Abstract
CD4+ T-helper cells that selectively produce interleukin (IL)-17 (TH17), are critical for host defence and autoimmunity1,2,3,4. Although crucial for TH17 cells in vivo5,6, IL-23 has been thought to be incapable of driving initial differentiation. Rather, IL-6 and transforming growth factor (TGF)-β1 have been proposed to be the factors responsible for initiating specification7,8,9,10. Here we show that TH17 differentiation can occur in the absence of TGF-β signalling. Neither IL-6 nor IL-23 alone efficiently generated TH17 cells; however, these cytokines in combination with IL-1β effectively induced IL-17 production in naive precursors, independently of TGF-β. Epigenetic modification of the Il17a, Il17f and Rorc promoters proceeded without TGF-β1, allowing the generation of cells that co-expressed RORγt (encoded by Rorc) and T-bet. T-bet+RORγt+ TH17 cells are generated in vivo during experimental allergic encephalomyelitis, and adoptively transferred TH17 cells generated with IL-23 without TGF-β1 were pathogenic in this disease model. These data indicate an alternative mode for TH17 differentiation. Consistent with genetic data linking IL23R with autoimmunity, our findings re-emphasize the importance of IL-23 and therefore may have therapeutic implications.
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References
Miossec, P., Korn, T. & Kuchroo, V. K. Interleukin-17 and type 17 helper T cells. N. Engl. J. Med. 361, 888â898 (2009)
Weaver, C. T., Hatton, R. D., Mangan, P. R. & Harrington, L. E. IL-17 family cytokines and the expanding diversity of effector T cell lineages. Annu. Rev. Immunol. 25, 821â852 (2007)
Stockinger, B. & Veldhoen, M. Differentiation and function of Th17 T cells. Curr. Opin. Immunol. 19, 281â286 (2007)
Zhou, L., Chong, M. M. & Littman, D. R. Plasticity of CD4+ T cell lineage differentiation. Immunity 30, 646â655 (2009)
Cua, D. J. et al. Interleukin-23 rather than interleukin-12 is the critical cytokine for autoimmune inflammation of the brain. Nature 421, 744â748 (2003)
McGeachy, M. J. et al. The interleukin 23 receptor is essential for the terminal differentiation of interleukin 17-producing effector T helper cells in vivo . Nature Immunol. 10, 314â324 (2009)
Veldhoen, M., Hocking, R. J., Atkins, C. J., Locksley, R. M. & Stockinger, B. TGFβ in the context of an inflammatory cytokine milieu supports de novo differentiation of IL-17-producing T cells. Immunity 24, 179â189 (2006)
Mangan, P. R. et al. Transforming growth factor-β induces development of the TH17 lineage. Nature 441, 231â234 (2006)
Ivanov, I. I. et al. The orphan nuclear receptor RORγt directs the differentiation program of proinflammatory IL-17+ T helper cells. Cell 126, 1121â1133 (2006)
Bettelli, E. et al. Reciprocal developmental pathways for the generation of pathogenic effector TH17 and regulatory T cells. Nature 441, 235â238 (2006)
Veldhoen, M., Hocking, R. J., Flavell, R. A. & Stockinger, B. Signals mediated by transforming growth factor-β initiate autoimmune encephalomyelitis, but chronic inflammation is needed to sustain disease. Nature Immunol. 7, 1151â1156 (2006)
Liu, Y. et al. A critical function for TGF-β signaling in the development of natural CD4+CD25+Foxp3+ regulatory T cells. Nature Immunol. 9, 632â640 (2008)
Lee, Y. K. et al. Late developmental plasticity in the T helper 17 lineage. Immunity 30, 92â107 (2009)
Das, J. et al. Transforming growth factor β is dispensable for the molecular orchestration of Th17 cell differentiation. J. Exp. Med. 206, 2407â2416 (2009)
Bettelli, E. et al. Loss of T-bet, but not STAT1, prevents the development of experimental autoimmune encephalomyelitis. J. Exp. Med. 200, 79â87 (2004)
Lochner, M. et al. In vivo equilibrium of proinflammatory IL-17+ and regulatory IL-10+ Foxp3+ RORγt+ T cells. J. Exp. Med. 205, 1381â1393 (2008)
Yang, Y. et al. T-bet is essential for encephalitogenicity of both Th1 and Th17 cells. J. Exp. Med. 206, 1549â1564 (2009)
