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IL-6 失调起源于树突状细胞,并通过经典信号转导介导移植物抗宿主病。

IL-6 dysregulation originates in dendritic cells and mediates graft-versus-host disease via classical signaling.

机构信息

QIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia.

Faculty of Medicine, University of Queensland, Brisbane, QLD, Australia.

出版信息

Blood. 2019 Dec 5;134(23):2092-2106. doi: 10.1182/blood.2019000396.

Abstract

Graft-versus-host disease (GVHD) after allogeneic stem cell transplantation (alloSCT) is characterized by interleukin-6 (IL-6) dysregulation. IL-6 can mediate effects via various pathways, including classical, trans, and cluster signaling. Given the recent availability of agents that differentially inhibit these discrete signaling cascades, understanding the source and signaling and cellular targets of this cytokine is paramount to inform the design of clinical studies. Here we demonstrate that IL-6 secretion from recipient dendritic cells (DCs) initiates the systemic dysregulation of this cytokine. Inhibition of DC-driven classical signaling after targeted IL-6 receptor (IL-6R) deletion in T cells eliminated pathogenic donor Th17/Th22 cell differentiation and resulted in long-term survival. After engraftment, donor DCs assume the same role, maintaining classical IL-6 signaling-dependent GVHD responses. Surprisingly, cluster signaling was not active after transplantation, whereas inhibition of trans signaling with soluble gp130Fc promoted severe, chronic cutaneous GVHD. The latter was a result of exaggerated polyfunctional Th22-cell expansion that was reversed by IL-22 deletion or IL-6R inhibition. Importantly, inhibition of IL-6 classical signaling did not impair the graft-versus-leukemia effect. Together, these data highlight IL-6 classical signaling and downstream Th17/Th22 differentiation as important therapeutic targets after alloSCT.

摘要

移植物抗宿主病(GVHD)是异基因造血干细胞移植(alloSCT)后的特征,其特征是白细胞介素 6(IL-6)失调。IL-6 可以通过各种途径介导效应,包括经典、转导和簇信号。鉴于最近出现了可差异抑制这些离散信号级联的药物,了解这种细胞因子的来源、信号和细胞靶标对于告知临床研究的设计至关重要。在这里,我们证明了受体树突状细胞(DC)中的 IL-6 分泌引发了这种细胞因子的全身失调。在 T 细胞中靶向 IL-6 受体(IL-6R)缺失后抑制 DC 驱动的经典信号,消除了致病性供体 Th17/Th22 细胞分化,并导致长期存活。移植后,供体 DC 发挥相同的作用,维持经典 IL-6 信号依赖性 GVHD 反应。令人惊讶的是,簇信号在移植后没有活性,而用可溶性 gp130Fc 抑制转导信号则促进严重的慢性皮肤 GVHD。后者是由于多功能 Th22 细胞过度扩张所致,通过 IL-22 缺失或 IL-6R 抑制可逆转。重要的是,抑制 IL-6 经典信号不会损害移植物抗白血病效应。总之,这些数据强调了 IL-6 经典信号和下游 Th17/Th22 分化是 alloSCT 后的重要治疗靶点。

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