1. Transient inhibition of ROR-γt therapeutically limits intestinal inflammation by reducing [T.sub.H]17 cells and preserving group 3 innate lymphoid cells
- Author
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Withers, David R., Hepworth, Matthew R., Wang, Xinxin, Mackley, Emma C., Halford, Emily E., Dutton, Emma E., Marriott, Clare L., Brucklacher-Waldert, Verena, Veldhoen, Marc, Kelsen, Judith, Baldassano, Robert N., and Sonnenberg, Gregory F.
- Subjects
T cells -- Physiological aspects -- Genetic aspects -- Research ,Inflammation -- Development and progression -- Genetic aspects -- Care and treatment -- Research ,Cell receptors -- Physiological aspects -- Genetic aspects -- Research ,Biological sciences ,Health - Abstract
RAR-related orphan receptor-γt (ROR-γt) directs differentiation of proinflammatory T helper 17 ([T.sub.H]17) cells and is a potential therapeutic target in chronic autoimmune and inflammatory diseases (1-3). However, ROR-γt-dependent group 3 innate lymphoid cells ILC3s provide essential immunity and tissue protection in the intestine (4-11), suggesting that targeting ROR-γt could also result in impaired host defense after infection or enhanced tissue damage. Here, we demonstrate that transient chemical inhibition of ROR-γt in mice selectively reduces cytokine production from [T.sub.H]17 but not ILCs in the context of intestinal infection with Oitrobaeter rodentium, resulting in preserved innate immunity. Temporal deletion of Rore (encoding ROR-γt) in mature ILCs also did not impair cytokine response in the steady state or during infection. Finally, pharmacologic inhibition of ROR-γt provided therapeutic benefit in mouse models of intestinal inflammation and reduced the frequency of [T.sub.H]17 cells but not ILCs isolated from primary intestinal samples of individuals with inflammatory bowel disease (IBD). Collectively, these results reveal differential requirements for ROR-γt in the maintenance of [T.sub.H]17 cell and ILC3 responses and suggest that transient inhibition of ROR-γt is a safe and effective therapeutic approach during intestinal inflammation., Although therapeutic targeting of the [T.sub.H]17 cell pathway is effective in several autoimmune diseases (12-14), in Crohn's disease blockade of interleukin 17A (IL-17A) is ineffective and, in some cases, associated [...]
- Published
- 2016