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Publication : Pathogenic Role of an IL-23/γδT17/Neutrophil Axis in Coxsackievirus B3-Induced Pancreatitis.

First Author  Yan K Year  2019
Journal  J Immunol Volume  203
Issue  12 Pages  3301-3312
PubMed ID  31748346 Mgi Jnum  J:282227
Mgi Id  MGI:6379941 Doi  10.4049/jimmunol.1900787
Citation  Yan K, et al. (2019) Pathogenic Role of an IL-23/gammadeltaT17/Neutrophil Axis in Coxsackievirus B3-Induced Pancreatitis. J Immunol 203(12):3301-3312
abstractText  Coxsackievirus B is a common cause of viral myocarditis and pancreatitis. IL-17A is intensively involved in the pathogenesis of viral myocarditis. Whether IL-17A plays a role in Coxsackievirus B-induced pancreatitis, characterized by acinar cell destruction and immune infiltration, remains largely unknown. We found a significant, but transient, increase of IL-17A expression and gammadeltaT influx in the pancreas of C57BL/6J mice within 3 d following CVB3 infection. The pancreatic IL-17A was mainly produced by Vgamma4 gammadelta T cells, to a lesser extent by CD4(+) Th17 cells. IL-17A(-/-) and TCRdelta(-/-) mice both reduced their susceptibility to CVB3 infection and pancreatitis severity when compared with the wild-type mice, without altering viral load. mAb depletion of Vgamma4gammadelta T cells significantly improved mice survival and pancreatic pathology via decreasing Th17 expansion and neutrophil influx into the pancreas compared with isotype-treated mice. Transfer of Vgamma4gammadelta T cells from wild-type, but not IL-17(-/-), mice reconstituted TCRdelta(-/-) mice to produce IL-17 and develop pancreatitis to the level of wild-type mice during CVB3 infection, indicating gammadelta T IL-17A is required for the onset of viral pancreatitis. IL-23 was robustly induced in the pancreas within the first day of infection. Administration of exogenous rIL-23 to mice increased CVB3 pancreatitis through in vivo expansion of IL-17(+)gammadeltaT17 cells at 12 h postinfection. Our findings reveal a key pathogenic role for early-activated gammadeltaT17 cells in viral pancreatitis via promoting neutrophil infiltration and Th17 induction. This IL-23/gammadeltaT17/neutrophil axis is critically involved in the onset of CVB3 pancreatitis and represents a potential treating target for the disease.
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