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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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BackgroundAging weakens Th17 cell pathogenicity and ameliorates experimental autoimmune uveitis in mice
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“In addition, development of GM-CSF–producing Th1/Th17 cells, which play an essential role in the development of EAE (62, 63), was increased in TL3A6/ DR2a Tg mice (Fig.”
BackgroundEvaluation of the effect of GM-CSF blocking on the phenotype and function of human monocytes
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“Moreover, the production of the cytokine GM-CSF by Th17 cells is important for their pathogenic function (12, 16, 17).”
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“Using the mouse model of MS, experimental autoimmune encephalomyelitis (EAE), a large body of work has investigated Th17 cells and whether their production of IL17A is essential to driving immunopathology and disease progression (Codarri et al., 2011; Jager et al., 2009).”
MethodGatekeeper role of brain antigen‐presenting CD11c+ cells in neuroinflammation
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“In addition, also GM-CSF deficient Th1 cells exhibited less encephalitogenicity (Codarri et al , 2011).”
InfluentialComparative effect of 25(OH)D3 and 1,25(OH)2D3 on Th17 cell differentiation
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“GM-CSF, which is the major pathogenic cytokine produced by Tconv cells in EAE (27), was significantly increased in icKO mice compared with control mice after both anti-CD3 and immunizing myelin antigen stimulation (Fig.”
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“Furthermore, consistent with the idea that IL-7 modulates the differentiation of effector T cells, we found that in all Th-polarizing conditions tested, IL-7 promotes GM-CSF production, a cytokine that has been implicated in the pathogenicity of T cells during EAE (9, 10).”
Pathogenesis of the immune reconstitution inflammatory syndrome in HIV-infected patients
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“Furthermore, since GM-CSF is able to act as a chemotactic agent [17,44,45], and was found to be involved in recruiting myeloid cells into the CNS critical for EAE development [3], it is highly likely that in addition to reduce myeloid cell activation, anti-GM-CSF Rα reduced cell migratory capacity to the CNS, leading…”
BackgroundFoxp3-independent mechanism by which TGF-β controls peripheral T cell tolerance
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BackgroundInfluentialBrown, M. A., & Weinberg, R. B. (2018) · Frontiers in Immunology · doi:10.3389/fimmu.2018.00514 · Cited by 52
The Multifaceted Role of Th17 Lymphocytes and Their Associated Cytokines in Cancer
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“We provide an overview on the requirements for Th17 development and the direct or indirect impact of Th17 lymphocytes and the cytokines they produce on antitumor responses.”
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Islet Antigen-Specific Th17 Cells Can Induce TNF-α–Dependent Autoimmune Diabetes
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“Abbreviations used in this article: EAE, experimental autoimmune encephalomyelitis; LN, lymph node; PLN, pancreatic lymph node; T1D, type 1 diabetes; WT, wildtype.”
ResultInfluentialLow-Voltage-Activated Ca V 3.1 Calcium Channels Shape T Helper Cell Cytokine Profiles
Wang, H., Zhang, X., Xue, L., Xing, J., Jouvin, M.-H., Putney, J. W., Anderson, M. P., Trebak, M., & Kinet, J.-P. (2016) · Immunity · doi:10.1016/j.immuni.2016.01.015 · Cited by 51
“Because granulocyte-macrophage colony stimulating factor (GM-CSF) has proven to be a critical factor in the encephalitogenicity of both Th1 and Th17 cells in EAE model (Codarri et al., 2011; El-Behi et al., 2011), we analyzed the infiltrating cells in the central nervous system (CNS).”
BackgroundInfluentialHuang, H., Wang, S.-Y., Jiang, T., Fan, R., Zhang, Z., Mu, J., Li, K., Wang, Y., Jin, L., Lin, F., et al. (2018) · Cellular & Molecular Immunology · doi:10.1038/s41423-018-0164-2 · Cited by 47
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microRNA-92a promotes CNS autoimmunity by modulating the regulatory and inflammatory T cell balance
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“Furthermore, Foxo1 has been shown to inhibit this RORγt-mediated transactivation of Il1r1 and Il23r (26, 43, 46) by preventing RORγt from binding to the Il1r1 and Il23r promoters (21, 22).”
BackgroundInfluentialCentral Nervous System Macrophages in Health and Disease
Hove, H. V., Feo, D. D., Greter, M., & Becher, B. (2025) · Annual Review of Immunology · doi:10.1146/annurev-immunol-082423-041334 · Cited by 53
Wang, X., Ma, C., Wu, J., & Zhu, J. (2013) · Journal of Neuroscience Research · doi:10.1002/jnr.23233 · Cited by 49
“…the lack of GM-CSF rendered complete resistance to EAE, whereas the expression of GM-CSF in IL-17- and IFN-g-deficient T cells still effectively initiated neuroinflammation in EAE, which strongly supports a nonredundant effect of GMCSF in driving autoimmune inflammation (Codarri et al., 2011).”
