[HTML][HTML] CaMK4-dependent activation of AKT/mTOR and CREM-α underlies autoimmunity-associated Th17 imbalance

T Koga, CM Hedrich, M Mizui… - The Journal of …, 2014 - Am Soc Clin Investig
T Koga, CM Hedrich, M Mizui, N Yoshida, K Otomo, LA Lieberman, T Rauen, JC Crispín
The Journal of clinical investigation, 2014Am Soc Clin Investig
Tissue inflammation in several autoimmune diseases, including SLE and MS, has been
linked to an imbalance of IL-17–producing Th (Th17) cells and Tregs; however, the factors
that promote Th17-driven autoimmunity are unclear. Here, we present evidence that the
calcium/calmodulin-dependent protein kinase IV (CaMK4) is increased and required during
Th17 cell differentiation. Isolation of naive T cells from a murine model of lupus revealed
increased levels of CaMK4 following stimulation with Th17-inducing cytokines but not …
Tissue inflammation in several autoimmune diseases, including SLE and MS, has been linked to an imbalance of IL-17–producing Th (Th17) cells and Tregs; however, the factors that promote Th17-driven autoimmunity are unclear. Here, we present evidence that the calcium/calmodulin-dependent protein kinase IV (CaMK4) is increased and required during Th17 cell differentiation. Isolation of naive T cells from a murine model of lupus revealed increased levels of CaMK4 following stimulation with Th17-inducing cytokines but not following Treg, Th1, or Th2 induction. Furthermore, naive T cells from mice lacking CaMK4 did not produce IL-17. Genetic or pharmacologic inhibition of CaMK4 decreased the frequency of IL-17–producing T cells and ameliorated EAE and lupus-like disease in murine models. Inhibition of CaMK4 reduced Il17 transcription through decreased activation of the cAMP response element modulator α (CREM-α) and reduced activation of the AKT/mTOR pathway, which is known to enhance Th17 differentiation. Importantly, silencing CaMK4 in T cells from patients with SLE and healthy individuals inhibited Th17 differentiation through reduction of IL17A and IL17F mRNA. Collectively, our results suggest that CaMK4 inhibition has potential as a therapeutic strategy for Th17-driven autoimmune diseases.
The Journal of Clinical Investigation