Neutralization of the IL-17 axis diminishes neutrophil invasion and protects from ischemic stroke

M Gelderblom, A Weymar… - Blood, The Journal …, 2012 - ashpublications.org
M Gelderblom, A Weymar, C Bernreuther, J Velden, P Arunachalam, K Steinbach, E Orthey…
Blood, The Journal of the American Society of Hematology, 2012ashpublications.org
The devastating effect of ischemic stroke is attenuated in mice lacking conventional and
unconventional T cells, suggesting that inflammation enhances tissue damage in cerebral
ischemia. We explored the functional role of αβ and γδ T cells in a murine model of stroke
and distinguished 2 different T cell–dependent proinflammatory pathways in ischemia-
reperfusion injury. IFN-γ produced by CD4+ T cells induced TNF-α production in
macrophages, whereas IL-17A secreted by γδ T cells led to neutrophil recruitment. The …
Abstract
The devastating effect of ischemic stroke is attenuated in mice lacking conventional and unconventional T cells, suggesting that inflammation enhances tissue damage in cerebral ischemia. We explored the functional role of αβ and γδ T cells in a murine model of stroke and distinguished 2 different T cell–dependent proinflammatory pathways in ischemia-reperfusion injury. IFN-γ produced by CD4+ T cells induced TNF-α production in macrophages, whereas IL-17A secreted by γδ T cells led to neutrophil recruitment. The synergistic effect of TNF-α and IL-17A on astrocytes resulted in enhanced secretion of CXCL-1, a neutrophil chemoattractant. Application of an IL-17A–blocking antibody within 3 hours after stroke induction decreased infarct size and improved neurologic outcome in the murine model. In autoptic brain tissue of patients who had a stroke, we detected IL-17A–positive lymphocytes, suggesting that this aspect of the inflammatory cascade is also relevant in the human brain. We propose that selective targeting of IL-17A signaling might provide a new therapeutic option for the treatment of stroke.
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