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RORγt drives production of the cytokine GM-CSF in helper T cells, which is essential for the effector phase of autoimmune neuroinflammation
Abstract
Although the role of the T(H)1 and T(H)17 subsets of helper T cells as disease mediators in autoimmune neuroinflammation remains a subject of some debate, none of their signature cytokines are essential for disease development. Here we report that interleukin 23 (IL-23) and the transcription factor RORγt drove expression of the cytokine GM-CSF in helper T cells, whereas IL-12, interferon-γ (IFN-γ) and IL-27 acted as negative regulators. Autoreactive helper T cells specifically lacking GM-CSF failed to initiate neuroinflammation despite expression of IL-17A or IFN-γ, whereas GM-CSF secretion by Ifng(-/-)Il17a(-/-) helper T cells was sufficient to induce experimental autoimmune encephalomyelitis (EAE). During the disease effector phase, GM-CSF sustained neuroinflammation via myeloid cells that infiltrated the central nervous system. Thus, in contrast to all other known helper T cell-derived cytokines, GM-CSF serves a nonredundant function in the initiation of autoimmune inflammation regardless of helper T cell polarization.
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“Th2 cells regulate multiple non-immune tissue cells at mucosal sites”
From TH17 cell heterogeneity and its role in tissue inflammation (2023) · cites this paper as [25]
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“GM-CSF is essential for the development and progression of EAE. Mice deficient in GM-CSF are resistant to EAE induction, and blockade of GM-CSF in wild-type mice suppresses ongoing disease (McQualter et al., 2001; Codarri et al., 2011).”
From The Role of Iron Regulation in Immunometabolism and Immune-Related Disease (2019) · cites this paper as Codarri et al., 2011
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“3E), in concordance with a previous report that demonstrates a role for T-cell–derived GM-CSF in macrophage recruitment (14).”
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“Furthermore, two papers have found that granulocyte-macrophage colonystimulating factor (GM-CSF) produced by Th17 cells is a crucial factor for the pathogenicity of Th17 cells during experimental autoimmune encephalomyelitis (EAE) (Codarri et al., 2011; El-Behi et al., 2011).”
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“This article is an open access publication P ro te in & C e ll Il23r and Rorc (encoding RORγ), establishing a positive feedback loop and stabilizing expression of genes encoding pro-inflammatory effector molecules including Il17a, Il17f, Il22 and Csf2 (Parham et al., 2002; Codarri et al., 2011).”
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InfluentialMultiple sclerosis-associated IL2RA polymorphism controls GM-CSF production in human TH cells
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“…was found to prevent or alleviate EAE symptoms, as demonstrated by the following studies: GM-CSF (McQualter et al., 2001; Kroenke et al., 2008, 2010; Codarri et al., 2011; El-Behi et al., 2011), IL-6 (Eugster et al., 1998; Okuda et al., 1998; Samoilova et al., 1998), Ccl2 (Huang et al., 2001),…”
BackgroundInfluentialEnvironmental factors in autoimmune diseases and their role in multiple sclerosis
Haase, S., Grohme, D. A., Erzler, M., Binsfeld, M., Haghikia, A., Müller, D. N., Linker, R. A., & Kleinewietfeld, M. (2016) · Cellular and Molecular Life Sciences · doi:10.1007/s00018-016-2311-1 · Cited by 156
“More recent studies found that the pathogenicity of Th17 cells additionally depends on the IL-23-induced production of the cytokine granulocyte macrophage colony-stimulating factor (GM-CSF), probably explaining the incomplete protection from EAE in IL-17-deficient mice [47, 48].”
Backgrounddos Passos, G. R., Sato, D. K., Becker, J., & Fujihara, K. (2016) · Mediators of Inflammation · doi:10.1155/2016/5314541 · Cited by 155
“…fail to control or even increase disease activity in NMOSD [4], thus suggesting a distinct underlying pathophysiological process in each of those disorders and highlighting the need for a precise distinction between them in order to avoid the potentially harmful consequences of a misdiagnosis.”
BackgroundT-Cell-Driven Inflammation as a Mediator of the Gut-Brain Axis Involved in Parkinson's Disease
Campos‐Acuña, J., Elgueta, D., & Pacheco, R. (2019) · Frontiers in Immunology · doi:10.3389/fimmu.2019.00239 · Cited by 150
Amorim, A., De Feo, D., Friebel, E., Ingelfinger, F., Anderfuhren, C. D., Krishnarajah, S., Andreadou, M., Welsh, C. A., Liu, Z., Ginhoux, F., et al. (2022) · Nature Immunology · doi:10.1038/s41590-021-01117-7 · Cited by 140
Larochelle, C., Cayrol, R., Kebir, H., Alvarez, J. I., Lécuyer, M.-A., Ifergan, I., Viel, É., Bourbonnière, L., Beauseigle, D., Terouz, S., et al. (2012) · Brain · doi:10.1093/brain/aws212 · Cited by 145
“More recently, IL23, in part through ROR- , was shown to drive the production of GM–CSF, an essential factor for EAE induction (Ponomarev et al., 2007; Kroenke et al., 2010; Codarri et al., 2011; El-Behi et al., 2011).”
