Indiana University-Purdue University Indianapolis (IUPUI) / Inflammatory immune responses are regulated by T cell subsets that secrete specific panels of cytokines. While CD8+ T cells that secrete IFN- and cytotoxic molecules (Tc1 cells) are known to mediate antiviral immunity, IL-17-secreting CD8+ T (Tc17) cells have only recently been described and the development and function of these cells has not been clearly examined. Using in vitro T cell cultures and mice deficient in transcription factors regulating lineage development, we defined Tc17 development and function. Similar to IL-17 secretion from CD4 T cells, IL-17 secretion from Tc17 cells is dependent on the transcription factor Stat3 and inhibited by Stat1. Expression of transcription factors important for Tc1 function, T-bet and Eomesodermin (Eomes), is reduced in Tc17 cells and consistent with this, Tc17 cells are non-cytotoxic in vitro. However, Tc17 cells are unstable and switch to cytotoxic IFN- producing cells when exposed to a Tc1 inducing cytokine, IL-12. Overexpression of the lineage promoting transcription factors T-bet and Eomes is unable to induce a Tc1 phenotype in Tc17 cells and Stat3 is also unable to switch Tc1 cells into Tc17 cells, suggesting additional signals are involved in CD8 T cell lineage commitment. In vivo, Tc17 cells are induced by vaccinia virus, dependant on Stat3, and are capable of mediating antiviral immunity. Tc17 cells acquire an IFN--secreting phenotype after encounter with virus in vivo, however, viral clearance by Tc17 cells is independent of IFN-. Instead, viral clearance is correlated with a gain in T-bet expression and cytotoxic function in Tc17 cells which have encountered virus. The development of anti-viral activity independent of IFN-, suggests that Tc17 cells may mediate anti-viral immunity through novel mechanisms that depend on the ability of Tc17 cells to acquire other phenotypes.

Objectifs: Chez les patients atteints de sclérose en plaques (SEP), des lymphocytes pro-inflammatoires utilisent des molécules d’adhérence afin de parvenir à traverser la barrière hémo-encéphalique (BHE) et former des lésions multifocales dans le système nerveux central (SNC). Dans le contexte de la SEP, les lymphocytes CD4 auto-agressifs polarisés en TH17 (sécrétant de l’IL-17) sont reconnus comme contribuant à la formation des lésions. Le rôle des lymphocytes CD8 TC17 est quant à lui encore mal défini. L’identification de marqueurs de surface spécifiquement exprimés par les lymphocytes TH17 et TC17 faciliterait la caractérisation de ces sous-populations pathogéniques et fournirait de nouvelles cibles thérapeutiques pour traiter la SEP. Méthodologie: Nous avons identifié MCAM lors d’analyses protéomiques de cellules endothéliales de la BHE humaine et de lymphocytes T humains. Nous avons caractérisé le phénotype et la fonction de ces cellules exprimant MCAM ex vivo, in vitro, in situ et in vivo, à partir de matériel obtenu de témoins (contrôles), de patients atteints de SEP et d’animaux atteints d’encéphalomyélite auto-immune expérimentale (EAE). Résultats: MCAM est exprimé à la fois par les cellules endothéliales de la BHE humaine et par une sous-population de lymphocytes T effecteurs mémoire CD161+ et CCR6+. Les lymphocytes CD4 et CD8 MCAM+ expriment plus d’IL-17, IL-22, GM-CSF et granzyme B (Gz B) que les lymphocytes MCAMneg. De plus, l’expression de MCAM est fortement augmentée à la surface des lymphocytes T CD4+ et CD8+ lors des poussées de SEP, alors que les traitements immunomodulateurs en diminuent l’expression. In situ, l’expression de MCAM par les cellules endothéliales de la BHE est plus marquée au site des lésions de SEP et d’EAE, et on retrouve des lymphocytes CD4 et CD8 MCAM+ au sein de ces infiltrats périvasculaires du SNC. In vitro, les lymphocytes CD8 MCAM+ causent plus de mort oligodendrocytaire et bloquer MCAM diminue la transmigration des CD8 TC17 et des CD4 TH17 à travers les cellules endothéliales de la BHE humaine. In vivo, dépléter les lymphocytes CD4 ou CD8 MCAM+ améliore les signes cliniques de l’EAE par transfert. Par ailleurs, l’expression de MCAM est régulée à la hausse à la surface des lymphocytes CD4 et CD8 de la souris transgénique TCR1640, un modèle animal d’EAE spontanée. Finalement, bloquer MCAM atténue les déficits neurologiques chroniques aussi bien du modèle d’EAE induite avec le MOG35-55 que du modèle d’EAE spontanée. Conclusion: Nos données démontrent que les lymphocytes encéphalitogéniques produisant de l’IL-17 et présentant une capacité effectrice et