IL-12/IL-23p40 Is Highly Expressed in Secondary Lymphoid Organs and the CNS during All Stages of EAE, but Its Deletion Does Not Affect Disease Perpetuation.

Interleukin (IL)-12 and IL-23 are heterodimers that share the p40 subunit, and both cytokines are critical in the differentiation of T helper (Th)1 and Th17 cells, respectively. Th1 and Th17 effector cells have been implicated in the pathogenesis of experimental autoimmune encephalitis (EAE), an ani...

Full description

Bibliographic Details
Main Authors: Petra D Cravens, Rehana Z Hussain, William A Miller-Little, Li-Hong Ben, Benjamin M Segal, Emily Herndon, Olaf Stüve
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2016-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC5079572?pdf=render
_version_ 1818586412890456064
author Petra D Cravens
Rehana Z Hussain
William A Miller-Little
Li-Hong Ben
Benjamin M Segal
Emily Herndon
Olaf Stüve
author_facet Petra D Cravens
Rehana Z Hussain
William A Miller-Little
Li-Hong Ben
Benjamin M Segal
Emily Herndon
Olaf Stüve
author_sort Petra D Cravens
collection DOAJ
description Interleukin (IL)-12 and IL-23 are heterodimers that share the p40 subunit, and both cytokines are critical in the differentiation of T helper (Th)1 and Th17 cells, respectively. Th1 and Th17 effector cells have been implicated in the pathogenesis of experimental autoimmune encephalitis (EAE), an animal model of the human central nervous system (CNS) autoimmune demyelinating disorder multiple sclerosis (MS). However, ustekinumab, a monoclonal antibody (mAb) against p40 failed to show efficacy over placebo in a phase II clinical trial in patients with MS. The role of p40 in initial T cell priming and maintenance in secondary lymphoid tissues is not yet well understood.Active EAE was induced in the B6.129-IL12b strain of p40eYFP reporter mice (yet40 mice), and Th1 and Th17 polarized cells were adoptively transferred into p40-deficient mice. Cellular subsets were phenotyped by multi-parameter flow cytometry, and p40 tissue expression was identified by confocal microscopy.We show that yet40 mice are susceptible to EAE, and that p40 is highly expressed in secondary lymphoid organs and the CNS during all stages of the disease. Interestingly, p40 expression in the recipient is not required for EAE induction after adoptive transfer of activated and differentiated encephalitogenic Th1 and Th17 cells into p40-deficient mice. Peripheral antagonism of T helper cell trophic factors critical for the differentiation and maintenance of Th1 and Th17 cells ameliorates EAE, indicating that p40 may play a critical role in the induction of CNS autoimmunity but not in its perpetuation.Our data may explain why ustekinumab did not ameliorate paraclinical and clinical disease in patients with MS. In patients with already established disease, activated antigen-specific encephalitogenic CD4+ T cells are likely already differentiated, and are not dependent on p40 for maintenance. A clinical trial of longer duration with anti-p40 mAbs or other forms of pharmacological p40 antagonism, or sequential anti-p40 therapy following T cell depletion may show a benefit by affecting de novo generation of autoimmune T cells.
first_indexed 2024-12-16T08:52:34Z
format Article
id doaj.art-bf8dd2078cc148ea9e9bf73ab97c9381
institution Directory Open Access Journal
issn 1932-6203
language English
last_indexed 2024-12-16T08:52:34Z
publishDate 2016-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj.art-bf8dd2078cc148ea9e9bf73ab97c93812022-12-21T22:37:22ZengPublic Library of Science (PLoS)PLoS ONE1932-62032016-01-011110e016524810.1371/journal.pone.0165248IL-12/IL-23p40 Is Highly Expressed in Secondary Lymphoid Organs and the CNS during All Stages of EAE, but Its Deletion Does Not Affect Disease Perpetuation.Petra D CravensRehana Z HussainWilliam A Miller-LittleLi-Hong BenBenjamin M SegalEmily HerndonOlaf StüveInterleukin (IL)-12 and IL-23 are heterodimers that share the p40 subunit, and both cytokines are critical in the differentiation of T helper (Th)1 and Th17 cells, respectively. Th1 and Th17 effector cells have been implicated in the pathogenesis of experimental autoimmune encephalitis (EAE), an animal model of the human central