1. Dual Inhibition of Interleukin-23 and Interleukin-17 Offers Superior Efficacy in Mouse Models of Autoimmunity
- Author
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Rochelle Thomas, Andrea L. Tatum, Mary Struthers, Linhui Julie Su, Pete Z. Cotter, Qihong Zhao, Paul R. Mangan, Ruchira Das Gupta, Irvith M. Carvajal, Zheng Lin, Victoria Jenny, Jenny Xie, Caryn Picarillo, Brigitte Devaux, Noah Ditto, Elizabeth M. Heimrich, Xiaoxia Yang, Luisa Salter-Cid, Kim W. McIntyre, Stacey Skala, Yunling Song, David J. Shuster, and Virna Borowski
- Subjects
Encephalomyelitis, Autoimmune, Experimental ,medicine.medical_treatment ,Autoimmunity ,Pharmacology ,medicine.disease_cause ,Interleukin-23 ,Myelin oligodendrocyte glycoprotein ,Mice ,Random Allocation ,In vivo ,medicine ,Interleukin 23 ,Animals ,Humans ,Mice, Inbred BALB C ,biology ,business.industry ,Interleukin-17 ,Experimental autoimmune encephalomyelitis ,Antibodies, Monoclonal ,Interleukin ,medicine.disease ,Coculture Techniques ,Mice, Inbred C57BL ,HEK293 Cells ,Cytokine ,NIH 3T3 Cells ,biology.protein ,Molecular Medicine ,Female ,Interleukin 17 ,business - Abstract
Therapies targeting either interleukin (IL)-23 or IL-17 have shown promise in treating T helper 17 (Th17)-driven autoimmune diseases. Although IL-23 is a critical driver of IL-17, recognition of nonredundant and independent functions of IL-23 and IL-17 has prompted the notion that dual inhibition of both IL-23 and IL-17 could offer even greater efficacy for treating autoimmune diseases relative to targeting either cytokine alone. To test this hypothesis, we generated selective inhibitors of IL-23 and IL-17 and tested the effect of either treatment alone compared with their combination in vitro and in vivo. In vitro, using a novel culture system of murine Th17 cells and NIH/3T3 fibroblasts, we showed that inhibition of both IL-23 and IL-17 completely suppressed IL-23-dependent IL-22 production from Th17 cells and cooperatively blocked IL-17-dependent IL-6 secretion from the NIH/3T3 cells to levels below either inhibitor alone. In vivo, in the imiquimod induced skin inflammation model, and in the myelin oligodendrocyte glycoprotein peptide-induced experimental autoimmune encephalomyelitis model, we demonstrated that dual inhibition of IL-17 and IL-23 was more efficacious in reducing disease than targeting either cytokine alone. Together, these data support the hypothesis that neutralization of both IL-23 and IL-17 may provide enhanced benefit against Th17 mediated autoimmunity and provide a basis for a therapeutic strategy aimed at dual targeting IL-23 and IL-17.
- Published
- 2015
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