IL-17 induces type V collagen overexpression and EMT via TGF-β-dependent pathways in obliterative bronchiolitis

Am J Physiol Lung Cell Mol Physiol. 2013 Mar 15;304(6):L401-14. doi: 10.1152/ajplung.00080.2012. Epub 2012 Dec 21.

Abstract

Obliterative bronchiolitis (OB), a fibrotic airway lesion, is the leading cause of death after lung transplantation. Type V collagen [col(V)] overexpression and IL-17-mediated anti-col(V) immunity are key contributors to OB pathogenesis. Here, we report a previously undefined role of IL-17 in inducing col(V) overexpression, leading to epithelial mesenchymal transition (EMT) and subsequent OB. We observed IL-17-mediated induction of col(V) α1 chains [α1 (V)] in normal airway epithelial cells in vitro and detected α1 (V)-specific antibodies in bronchoalveolar lavage fluid of lung transplant patients. Overexpression of IL-17 and col(V) was detected in OB lesions in patient lung biopsies and in a murine OB model. IL-17 is shown to induce EMT, TGF-β mRNA expression, and SMAD3 activation, whereas downregulating SMAD7 expression in vitro. Pharmacological inhibition of TGF-βRI tyrosine kinase, p38 MAPK, or focal adhesion kinase prevented col(V) overexpression and EMT. In murine orthotopic lung transplants, neutralizing IL-17 significantly decreased TGF-β mRNA and protein expression and prevented epithelial repair/OB. Our findings highlight a feed-forward loop between IL-17 and TGF-β, leading to induction of col(V) and associated epithelial repair, thus providing one possible link between autoimmunity and OB after lung transplantation.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Autoantibodies / metabolism
  • Bronchitis / immunology
  • Bronchitis / metabolism*
  • Bronchitis / pathology
  • Bronchitis / surgery
  • Cell Movement
  • Cells, Cultured
  • Collagen Type V / genetics
  • Collagen Type V / immunology
  • Collagen Type V / metabolism*
  • Epithelial-Mesenchymal Transition*
  • Female
  • Gene Expression
  • Gene Expression Regulation*
  • Humans
  • Interleukin-17 / physiology*
  • Lung Transplantation
  • Male
  • Mice
  • Middle Aged
  • Primary Cell Culture
  • Rats
  • Respiratory Mucosa / metabolism
  • Respiratory Mucosa / pathology
  • Signal Transduction
  • Transforming Growth Factor beta / physiology*

Substances

  • Autoantibodies
  • COL5A1 protein, human
  • Collagen Type V
  • Interleukin-17
  • Transforming Growth Factor beta