BackgroundLiu, S.-Q., Jiang, S., Li, C., Zhang, B., & Li, Q.-J. (2014) · Journal of Biological Chemistry · doi:10.1074/jbc.m114.550723 · Cited by 145
“However, a closer examination at the effector function of these CD4 T cells revealed that KO cells collected from the spinal cords and spleens of EAE mice had significantly diminished IL-17 expression (Fig.”
BackgroundInfluentialTh1/Th2/Th17/Treg cytokines in Guillain–Barré syndrome and experimental autoimmune neuritis
Zhang, H., Zheng, X., & Zhu, J. (2013) · Cytokine & Growth Factor Reviews · doi:10.1016/j.cytogfr.2013.05.005 · Cited by 143
TH17 cytokines in autoimmune neuro-inflammation
Becher, B., & Segal, B. M. (2011) · Current Opinion in Immunology · doi:10.1016/j.coi.2011.08.005 · Cited by 147
Lessons Learned From Trials Targeting Cytokine Pathways in Patients With Inflammatory Bowel Diseases
Abraham, C., Dulai, P. S., Vermeire, S., & Sandborn, W. J. (2016) · Gastroenterology · doi:10.1053/j.gastro.2016.10.018 · Cited by 142
Bystander CD4+ T cells: crossroads between innate and adaptive immunity
Lee, H., Cho, M.-J., & Choi, J. (2020) · Experimental & Molecular Medicine · doi:10.1038/s12276-020-00486-7 · Cited by 157
GM-CSF: A Promising Target in Inflammation and Autoimmunity
Lee, M.-C., Achuthan, A. A., & Hamilton, J. A. (2020) · ImmunoTargets and Therapy · doi:10.2147/itt.s262566 · Cited by 157
IL-17+ CD8+ T cells: Differentiation, phenotype and role in inflammatory disease
Srenathan, U., Steel, K. J. A., & Taams, L. S. (2016) · Immunology Letters · doi:10.1016/j.imlet.2016.05.001 · Cited by 143
Emerging role of IL-17 and Th17 cells in systemic lupus erythematosus
Martin, J. C., Baeten, D., & Josien, R. (2014) · Clinical Immunology · doi:10.1016/j.clim.2014.05.004 · Cited by 144
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Natalizumab in Multiple Sclerosis Treatment: From Biological Effects to Immune Monitoring
Khoy, K., Mariotte, D., Defer, G. L., Petit, G., Toutirais, O., & Mauff, B. L. (2020) · Frontiers in Immunology · doi:10.3389/fimmu.2020.549842 · Cited by 140
GM-CSF-Dependent Inflammatory Pathways
Hamilton, J. A. (2019) · Frontiers in Immunology · doi:10.3389/fimmu.2019.02055 · Cited by 146
CCR2 defines in vivo development and homing of IL-23-driven GM-CSF-producing Th17 cells
Kara, E. E., McKenzie, D. R., Bastow, C. R., Gregor, C. E., Fenix, K. A., Ogunniyi, A. D., Paton, J. C., Mack, M., Pombal, D. R., Seillet, C., et al. (2015) · Nature Communications · doi:10.1038/ncomms9644 · Cited by 136
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“…CNS inflammation based on the evidence that autoreactive helper T-cells specifically lacking GM–CSF failed to initiate neuro-inflammation despite expression of IL-17A and IFN-γ, whereas GM–CSF secretion by Ifng −/−Il17a−/− helper T-cells was sufficient to induce EAE (Codarri et al., 2011).”
Targeting GM-CSF in COVID-19 Pneumonia: Rationale and Strategies
Bonaventura, A., Vecchié, A., Wang, T. S., Lee, E., Cremer, P. C., Carey, B. C., Rajendram, P., Hudock, K. M., Korbee, L. L., Tassell, B. W. V., et al. (2020) · Frontiers in Immunology · doi:10.3389/fimmu.2020.01625 · Cited by 137
Luchtman, D. W., Ellwardt, E., Larochelle, C., & Zipp, F. (2014) · Cytokine & Growth Factor Reviews · doi:10.1016/j.cytogfr.2014.07.013 · Cited by 137
Human and Mouse Mononuclear Phagocyte Networks: A Tale of Two Species?