Aggarwal, S., Ghilardi, N., Xie, M. H., de Sauvage, F. J. & Gurney, A. L. Interleukin-23 promotes a distinct CD4 T cell activation state characterized by the production of interleukin-17. J. Biol. Chem. 278, 1910â1914 (2003)
Park, H. et al. A distinct lineage of CD4 T cells regulates tissue inflammation by producing interleukin 17. Nature Immunol. 6, 1133â1141 (2005)
Harrington, L. E. et al. Interleukin 17-producing CD4+ effector T cells develop via a lineage distinct from the T helper type 1 and 2 lineages. Nature Immunol. 6, 1123â1132 (2005)
McGeachy, M. J. et al. TGF-β and IL-6 drive the production of IL-17 and IL-10 by T cells and restrain TH-17 cell-mediated pathology. Nature Immunol. 8, 1390â1397 (2007)
Wilson, N. J. et al. Development, cytokine profile and function of human interleukin 17-producing helper T cells. Nature Immunol. 8, 950â957 (2007)
Chen, Z., Tato, C. M., Muul, L., Laurence, A. & OâShea, J. J. Distinct regulation of interleukin-17 in human T helper lymphocytes. Arthritis Rheum. 56, 2936â2946 (2007)
Acosta-Rodriguez, E. V., Napolitani, G., Lanzavecchia, A. & Sallusto, F. Interleukins 1β and 6 but not transforming growth factor-β are essential for the differentiation of interleukin 17-producing human T helper cells. Nature Immunol. 8, 942â949 (2007)
Elyaman, W. et al. IL-9 induces differentiation of TH17 cells and enhances function of FoxP3+ natural regulatory T cells. Proc. Natl Acad. Sci. USA 106, 12885â12890 (2009)
Nowak, E. C. et al. IL-9 as a mediator of Th17-driven inflammatory disease. J. Exp. Med. 206, 1653â1660 (2009)
Gutcher, I., Urich, E., Wolter, K., Prinz, M. & Becher, B. Interleukin 18-independent engagement of interleukin 18 receptor-α is required for autoimmune inflammation. Nature Immunol. 7, 946â953 (2006)
Lord, G. M. et al. T-bet is required for optimal proinflammatory CD4+ T-cell trafficking. Blood 106, 3432â3439 (2005)
Koch, M. A. et al. The transcription factor T-bet controls regulatory T cell homeostasis and function during type 1 inflammation. Nature Immunol. 10, 595â602 (2009)
Kebir, H. et al. Preferential recruitment of interferon-γ-expressing TH17 cells in multiple sclerosis. Ann. Neurol. 66, 390â402 (2009)
Wei, G. et al. Global mapping of H3K4me3 and H3K27me3 reveals specificity and plasticity in lineage fate determination of differentiating CD4+ T cells. Immunity 30, 155â167 (2009)
Durant, L. et al. Diverse STAT3 targets contribute to T cell pathogenicity and homeostasis. Immunity 32, 605â615 (2010)
Laurence, A. et al. Interleukin-2 signaling via STAT5 constrains T helper 17 cell generation. Immunity 26, 371â381 (2007)
Wei, L., Laurence, A., Elias, K. M. & OâShea, J. J. IL-21 is produced by Th17 cells and drives IL-17 production in a STAT3-dependent manner. J. Biol. Chem. 282, 34605â34610 (2007)
Acknowledgements
We thank J. Simone, J. Lay (Flow Cytometry Section, NIAMS) and the NIAMS LACU staff for technical support. This work has been supported by the Intramural Research Programs of NIAMS, NIDCR and NIAID.
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K.G. designed, performed, analysed and interpreted all the experiments and wrote the manuscript. A.L., X.-P.Y., M.J.G. and C.M.T. planned and performed experiments and helped to write the manuscript; L.W. and H.-W.S. interpreted the microarray experiments and ChIP-seq data; H.L.R., W.T.W. and Y.K. performed and interpreted the ChIP-seq data; J.E.K., N.B. and J.R.G. helped to analyse gut lymphocytes; T.S.D. and Q.C. helped to analyse CNS lymphocytes. G.E. provided the Rorc(γt)-GfpTG mice and made helpful suggestions; W.C. provided the Tgfbr1f/fCD4-Cre+ mice, contributed to the experimental design and data interpretation; Y.B., E.M.S. and D.J.C. contributed to the experimental design, data interpretation and made helpful suggestions. J.J.O'S. contributed to the experimental design, analysed and interpreted all acquired data and helped to write the manuscript.
