IL-17 protects T cells from apoptosis and contributes to development of ALPS-like phenotypes

Blood. 2014 Feb 20;123(8):1178-86. doi: 10.1182/blood-2013-07-518167. Epub 2013 Dec 20.

Abstract

In autoimmune/lymphoproliferative syndrome (ALPS), defective Fas death receptor function causes lymphadenomegaly/splenomegaly, the expansion of T-cell receptor αβ(+) CD4/CD8 double-negative T cells, and frequent development of hematologic autoimmunity. Dianzani autoimmune lymphoproliferative disease (DALD) has a similar phenotype but lacks the expansion of double-negative T cells. This work shows that patients with ALPS and DALD have high serum levels of interleukin 17A (IL-17A), IL-17F, and IL-17AF, which are involved in several autoimmune diseases, and that their T cells show increased secretion of these cytokines upon activation in vitro. The following data indicate that these cytokines may contribute to ALPS and DALD: (1) recombinant IL-17A and IL-17F significantly inhibit Fas-induced cell death in Fas-sensitive T cells from healthy donors; (2) this inhibitory effect is also induced by the patients' serum and is reversed by anti-IL-17A antibodies; (3) IL-17A neutralization substantially increases Fas-induced cell death in T cells from ALPS and DALD patients in vitro; and (4) treatment with anti-IL-17A antibodies ameliorates the autoimmune manifestations and, at a lesser extent, the lymphoproliferative phenotype and prolongs survival in MRLlpr/lpr mice, which are an animal model of ALPS. These data suggest that IL-17A and IL-17F could be targeted therapeutically to improve Fas function in ALPS and DALD.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antibodies, Neutralizing / immunology
  • Apoptosis / immunology*
  • Autoimmune Lymphoproliferative Syndrome / immunology*
  • Autoimmune Lymphoproliferative Syndrome / pathology
  • Cells, Cultured
  • Child
  • Child, Preschool
  • Female
  • Humans
  • Immunization, Passive
  • Immunophenotyping
  • Interleukin-17 / blood
  • Interleukin-17 / immunology*
  • Male
  • Mice
  • Mice, Inbred MRL lpr
  • Phenotype
  • Receptors, Antigen, T-Cell, alpha-beta / genetics
  • Receptors, Antigen, T-Cell, alpha-beta / immunology
  • T-Lymphocytes / cytology*
  • T-Lymphocytes / immunology
  • Young Adult

Substances

  • Antibodies, Neutralizing
  • IL17A protein, human
  • IL17F protein, human
  • Interleukin-17
  • Receptors, Antigen, T-Cell, alpha-beta

Supplementary concepts

  • Dianzani autoimmune lymphoproliferative syndrome