migratoire marquée expriment MCAM. MCAM pourrait servir de biomarqueur en SEP et constituer une cible thérapeutique valable pour traiter les conditions neuroinflammatoires. / Objective: In multiple sclerosis (MS), pro-inflammatory lymphocytes use adhesion molecules to cross the blood-brain barrier (BBB) and accumulate in central nervous system (CNS) lesions. CD4 T lymphocytes polarized into auto-aggressive encephalitogenic TH17 (IL-17 secreting) are known to partake in MS lesion formation. Much less is known about the role of CD8 TC17. Identification of specific surface markers and adhesion molecules expressed by TH17 and TC17 lymphocytes would allow further characterization of these pathogenic subsets and would provide new therapeutic targets in MS. Methodology: We identified MCAM in a proteomic screen of human BBB endothelial cells (ECs) and on a subset of T lymphocytes. We characterized the phenotype and function of MCAM-expressing cells ex vivo, in vitro and in situ using human and mouse material obtained from controls, MS subjects and Experimental Autoimmune Encephalomyelitis (EAE) animals. Results: MCAM is expressed by human BBB-ECs and by human effector memory CD161+ and CCR6+ T lymphocytes. Both CD4 and CD8 MCAM+ lymphocytes express more IL-17, IL-22, GM-CSF and Gz B than MCAMneg lymphocytes. Moreover, MCAM is strikingly up-regulated in human on CD4+ and CD8+ T lymphocytes during MS relapses, while treatment decreases MCAM expression. In situ, MCAM+ CD8 and CD4 T lymphocytes are present in perivascular infiltrates of MS and EAE CNS specimens, while MCAM expression is up-regulated on BBB-ECs within lesions. In vitro, MCAM+ CD8 T lymphocytes display higher killing capacity of oligodendrocytes, and MCAM blockade reduces CD8 TC17 and CD4 TH17 transmigration across human BBB-ECs. In vivo, depletion of MCAM+ cells from reactivated CD4 T lymphocytes and from CD8 T lymphocytes decreases clinical symptoms in adoptive transfer EAE. Furthermore, expression of MCAM is up-regulated on CD4 and CD8 T lymphocytes in the TCR1640 transgenic mice, a model of spontaneous EAE. Finally, blocking MCAM in both MOG35-55-induced and spontaneous primary progressive EAE attenuates chronic neurological deficits. Conclusions: Our data demonstrate that encephalitogenic IL-17-producing lymphocytes with high effector and migratory capacity express MCAM, and that MCAM could serve as a biomarker for MS and a valuable target for the treatment neuroinflammatory conditions.

Indiana University-Purdue University Indianapolis (IUPUI) / IL-17-producing T cells are critical to the development of pathogen and tumor immunity, but also contribute to the pathology of autoimmune diseases and allergic inflammation. CD8+ (Tc17) and CD4+ (Th17) IL-17-secreting T cells develop in response to a cytokine environment that activates Signal Transducer and Activator of Transcription (STAT) proteins, though the mechanisms underlying Tc17/Th17 development and stability are still unclear. In vivo, Tc17 cells clear vaccinia virus infection and acquire cytotoxic potential, that is independent of IL-17 production and the acquisition of IFN-γ-secreting potential, but partially dependent on Fas ligand, suggesting that Tc17-mediated vaccinia virus clearance is through cell killing independent of an acquired Tc1 phenotype. In contrast, memory Th cells and NKT cells display STAT4-dependent IL-23-induced IL-17 production that correlates with Il23r expression. IL-23 does not activate STAT4 nor do other STAT4-activating cytokines induce Il23r expression in these populations, suggesting a T cell-extrinsic role for STAT4 in mediating IL-23 responsiveness. Although IL-23 is important for the maintenance of IL-17-secreting T cells, it also promotes their instability, often resulting in a pathogenic Th1-like phenotype in vitro and in vivo. In vitro-derived Th17 cells are also flexible when cultured under polarizing conditions that promote Th2 or Th9 differentiation, adopting the respective effector programs, and decreasing IL-17 production. However, in models of allergic airway disease, Th17 cells do not secrete alternative cytokines nor adopt other effector programs, and remain stable IL-17-secretors. In contrast to Th1-biased pro-inflammatory environments that induce Th17 instability in vivo, during allergic inflammatory disease, Th17 cells are comparatively stable, and retain the potential to produce IL-17. Together these data document that the inflammatory environment has distinct effects on the stability of IL-17-secreting T cells in vivo.