Hedley Robert, Ward Amy, Chu Colin J, Coupland Sarah E, Kiriakidis Serafim, Taylor Peter C, Dakin Stephanie G, Buckley Christopher D, Sherlock Jonathan, Dick Andrew D, Copland David A
Botnar Research Centre, and.
Sir William Dunn School of Pathology, University of Oxford, Oxford, United Kingdom.
JCI Insight. 2025 Aug 28;10(19). doi: 10.1172/jci.insight.182616. eCollection 2025 Oct 8.
Recurrent acute anterior uveitis is a frequent extra-articular manifestation of the axial spondyloarthropathies (AxSpA): chronic inflammatory diseases affecting the spine, enthesis, peripheral joints, skin, and gastrointestinal tract. Pathology in AxSpA has been associated with local tissue-resident populations of IL-23 responsive lymphoid cells. Here we characterize a population of ocular T cell defined by CD3+CD4-CD8-CD69+γδTCR+IL-23R+ that reside within the anterior uvea as an ocular entheseal analogue of the mouse eye. Localized cytokine expression demonstrates that uveal IL-23R+ IL-17A-producing cells are both necessary and sufficient to drive uveitis in response to IL-23. This T cell population is also present in humans, occupying extravascular tissues of the anterior uveal compartment. Consistent with the concept of IL-23 as a unifying mediator in AxSpA, we present evidence that IL-23 can also act locally on tissue resident T cells in the anterior compartment of the eye at sites analogous to the enthesis to drive ocular inflammation.
复发性急性前葡萄膜炎是轴性脊柱关节炎(AxSpA)常见的关节外表现:这是一类影响脊柱、肌腱附着点、外周关节、皮肤和胃肠道的慢性炎症性疾病。AxSpA的病理学与局部组织驻留的对IL-23有反应的淋巴细胞群体有关。在这里,我们鉴定了一群由CD3+CD4-CD8-CD69+γδTCR+IL-23R+定义的眼内T细胞,它们存在于前葡萄膜中,作为小鼠眼的眼肌腱附着点类似物。局部细胞因子表达表明,葡萄膜中产生IL-23R+IL-17A的细胞对于响应IL-23引发葡萄膜炎既是必需的也是充分的。这群T细胞在人类中也存在,占据前葡萄膜腔的血管外组织。与IL-23作为AxSpA统一介质的概念一致,我们提供的证据表明,IL-23也可以在类似于肌腱附着点的眼部前房组织驻留T细胞上局部起作用,以驱动眼部炎症。