Abstract

Secretion of the proinflammatory cytokine Interleukin-17A (IL-17A) is the hallmark of a unique lineage of CD4 T cells designated Th17 cells, which may play a crucial role in the pathogenesis of rheumatoid arthritis (RA) and many autoimmune diseases. Recently, IL-17-producing cells other than T cells have been described, including diverse innate immune cells. Here, we show that the cellular sources of IL-17A in RA include a significant number of non-T cells. Multicolour fluorescence analysis of IL-17-expressing peripheral blood mononuclear cells (PBMC) revealed larger proportions of IL-17+CD3- non-T cells in RA patients than in healthy controls (constitutive, 13.6% vs. 8.4%, and after stimulation with PMA/ionomycin 17.4% vs. 7.9% p < 0.001 in both cases). The source of IL-17 included CD3-CD56+ NK cells, CD3-CD14+ myeloid cells as well as the expected CD3+CD4+ Th17 cells and surprisingly a substantial number of CD3-CD19+ B cells. The presence of IL-17A-expressing B cells was confirmed by specific PCR of peripheral MACS-sorted CD19+ B cells, as well as by the analysis of different EBV-transformed B cell lines. Here we report for the first time that in addition to Th17 cells and different innate immune cells B cells also contribute to the IL-17A found in RA patients and healthy controls.

Highlights

  • Since its first description in 1993 [1], IL-17A has received much attention as an important proinflammatory cytokine with a critical role in immune defence against extracellular pathogens as well as in the pathogenesis of different autoimmune diseases

  • Most of the IL-17+ lymphocytes were present within the CD3+ T cell subset in both stimulated and unstimulated peripheral blood mononuclear cells (PBMC) of rheumatoid arthritis (RA) patients and healthy controls (Figure 1B)

  • The present study shows that in RA patients IL-17 is derived from a substantial number of cells other than the Th17 subset which include NK cells, other innate immune cells and in particular B lymphocytes in peripheral blood

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Summary

Introduction

Since its first description in 1993 [1], IL-17A ( referred to as IL-17) has received much attention as an important proinflammatory cytokine with a critical role in immune defence against extracellular pathogens as well as in the pathogenesis of different autoimmune diseases It was first isolated from a cytotoxic T cell hybridoma (CTLA8) and later recognized to belong to a cytokine family which includes five additional members IL-17B, IL-17C, IL-17D, IL-17E ( known as IL-25) and IL-17F. IL-17A and IL-17F share the highest sequence homology and signal through a heterodimeric IL-17 receptor complex which comprises the two subunits IL-17RA and IL-17RC [2] Members of this cytokine family, especially IL-17A, act in different arms of the adaptive immune response [3], as well as in the coordinated regulation of innate immunity against bacterial and fungal infections [4]. Most recently B cells in mice and humans have been shwon to produce IL-17 in response to infection with Trypanosoma cruzi [19]

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