BackgroundSeno, A., Maruhashi, T., Kaifu, T., Yabe, R., Fujikado, N., Ma, G., Ikarashi, T., Kakuta, S., & Iwakura, Y. (2014) · EXPERIMENTAL ANIMALS · doi:10.1538/expanim.14-0079 · Cited by 51
“The secreted iL-23 in turn promotes Th17 cell differentiation, forming an amplification loop [5, 9].”
BackgroundFissolo, N., Costa, C., Nurtdinov, R., Bustamante, M. F., Llombart, V., Mansilla, M. J., Espejo, C., Montalbán, X., & Comabella, M. (2012) · Journal of Neuroinflammation · doi:10.1186/1742-2094-9-139 · Cited by 48
Cutting Edge: Suppression of GM-CSF Expression in Murine and Human T Cells by IL-27
Young, A., Linehan, E., Hams, E., Hall, A. O., McClurg, A. E., Johnston, J. A., Hunter, C. A., Fallon, P. G., & Fitzgerald, D. C. (2012) · The Journal of Immunology · doi:10.4049/jimmunol.1200131 · Cited by 49
“As IFN-γ can inhibit GM-CSF expression (7) and is induced by IL-27 (22), we examined if IFN-γ mediated suppression of GM-CSF by IL-27.”
InfluentialIfergan, I., Chen, S., Zhang, B., & Miller, S. D. (2016) · The Journal of Immunology · doi:10.4049/jimmunol.1501965 · Cited by 48
“In contrast, KO APCs were significantly less capable of inducing differentiation of IL-17–producing and GM-CSF– producing Th17 cells, with virtually no GM-CSF, a cytokine reported to be essential in the pathogenic process of EAE (26), produced at day 5.”
BackgroundInflammatory Th17 Cells Express Integrin αvβ3 for Pathogenic Function
Du, F., Garg, A. V., Kosar, K., Majumder, S., Kugler, D. G., Hernández-Mir, G., Maggio, M. J., Henkel, M., Lacy‐Hulbert, A., & McGeachy, M. J. (2016) · Cell Reports · doi:10.1016/j.celrep.2016.06.065 · Cited by 49
“IL-23 is also required for granulocyte-monocyte colony stimulating factor (GM-CSF) production by Th17 cells, which is critical for EAE induction (Codarri et al., 2011; El-Behi et al., 2011).”
BackgroundPierson, E., & Goverman, J. (2017) · JCI Insight · doi:10.1172/jci.insight.92362 · Cited by 51
Protein Kinase CK2 Controls the Fate between Th17 Cell and Regulatory T Cell Differentiation
Gibson, S. A., Yang, W., Yan, Z., Liu, Y., Rowse, A. L., Weinmann, A. S., Qin, H., & Benveniste, E. N. (2017) · The Journal of Immunology · doi:10.4049/jimmunol.1601912 · Cited by 47
“Furthermore, Th17 cell–derived GM-CSF is critical for disease progression (45, 46).”
BackgroundExploring Non-Metabolic Functions of Glycolytic Enzymes in Immunity
Seki, S. M., & Gaultier, A. (2017) · Frontiers in Immunology · doi:10.3389/fimmu.2017.01549 · Cited by 49
“In a manner reminiscent of direct repression of IFN-γ and IL-2 mRNA translation by the glycolytic enzyme GAPDH (31, 32), LDH-A has been reported to bind to 3′AU-rich elements in GM-CSF mRNA (84).”
BackgroundRole of the β Common (βc) Family of Cytokines in Health and DiseasePreprint
Hercus, T. R., Kan, W. L., Broughton, S. E., Tvorogov, D., Ramshaw, H. S., Sandow, J. J., Nero, T. L., Dhagat, U., Thompson, E. J., Shing, K. S. C. T., et al. (2017) · Cold Spring Harbor Perspectives in Biology · doi:10.1101/cshperspect.a028514 · Cited by 51
de Paula, J. J., de Paiva, R. E. R. P., Silva, N. G. S. E., Rosa, D. V., Duran, F., Coimbra, R. S., Costa, D. D. S., Dutenhefner, P. R., Oliveira, H. S. D., Camargos, S., et al. (2022) · Molecular Psychiatry · doi:10.1038/s41380-022-01632-5 · Cited by 51
“CSF is essential for the pathogenesis of experimental autoimmune encephalomyelitis (EAE), an animal model for multiple sclerosis, mediated by encephalitogenic T helper cells that produce IL-17 (Th17 cells) [64].”
