Department of Experimental Immunology, Immunology Frontier Research Center, Osaka University, Osaka 565-0871, Japan; Laboratory of Integrative Biological Science, Institute for Frontier Life and Medical Sciences, Kyoto University, Kyoto 606-8507, Japan.
Department of Advanced Medicine for Rheumatic Diseases, Graduate School of Medicine, Kyoto University, Kyoto 606-8507, Japan.
Immunity. 2018 Jun 19;48(6):1220-1232.e5. doi: 10.1016/j.immuni.2018.04.009. Epub 2018 May 22.
Despite the importance of Th17 cells in autoimmune diseases, it remains unclear how they control other inflammatory cells in autoimmune tissue damage. Using a model of spontaneous autoimmune arthritis, we showed that arthritogenic Th17 cells stimulated fibroblast-like synoviocytes via interleukin-17 (IL-17) to secrete the cytokine GM-CSF and also expanded synovial-resident innate lymphoid cells (ILCs) in inflamed joints. Activated synovial ILCs, which expressed CD25, IL-33Ra, and TLR9, produced abundant GM-CSF upon stimulation by IL-2, IL-33, or CpG DNA. Loss of GM-CSF production by either ILCs or radio-resistant stromal cells prevented Th17 cell-mediated arthritis. GM-CSF production by Th17 cells augmented chronic inflammation but was dispensable for the initiation of arthritis. We showed that GM-CSF-producing ILCs were present in inflamed joints of rheumatoid arthritis patients. Thus, a cellular cascade of autoimmune Th17 cells, ILCs, and stromal cells, via IL-17 and GM-CSF, mediates chronic joint inflammation and can be a target for therapeutic intervention.
尽管 Th17 细胞在自身免疫性疾病中具有重要作用,但它们如何控制自身免疫组织损伤中的其他炎症细胞仍不清楚。我们使用自发性自身免疫性关节炎模型表明,致关节炎性 Th17 细胞通过白细胞介素-17(IL-17)刺激成纤维样滑膜细胞分泌细胞因子 GM-CSF,并在炎症关节中扩增滑膜固有淋巴细胞(ILCs)。活化的滑膜 ILCs 表达 CD25、IL-33Ra 和 TLR9,在受到 IL-2、IL-33 或 CpG DNA 刺激时会产生大量 GM-CSF。ILCs 或辐射抗性基质细胞中 GM-CSF 产生的缺失可防止 Th17 细胞介导的关节炎。Th17 细胞产生的 GM-CSF 增强了慢性炎症,但对关节炎的发生是可有可无的。我们表明,GM-CSF 产生的 ILCs 存在于类风湿关节炎患者的炎症关节中。因此,通过 IL-17 和 GM-CSF 的自身免疫性 Th17 细胞、ILCs 和基质细胞的细胞级联反应可介导慢性关节炎症,并且可以成为治疗干预的靶点。