Department of Pathobiology, College of Veterinary Medicine, University of Tennessee, Knoxville, TN 37996, USA.
J Immunol. 2011 Aug 15;187(4):1919-30. doi: 10.4049/jimmunol.1100736. Epub 2011 Jul 15.
HSV-1 infection of the cornea leads to a blinding immunoinflammatory lesion of the eye termed stromal keratitis (SK). Recently, IL-17-producing CD4(+) T cells (Th17 cells) were shown to play a prominent role in many autoimmune conditions, but the role of IL-17 and/or of Th17 cells in virus immunopathology is unclear. In this study, we show that, after HSV infection of the cornea, IL-17 is upregulated in a biphasic manner with an initial peak production around day 2 postinfection and a second wave starting from day 7 postinfection with a steady increase until day 21 postinfection, a time point when clinical lesions are fully evident. Further studies demonstrated that innate cells, particularly γδ T cells, were major producers of IL-17 early after HSV infection. However, during the clinical phase of SK, the predominant source of IL-17 was Th17 cells that infiltrated the cornea only after the entry of Th1 cells. By ex vivo stimulation, the half fraction of IFN-γ-producing CD4(+) T cells (Th1 cells) were HSV specific, whereas very few Th17 cells responded to HSV stimulation. The delayed influx of Th17 cells in the cornea was attributed to the local chemokine and cytokine milieu. Finally, HSV infection of IL-17R knockout mice as well as IL-17 neutralization in wild-type mice showed diminished SK severity. In conclusion, our results show that IL-17 and Th17 cells contribute to the pathogenesis of SK, the most common cause of infectious blindness in the Western world.
单纯疱疹病毒 1 (HSV-1)感染角膜可导致眼部免疫炎症性病变,即基质性角膜炎(SK)。最近,研究表明白细胞介素 17 (IL-17)产生的 CD4+T 细胞(Th17 细胞)在许多自身免疫性疾病中发挥着重要作用,但 IL-17 和/或 Th17 细胞在病毒免疫病理学中的作用尚不清楚。在本研究中,我们发现,HSV 感染角膜后,IL-17 呈双相上调,感染后第 2 天出现初始高峰,第 7 天开始出现第二次高峰,持续增加至第 21 天,此时临床病变完全显现。进一步的研究表明,固有细胞,特别是γδ T 细胞,是 HSV 感染后早期产生 IL-17 的主要细胞。然而,在 SK 的临床阶段,IL-17 的主要来源是 Th17 细胞,这些细胞仅在 Th1 细胞进入后才浸润角膜。通过体外刺激,产生 IFN-γ的 CD4+T 细胞(Th1 细胞)的一半分数是 HSV 特异性的,而很少有 Th17 细胞对 HSV 刺激有反应。Th17 细胞在角膜中的迟发浸润归因于局部趋化因子和细胞因子环境。最后,IL-17R 敲除小鼠的 HSV 感染以及野生型小鼠的 IL-17 中和均显示 SK 严重程度降低。总之,我们的研究结果表明,IL-17 和 Th17 细胞有助于 SK 的发病机制,SK 是西方世界最常见的传染性失明原因。
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