-β1 and IL-6 production, signals required for promotion of a Th17 immune response. As predicted, IL-17, the Th17 signature cytokine, was induced in a TGF-β1 signaling-dependent manner in single-cell suspensions of both human tonsils and NALT. Intracellular cytokine staining and flow cytometry demonstrated that CD4+ IL-17+ T cells are the dominant T cells induced in NALT by i.n. infections. Moreover, naive mice acquired the potential to clear GAS by adoptive transfer of CD4+ T cells from immunized IL-17A+/+ mice but not cells from IL-17A/ mice. These experiments link specific induction of TGF-β1 by a bacterial infection to an in vivo Th17 immune response and show that this cellular response is sufficient for protection against GAS. The association of a Th17 response with GAS infection reveals a potential mechanism for destructive autoimmune responses in humans.
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