Reynolds, G., & Haniffa, M. A. (2015) · Frontiers in Immunology · doi:10.3389/fimmu.2015.00330 · Cited by 138
“Nevertheless, there are functional differences in lymphocytes between the two species, such as differentiation requirements for IL-17 (36) and GM-CSF (37, 38) secreting CD4+ T cells, the specificity of granzyme and FOXP3 expression to define natural Tregs (39), the distinct classes of immunoglobulin (40) and human CD1…”
BackgroundT Helper Lymphocyte Subsets and Plasticity in Autoimmunity and Cancer: An Overview
Ivanova, E. A., & Orekhov, A. N. (2015) · BioMed Research International · doi:10.1155/2015/327470 · Cited by 145
“Moreover, GM-CSF has also been demonstrated to participate in the pathological process [113, 114] and elevated levels of IL-17 were found to be associated with the disease [115], pointing to an important role of Th17 cells in the MS pathogenesis, which has been also confirmed by a number of recent…”
BackgroundDuhen, T. M., & Campbell, D. (2014) · The Journal of Immunology · doi:10.4049/jimmunol.1302734 · Cited by 135
A Close Encounter of the Third Kind
Mildner, A., Yona, S., & Jung, S. (2013) · Advances in immunology · doi:10.1016/b978-0-12-417028-5.00003-x · Cited by 136
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“Interestingly, Th17 cells can themselves secrete IL-6 (Langrish et al., 2005), which can result in a positive feedback loop, as well as GM-CSF (Codarri et al., 2011) and TNFα (Langrish et al., 2005), which can synergize with IL-17A to enhance the inflammatory response.”
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Th17 and Cognitive Impairment: Possible Mechanisms of Action
Cipollini, V., Anrather, J., Orzi, F., & Iadecola, C. (2019) · Frontiers in Neuroanatomy · doi:10.3389/fnana.2019.00095 · Cited by 133
“Unlike other cytokines, GM-CSF has a nonredundant role in promoting EAE and its secretion is able alone to render MOG-specific T cells autoaggressive and pathogenic (Codarri et al., 2011).”
BackgroundT lymphocytes in the intestinal mucosa: defense and tolerance
Ma, H., Tao, W., & Zhu, S. (2019) · Cellular & Molecular Immunology · doi:10.1038/s41423-019-0208-2 · Cited by 125
Suryawanshi, A. S., Manoharan, I., Hong, Y., Swafford, D., Majumdar, T., Taketo, M. M., Manicassamy, B., Koni, P. A., Thangaraju, M., Sun, Z., et al. (2015) · The Journal of Immunology · doi:10.4049/jimmunol.1402691 · Cited by 127
GM-CSF in Neuroinflammation: Licensing Myeloid Cells for Tissue Damage
Croxford, A. L., Spath, S., & Becher, B. (2015) · Trends in Immunology · doi:10.1016/j.it.2015.08.004 · Cited by 132
Metadata
- Authors
- Codarri, L., Gyülvészi, G., Tosevski, V., Hesske, L., Fontana, A., Magnenat, L., Suter, T., & Becher, B.
- Affiliations
- University Hospital Zurich (CH)
- University of Zurich (CH)
- Merck Serono S.A. (Switzerland) (CH)
- Corresponding author
- Becher, Burkhard
- Venue
- Nature Immunology
- Published
- 2011-04-24
- Volume
- 12
- Issue
- 6
- Pages
- 560-567
- ISSN
- 1529-2908 (ISSN-L)
- 1529-2916
- OpenAlex
- W2157837362
- Cited by
- 1,191
- References
- 44
- Citations by year
- 2026: 31 · 2025: 48 · 2024: 60 · 2023: 53 · 2022: 61 · 2021: 73 · 2020: 85 · 2019: 83 · 2018: 72 · 2017: 99 · 2016: 96 · 2015: 117 · 2014: 103 · 2013: 98 · 2012: 82
- FWCI
- 70.23
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Nature Immunology (publishedVersion)
- PubMed (publishedVersion)
- Zurich Open Repository and Archive (University of Zurich) (submittedVersion)
- Topics
- Health Sciences › Medicine › Clinical Neurology › Multiple Sclerosis Research Studies
- Life Sciences › Immunology and Microbiology › Immunology › Psoriasis: Treatment and Pathogenesis
- Life Sciences › Immunology and Microbiology › Immunology › T-cell and B-cell Immunology
- Keywords
- RORγt, GM-CSF, experimental autoimmune encephalomyelitis, T helper cells, IL-23, autoimmune neuroinflammation, Th1 cells, Th17 cells, myeloid cell infiltration, IL-12, interferon-gamma, IL-27, cytokine regulation
- MeSH terms
- Animals, Cells, Cultured, Encephalomyelitis, Autoimmune, Experimental, Female, Flow Cytometry, Glycoproteins, T-Lymphocytes, Helper-Inducer, Interferon-gamma, Interleukins, Male, Mice, Inbred C57BL, Mice, Inbred Strains, Mice, Transgenic, Peptide Fragments, Granulocyte-Macrophage Colony-Stimulating Factor, Mice, Knockout, Th1 Cells, Interleukin-12, Interleukin-17, Mice, Interleukin-23, Nuclear Receptor Subfamily 1, Group F, Member 3, Th17 Cells, Myelin-Oligodendrocyte Glycoprotein
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