nervous system (CNS) autoimmune demyelinating disorder multiple sclerosis (MS). However, ustekinumab, a monoclonal antibody (mAb) against p40 failed to show efficacy over placebo in a phase II clinical trial in patients with MS. The role of p40 in initial T cell priming and maintenance in secondary lymphoid tissues is not yet well understood.Active EAE was induced in the B6.129-IL12b strain of p40eYFP reporter mice (yet40 mice), and Th1 and Th17 polarized cells were adoptively transferred into p40-deficient mice. Cellular subsets were phenotyped by multi-parameter flow cytometry, and p40 tissue expression was identified by confocal microscopy.We show that yet40 mice are susceptible to EAE, and that p40 is highly expressed in secondary lymphoid organs and the CNS during all stages of the disease. Interestingly, p40 expression in the recipient is not required for EAE induction after adoptive transfer of activated and differentiated encephalitogenic Th1 and Th17 cells into p40-deficient mice. Peripheral antagonism of T helper cell trophic factors critical for the differentiation and maintenance of Th1 and Th17 cells ameliorates EAE, indicating that p40 may play a critical role in the induction of CNS autoimmunity but not in its perpetuation.Our data may explain why ustekinumab did not ameliorate paraclinical and clinical disease in patients with MS. In patients with already established disease, activated antigen-specific encephalitogenic CD4+ T cells are likely already differentiated, and are not dependent on p40 for maintenance. A clinical trial of longer duration with anti-p40 mAbs or other forms of pharmacological p40 antagonism, or sequential anti-p40 therapy following T cell depletion may show a benefit by affecting de novo generation of autoimmune T cells.http://europepmc.org/articles/PMC5079572?pdf=render
spellingShingle Petra D Cravens
Rehana Z Hussain
William A Miller-Little
Li-Hong Ben
Benjamin M Segal
Emily Herndon
Olaf Stüve
IL-12/IL-23p40 Is Highly Expressed in Secondary Lymphoid Organs and the CNS during All Stages of EAE, but Its Deletion Does Not Affect Disease Perpetuation.
PLoS ONE
title IL-12/IL-23p40 Is Highly Expressed in Secondary Lymphoid Organs and the CNS during All Stages of EAE, but Its Deletion Does Not Affect Disease Perpetuation.
title_full IL-12/IL-23p40 Is Highly Expressed in Secondary Lymphoid Organs and the CNS during All Stages of EAE, but Its Deletion Does Not Affect Disease Perpetuation.
title_fullStr IL-12/IL-23p40 Is Highly Expressed in Secondary Lymphoid Organs and the CNS during All Stages of EAE, but Its Deletion Does Not Affect Disease Perpetuation.
title_full_unstemmed IL-12/IL-23p40 Is Highly Expressed in Secondary Lymphoid Organs and the CNS during All Stages of EAE, but Its Deletion Does Not Affect Disease Perpetuation.
title_short IL-12/IL-23p40 Is Highly Expressed in Secondary Lymphoid Organs and the CNS during All Stages of EAE, but Its Deletion Does Not Affect Disease Perpetuation.
title_sort il 12 il 23p40 is highly expressed in secondary lymphoid organs and the cns during all stages of eae but its deletion does not affect disease perpetuation
url http://europepmc.org/articles/PMC5079572?pdf=render
work_keys_str_mv AT petradcravens il12il23p40ishighlyexpressedinsecondarylymphoidorgansandthecnsduringallstagesofeaebutitsdeletiondoesnotaffectdiseaseperpetuation
AT rehanazhussain il12il23p40ishighlyexpressedinsecondarylymphoidorgansandthecnsduringallstagesofeaebutitsdeletiondoesnotaffectdiseaseperpetuation
AT williamamillerlittle il12il23p40ishighlyexpressedinsecondarylymphoidorgansandthecnsduringallstagesofeaebutitsdeletiondoesnotaffectdiseaseperpetuation
AT lihongben il12il23p40ishighlyexpressedinsecondarylymphoidorgansandthecnsduringallstagesofeaebutitsdeletiondoesnotaffectdiseaseperpetuation
AT benjaminmsegal il12il23p40ishighlyexpressedinsecondarylymphoidorgansandthecnsduringallstagesofeaebutitsdeletiondoesnotaffectdiseaseperpetuation
AT emilyherndon il12il23p40ishighlyexpressedinsecondarylymphoidorgansandthecnsduringallstagesofeaebutitsdeletiondoesnotaffectdiseaseperpetuation
AT olafstuve il12il23p40ishighlyexpressedinsecondarylymphoidorgansandthecnsduringallstagesofeaebutitsdeletiondoesnotaffectdiseaseperpetuation