Immunoregulation Laboratory, Centre de Recherche du CHUM (CRCHUM), Montreal, QC, Canada.
Department of Gastrointestinal Surgery, CHUM, Montreal, QC, Canada.
Front Immunol. 2019 May 28;10:1177. doi: 10.3389/fimmu.2019.01177. eCollection 2019.
The drug targets IL23 and IL12 regulate pathogenicity and plasticity of intestinal Th17 cells in Crohn's disease (CD) and ulcerative colitis (UC), the two most common inflammatory bowel diseases (IBD). However, studies examining Th17 dysregulation in mesenteric lymph nodes (mLNs) of these patients are rare. We showed that in mLNs, CD could be distinguished from UC by increased frequencies of CCR6CXCR3RORγTbetCD4 (Th17) memory T cells enriched in CD62L effector memory T cells (T), and their differentially expressed molecular profile. Th17 T cells (expressing , and ) displayed a higher pathogenic/cytotoxic (, and ) gene signature in CD relative to UC, while non-pathogenic/regulatory genes () were more elevated in UC. In both CD and UC, IL12 but not IL23, augmented IFNγ expression in Th17 T and switched their molecular profile toward an ex-Th17 (Th1)-biased transcriptomic signature (increased , and decreased ), suggesting that Th17 plasticity occurs in mLNs before their recruitment to inflamed colon. We propose that differences observed between Th17 cell frequencies and their molecular profile in CD and UC might have implications in understanding disease pathogenesis, and thus, therapeutic management of patients with IBD.
该药物靶向白介素 23 和白介素 12,调节克罗恩病(CD)和溃疡性结肠炎(UC)中肠道 Th17 细胞的致病性和可塑性,这两种疾病是最常见的炎症性肠病(IBD)。然而,研究这些患者肠系膜淋巴结(mLN)中 Th17 失调的研究很少。我们表明,在 mLN 中,通过增加 CCR6CXCR3RORγTbetCD4(Th17)记忆 T 细胞的频率,CD 可以与 UC 区分开来,这些细胞在 CD62L 效应记忆 T 细胞(T)中富集,并且具有不同的表达分子谱。与 UC 相比,CD 中的 Th17 T 细胞(表达 、 和 )显示出更高的致病性/细胞毒性(、和 )基因特征,而非致病性/调节基因()在 UC 中升高更多。在 CD 和 UC 中,IL12 而不是 IL23,增强了 Th17 T 中的 IFNγ 表达,并将其分子谱切换为前 Th17(Th1)偏向的转录组特征(增加 、和减少 ),表明 Th17 可塑性发生在 mLN 中,然后招募到发炎的结肠。我们提出,在 CD 和 UC 中观察到的 Th17 细胞频率及其分子谱之间的差异可能对理解疾病发病机制,从而对 IBD 患者的治疗管理具有重要意义。