The nuclear receptor PPAR gamma selectively inhibits Th17 differentiation in a T cell-intrinsic fashion and suppresses CNS autoimmunity

J Exp Med. 2009 Sep 28;206(10):2079-89. doi: 10.1084/jem.20082771. Epub 2009 Sep 8.

Abstract

T helper cells secreting interleukin (IL)-17 (Th17 cells) play a crucial role in autoimmune diseases like multiple sclerosis (MS). Th17 differentiation, which is induced by a combination of transforming growth factor (TGF)-beta/IL-6 or IL-21, requires expression of the transcription factor retinoic acid receptor-related orphan receptor gamma t (ROR gamma t). We identify the nuclear receptor peroxisome proliferator-activated receptor gamma (PPAR gamma) as a key negative regulator of human and mouse Th17 differentiation. PPAR gamma activation in CD4(+) T cells selectively suppressed Th17 differentiation, but not differentiation into Th1, Th2, or regulatory T cells. Control of Th17 differentiation by PPAR gamma involved inhibition of TGF-beta/IL-6-induced expression of ROR gamma t in T cells. Pharmacologic activation of PPAR gamma prevented removal of the silencing mediator for retinoid and thyroid hormone receptors corepressor from the ROR gamma t promoter in T cells, thus interfering with ROR gamma t transcription. Both T cell-specific PPAR gamma knockout and endogenous ligand activation revealed the physiological role of PPAR gamma for continuous T cell-intrinsic control of Th17 differentiation and development of autoimmunity. Importantly, human CD4(+) T cells from healthy controls and MS patients were strongly susceptible to PPAR gamma-mediated suppression of Th17 differentiation. In summary, we report a PPAR gamma-mediated T cell-intrinsic molecular mechanism that selectively controls Th17 differentiation in mice and in humans and that is amenable to pharmacologic modulation. We therefore propose that PPAR gamma represents a promising molecular target for specific immunointervention in Th17-mediated autoimmune diseases such as MS.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Cell Differentiation
  • DNA-Binding Proteins / metabolism
  • Encephalomyelitis, Autoimmune, Experimental / prevention & control*
  • Humans
  • Interleukin-17 / physiology
  • Mice
  • Mice, Inbred C57BL
  • Multiple Sclerosis / prevention & control*
  • Nuclear Receptor Co-Repressor 2
  • Nuclear Receptor Subfamily 1, Group F, Member 3
  • PPAR gamma / physiology*
  • Promoter Regions, Genetic
  • Receptors, Retinoic Acid / genetics
  • Receptors, Thyroid Hormone / genetics
  • Repressor Proteins / metabolism
  • T-Lymphocytes, Helper-Inducer / cytology*

Substances

  • DNA-Binding Proteins
  • Interleukin-17
  • NCOR2 protein, human
  • Ncor2 protein, mouse
  • Nuclear Receptor Co-Repressor 2
  • Nuclear Receptor Subfamily 1, Group F, Member 3
  • PPAR gamma
  • RORC protein, human
  • Receptors, Retinoic Acid
  • Receptors, Thyroid Hormone
  • Repressor Proteins
  • Rorc protein, mouse