BackgroundStoye, D., Schubert, C., Goihl, A., Guttek, K., Reinhold, A., Brocke, S., Grüngreiff, K., & Reinhold, D. (2012) · BioMetals · doi:10.1007/s10534-012-9532-z · Cited by 47
“While IL–17 was shown to play an important role in the development of EAE (Hofstetter et al. 2007; Komiyama et al. 2006), other reports have challenged these findings (Haak et al. 2009; Codarri et al. 2011).”
BackgroundResultCD28/CTLA‐4/B7 costimulatory pathway blockade affects regulatory T‐cell function in autoimmunity
Vogel, I., Kasran, A., Cremer, J., Kim, Y., Boon, L., Gool, S. W. V., & Ceuppens, J. L. (2015) · European Journal of Immunology · doi:10.1002/eji.201445190 · Cited by 47
The role of iron metabolism in the pathogenesis and treatment of multiple sclerosis
Duarte-Silva, E., Meuth, S. G., & Peixoto, C. A. (2023) · Frontiers in Immunology · doi:10.3389/fimmu.2023.1137635 · Cited by 46
Samavedam, U. K. S. R. L., Iwata, H., Müller, S., Schulze, F. S., Recke, A., Schmidt, E., Zillikens, D., & Ludwig, R. J. (2013) · The Journal of Immunology · doi:10.4049/jimmunol.1301556 · Cited by 46
“inflammation in models of arthritis (10–13), experimental autoimmune encephalitis (14), psoriasis (15), and nephritis (16).”
BackgroundBozoyan, L., Dumas, A., Patenaude, A., & Vallières, L. (2015) · Journal of Neuroinflammation · doi:10.1186/s12974-015-0392-7 · Cited by 46
“For example: GM-CSF derives from T cells and promotes dendritic cell recruitment [20, 21],”
BackgroundToso controls encephalitogenic immune responses by dendritic cells and regulatory T cells
Brenner, D., Brüstle, A., Lin, G. H. Y., Lang, P. A., Duncan, G. S., Knobbe-Thomsen, C. B., Paul, M. S., Reardon, C., Tusche, M. W., Snow, B. E., et al. (2014) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1323166111 · Cited by 46
“Several groups have reported that functional Th17 cells are important for the recruitment of inflammatory macrophages to the CNS that sustain neuroinflammation (25, 29, 30).”
BackgroundTargeting the B7 Family of Co-Stimulatory Molecules
Podojil, J. R., & Miller, S. D. (2012) · BioDrugs · doi:10.1007/s40259-012-0001-6 · Cited by 48
“In contrast, the more critical cytokine in the induction of EAE disease may be GM-CSF, since in the absence of GM-CSF expression EAE disease induction is eliminated [43].”
Kalinke, U., & Prinz, M. (2012) · Immunology and Cell Biology · doi:10.1038/icb.2012.8 · Cited by 45
Mechanistic Sharing Between NK Cells in ABMR and Effector T Cells in TCMR
Parkes, M. D., Halloran, P., & Hidalgo, L. (2018) · American Journal of Transplantation · doi:10.1111/ajt.14410 · Cited by 46
“IFNG produced by activated T and NK cells increases antigen availability in rejection by enhancing HLA expression on endothelial cells and antigen presenting cells (39,40) in addition to its multiple synergies with TNF (41–43) and CSF2 (44) CSF2 is often considered a key TH17 effector cytokine (45,46), yet our data sh…”
BackgroundPrado, C. E., Gaiazzi, M., González, H., Ugalde, V., Figueroa, A., Osorio‐Barrios, F., López, E., Lladser, Á., Rasini, E., Marino, F., et al. (2018) · Frontiers in Immunology · doi:10.3389/fimmu.2018.00571 · Cited by 44
“Thus, the pro-inflammatory cytokines IL-17, IFN-γ, and GM-CSF produced by CD4+ T-cells contribute to the development of EAE, although the latter plays a major role (14, 16).”
BackgroundMethodInfluentialCytokines and Chemokines in the Pathogenesis of Experimental Autoimmune Encephalomyelitis
Karpus, W. J. (2020) · The Journal of Immunology · doi:10.4049/jimmunol.1900914 · Cited by 48
Role of the Immunogenic and Tolerogenic Subsets of Dendritic Cells in Multiple Sclerosis
Xie, Z., Zhang, H., Wu, X., Zhu, J., Ma, D., & Jin, T. (2015) · Mediators of Inflammation · doi:10.1155/2015/513295 · Cited by 46
Innate and adaptive immune abnormalities underlying autoimmune diseases: the genetic connections
Chi, X., Huang, M., Tu, H., Zhang, B., Lin, X., Xu, H., Dong, C., & Hu, X. (2023) · Science China Life Sciences · doi:10.1007/s11427-021-2187-3 · Cited by 47
“Cytotoxic Trm cells expressing IFN-γ or IL-17A have been identified in vitiligo and psoriasis patients.”