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Ghoreschi, K., Laurence, A., Yang, XP. et al. Generation of pathogenic TH17 cells in the absence of TGF-β signalling. Nature 467, 967â971 (2010). https://doi.org/10.1038/nature09447
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DOI: https://doi.org/10.1038/nature09447
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Sergio Romagnani
The demolished dogma
Francesco Annunziato and Sergio Romagnani
Department of Internal Medicine and DENOTHE Center, University of Florence, Italy
Corresponding Author: Professor Sergio Romagnani, Department of Internal Medicine, University of Florence, Viale Pieraccini 6 Firenze-50134, Italy
Ph. +39-055-4271492; Fax. +39-055-4271500
E-mail: [email protected]
In this paper, Ghoreschi et al.(1) definitively demolish the still ruling dogma of the critical role for TGF-beta in the generation of pathogenic TH17 cells. This study is of critical importance not only for the content, but also for its didactic and political significance in the field of immunology. TH17 cells were first recognized in mice and found to be induced by TGF-beta plus IL-6 (2-4), whereas in presence of TGF-beta alone the same naive TH cells developed into Foxp3+ T regulatory cells (2). Murine TH17 cells appeared to be pathogenic in different murine models of autoimmune disorders, whereas TH1 cells were rather thought to be protective (5). Studies in humans did not confirm the critical role for TGF-beta in TH17 differentiation (6,7). In particular, those performed in our laboratory showed a series of differences between the properties of murine and human TH17 cells (7-9). First, human TH17 cells expressed not only the IL-23 receptor (R) and the transcription factor Rorc, but also the TH1-related IL-12Rbeta2 and transcription factor T-bet. Second, several human TH cells produced both IL-17A and interferon (IFN)-gamma; third, IL-12 up-regulated T-bet expression by TH17 cells and induced them to shift to the TH1 phenotype (8). All together, these findings suggested both a developmental relationship between the TH1 and TH17 cell subsets and the flexibility of TH17 cells (8). Finally and most importantly, human memory TH17 cells were found to express both CCR6 and CD161 (7,8) and to originate from CCR6+CD161+IL-23R+ and Rorc+ CD4+ T-cell precursors from both umbilical cord blood and newborn thymus only in response to the combined activity of IL-1beta and IL-23 but in absence of TGF-beta (7). TGF-beta was only found to favor human TH17 differentiation because of its suppressive activity on T-bet expression and consequently on the development of TH1 cells (9). Three different papers were then published which supported the role of TGF-beta even in human TH17 differentiation (10-12) and suggested that in previous studies TGF-beta presence in serum-containing cultures had been underestimated. These findings received an enthusiastic comment and the expression of great relief because the apparent species-specific differences were only attributable to the naivety of the studies performed in humans (13). The study of Ghoreschi et al. (1) demonstrates that murine and human Th17. cells have the same development requirements but because of opposite reasons, since it becomes now clear that the apparent species-specific differences were due to the fact that studies in humans had more correctly depicted the origin of Th17. cells and that only Th17. cells shifting to the production of IFN-gamma can exhibit pathogenicity (14). Ghoreschi et al. (1) fully confirm indeed all our above mentioned findings (7-9), although inexplicably in their paper none of our studies was cited. The teaching coming from this interesting story and its political significance is that too often immunologists using mouse models ignore the importance of studies directly performed in humans and that, as it has recently been stated (15), to fully realize the potential benefits of immunology for human health it is necessary to place more attention to human studies and make major efforts to allow them to flourish.
References
1. Ghoreschi, K. et al. Generation of pathogenic TH17 cells in absence of TGF-beta signaling. Nature 467, 967-971, 2010
2. Bettelli, E. et al. Reciprocal developmental pathways for the generation of pathogenic effector Th1. and regulatory T cells. Nature 441, 235-238, 2006
3. Mangan, P.R. et al. Transforming growth factor-beta induced development of the T(H)17 lineage. Nature 441, 231-234, 2006
4. Veldohen, M., Hocking, R.J., Atkins, C.J., Locksley, R.M. & Stockinger, B. TGF-beta in the context an inflammatory cytokine milieu supports de novo differentiation of IL-17-producing T cells. Immunity 24, 179-189, 2006
5. Chen, Z. & O�⬙Shea, J.J. Th1. cells: a new fate for differentiating helper T cells. Immunol. Res. 41, 87-102, 2008
6. Acosta Rodriguez, E.V., Napolitani, G., Lanzavecchia, A. & Sallusto, F. Interleukins 1beta and 6 but not trasnforming factor-b are essential for the differentiation of interleukin 17-producing human T helper cells. Nature Immunol. 8, 942-949, 2007
7. Cosmi, L. et al. Human interleukin 17-producing cells originate from a CD161+CD4+ T cell precursor. J. Exp. Med. 205, 1903-1916, 2008
8. Annunziato, F. et al. Phenotypic and functional features of human Th1. cells. J. Exp. Med. 204, 1849-1861, 2007
9. Santarlasci, V. et al. TGF-beta indirectly favors the development of human Th1. cells by inhibiting Th1.cells. Eur. J. Immunol. 39, 207-215, 2009
10. Manel, M, Unutmaz, D. & Littman, D.R. The differentaition of human Th1. cells require transforming growth factor-beta and induction of the nuclear receptor RORgammat. Nature Immunol. 9, 641-649, 2008
11. Volpe, E. et al. A critical function for transforming growth factor-beta, interleukin-23 and proinflammatory cytokines in driving and modulating human Th1. responses. Nature Immunol. 9, 650-657, 2009
12. Yang, L. et al. IL-21 and TGF-beta are required for differentiation of human T(H)17 cells. Nature 454, 350-352, 2009
13. O�⬙Garra, A., Stockinger, B. & Veldhoen, M. Differentiation of human T(H)17 cells does require TGF-beta. Nature Immunol. 9, 588-590, 2009
14. Annunziato, F & Romagnani, S. Do studies in humans better depict Th1. cells ? Blood 114, 2213-2219, 2009
15. Davis, M.M. A prescription for human immunology. Immunity 29, 835-838, 2008