RORγt drives production of the cytokine GM-CSF in helper T cells, which is essential for the effector phase of autoimmune neuroinflammation

L Codarri, G Gyülvészi, V Tosevski, L Hesske… - Nature …, 2011 - nature.com
L Codarri, G Gyülvészi, V Tosevski, L Hesske, A Fontana, L Magnenat, T Suter, B Becher
Nature immunology, 2011nature.com
Although the role of the TH 1 and TH 17 subsets of helper T cells as disease mediators in
autoimmune neuroinflammation remains a subject of some debate, none of their signature
cytokines are essential for disease development. Here we report that interleukin 23 (IL-23)
and the transcription factor RORγt drove expression of the cytokine GM-CSF in helper T
cells, whereas IL-12, interferon-γ (IFN-γ) and IL-27 acted as negative regulators.
Autoreactive helper T cells specifically lacking GM-CSF failed to initiate neuroinflammation …
Abstract
Although the role of the T H 1 and T H 17 subsets of helper T cells as disease mediators in autoimmune neuroinflammation remains a subject of some debate, none of their signature cytokines are essential for disease development. Here we report that interleukin 23 (IL-23) and the transcription factor RORγt drove expression of the cytokine GM-CSF in helper T cells, whereas IL-12, interferon-γ (IFN-γ) and IL-27 acted as negative regulators. Autoreactive helper T cells specifically lacking GM-CSF failed to initiate neuroinflammation despite expression of IL-17A or IFN-γ, whereas GM-CSF secretion by Ifng−/− Il17a−/− helper T cells was sufficient to induce experimental autoimmune encephalomyelitis (EAE). During the disease effector phase, GM-CSF sustained neuroinflammation via myeloid cells that infiltrated the central nervous system. Thus, in contrast to all other known helper T cell–derived cytokines, GM-CSF serves a nonredundant function in the initiation of autoimmune inflammation regardless of helper T cell polarization.
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