BackgroundInfluentialNugent, L. F., Shi, G., Vistica, B. P., Ogbeifun, O., Hinshaw, S. J. H., & Gery, I. (2013) · Investigative Ophthalmology & Visual Science · doi:10.1167/iovs.12-11479 · Cited by 45
“In addition to the mentioned three cytokines, we also measured the levels of GM-CSF, a cytokine that was recently reported to play a major role in the immunopathogenic process of EAE.23,24 As shown in Figures 4A and 4B, LN cells from ITE-treated mice secreted lower levels of GM-CSF than did their controls.”
BackgroundDecreased RORC-dependent silencing of prostaglandin receptor EP2 induces autoimmune Th17 cells
Kofler, D. M., Marson, A., Dominguez‐Villar, M., Xiao, S., Kuchroo, V. K., & Hafler, D. A. (2014) · Journal of Clinical Investigation · doi:10.1172/jci72973 · Cited by 44
“GM-CSF production in helper T cells is driven by RORγt (39), and the encephalitogenicity of Th17 cells in EAE is dependent on their production of GM-CSF (40).”
Hu, X., Ma, R., Lu, J., Zhang, K., Xu, W., Jiang, H., & Da, Y. (2016) · Cellular Physiology and Biochemistry · doi:10.1159/000445572 · Cited by 45
CCAAT/Enhancer-binding protein β promotes pathogenesis of EAE
Simpson-Abelson, M. R., Hernández-Mir, G., Childs, E. E., Cruz, J. A., Poholek, A. C., Chattopadhyay, A., Gaffen, S. L., & McGeachy, M. J. (2017) · Cytokine · doi:10.1016/j.cyto.2017.01.005 · Cited by 44
SerpinB1 controls encephalitogenic T helper cells in neuroinflammation
Hou, L., Rao, D. A., Yuki, K., Cooley, J., Henderson, L. A., Jonsson, A. H., Kaiserman, D., Gorman, M., Nigrovic, P. A., Bird, P. I., et al. (2019) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1905762116 · Cited by 43
TH Cells and Cytokines in Encephalitogenic Disorders
Krishnarajah, S., & Becher, B. (2022) · Frontiers in Immunology · doi:10.3389/fimmu.2022.822919 · Cited by 49
Xia, L., Tian, E., Yu, M., Liu, C., Shen, L., Huang, Y., Wu, Z., Tian, J., Yu, K., Wang, Y., et al. (2022) · Journal of Experimental & Clinical Cancer Research · doi:10.1186/s13046-022-02289-2 · Cited by 44
Molecular underpinnings of Th17 immune-regulation and their implications in autoimmune diabetes
Kumar, P., & Subramaniyam, G. (2014) · Cytokine · doi:10.1016/j.cyto.2014.10.010 · Cited by 46
“It is evident that blockade of GM-CSF signaling protected mice from autoimmunity [93].”
BackgroundPark, T. Y., Park, S.-D., Cho, J.-Y., Moon, J., Kim, N.-Y., Park, K., Seong, R. H., Lee, S., Morio, T., Bothwell, A. L. M., et al. (2014) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1413687112 · Cited by 45
T ‐bet is essential for T h1‐mediated, but not T h17‐mediated, CNS autoimmune disease
O’Connor, R. A., Cambrook, H., Huettner, K., & Anderton, S. M. (2013) · European Journal of Immunology · doi:10.1002/eji.201343689 · Cited by 44
Ijaz, T., Tilton, R., & Brasier, A. (2016) · Journal of Thoracic Disease · doi:10.21037/jtd.2016.06.37 · Cited by 43
“GM-CSF is a chemotactic cytokine involved in macrophage maturation that is secreted locally by aortic fibroblasts (26), and infiltrating monocyte/macrophages and Th17 cells (27).”
BackgroundPhysical plasma and leukocytes – immune or reactive?
Bekeschus, S., Seebauer, C., Wende, K., & Schmidt, A. (2018) · Biological Chemistry · doi:10.1515/hsz-2018-0224 · Cited by 45
“, 2009), and granulocyte-macrophage colony-stimulating factor that drives autoinflamation (Codarri et al., 2011).”
BackgroundZaķe, T., Skuja, S., Kalere, I., Konrāde, I., & Groma, V. (2019) · Endocrine Journal · doi:10.1507/endocrj.ej18-0396 · Cited by 46
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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