[PDF][PDF] Differential roles for interleukin-23 and interleukin-17 in intestinal immunoregulation

JR Maxwell, Y Zhang, WA Brown, CL Smith, FR Byrne… - Immunity, 2015 - cell.com
JR Maxwell, Y Zhang, WA Brown, CL Smith, FR Byrne, M Fiorino, E Stevens, J Bigler…
Immunity, 2015cell.com
Summary Interleukin-23 (IL-23) and IL-17 are cytokines currently being targeted in clinical
trials. Although inhibition of both of these cytokines is effective for treating psoriasis, IL-12
and IL-23 p40 inhibition attenuates Crohn's disease, whereas IL-17A or IL-17 receptor A (IL-
17RA) inhibition exacerbates Crohn's disease. This dichotomy between IL-23 and IL-17 was
effectively modeled in the multidrug resistance-1a-ablated (Abcb1a−/−) mouse model of
colitis. IL-23 inhibition attenuated disease by decreasing colonic inflammation while …
Summary
Interleukin-23 (IL-23) and IL-17 are cytokines currently being targeted in clinical trials. Although inhibition of both of these cytokines is effective for treating psoriasis, IL-12 and IL-23 p40 inhibition attenuates Crohn's disease, whereas IL-17A or IL-17 receptor A (IL-17RA) inhibition exacerbates Crohn's disease. This dichotomy between IL-23 and IL-17 was effectively modeled in the multidrug resistance-1a-ablated (Abcb1a−/−) mouse model of colitis. IL-23 inhibition attenuated disease by decreasing colonic inflammation while enhancing regulatory T (Treg) cell accumulation. Exacerbation of colitis by IL-17A or IL-17RA inhibition was associated with severe weakening of the intestinal epithelial barrier, culminating in increased colonic inflammation and accelerated mortality. These data show that IL-17A acts on intestinal epithelium to promote barrier function and provide insight into mechanisms underlying exacerbation of Crohn's disease when IL-17A or IL-17RA is inhibited.
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