[PDF][PDF] Serum amyloid A proteins induce pathogenic Th17 cells and promote inflammatory disease

JY Lee, JA Hall, L Kroehling, L Wu, T Najar… - Cell, 2020 - cell.com
JY Lee, JA Hall, L Kroehling, L Wu, T Najar, HH Nguyen, WY Lin, ST Yeung, HM Silva, D Li
Cell, 2020cell.com
Lymphoid cells that produce interleukin (IL)-17 cytokines protect barrier tissues from
pathogenic microbes but are also prominent effectors of inflammation and autoimmune
disease. T helper 17 (Th17) cells, defined by RORγt-dependent production of IL-17A and IL-
17F, exert homeostatic functions in the gut upon microbiota-directed differentiation from
naive CD4+ T cells. In the non-pathogenic setting, their cytokine production is regulated by
serum amyloid A proteins (SAA1 and SAA2) secreted by adjacent intestinal epithelial cells …
Summary
Lymphoid cells that produce interleukin (IL)-17 cytokines protect barrier tissues from pathogenic microbes but are also prominent effectors of inflammation and autoimmune disease. T helper 17 (Th17) cells, defined by RORγt-dependent production of IL-17A and IL-17F, exert homeostatic functions in the gut upon microbiota-directed differentiation from naive CD4+ T cells. In the non-pathogenic setting, their cytokine production is regulated by serum amyloid A proteins (SAA1 and SAA2) secreted by adjacent intestinal epithelial cells. However, Th17 cell behaviors vary markedly according to their environment. Here, we show that SAAs additionally direct a pathogenic pro-inflammatory Th17 cell differentiation program, acting directly on T cells in collaboration with STAT3-activating cytokines. Using loss- and gain-of-function mouse models, we show that SAA1, SAA2, and SAA3 have distinct systemic and local functions in promoting Th17-mediated inflammatory diseases. These studies suggest that T cell signaling pathways modulated by the SAAs may be attractive targets for anti-inflammatory therapies.
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