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Publication : Epithelial-derived interleukin-23 promotes oral mucosal immunopathology.

First Author  Kim TS Year  2024
Journal  Immunity Volume  57
Issue  4 Pages  859-875.e11
PubMed ID  38513665 Mgi Jnum  J:359559
Mgi Id  MGI:7787194 Doi  10.1016/j.immuni.2024.02.020
Citation  Kim TS, et al. (2024) Epithelial-derived interleukin-23 promotes oral mucosal immunopathology. Immunity 57(4):859-875.e11
abstractText  At mucosal surfaces, epithelial cells provide a structural barrier and an immune defense system. However, dysregulated epithelial responses can contribute to disease states. Here, we demonstrated that epithelial cell-intrinsic production of interleukin-23 (IL-23) triggers an inflammatory loop in the prevalent oral disease periodontitis. Epithelial IL-23 expression localized to areas proximal to the disease-associated microbiome and was evident in experimental models and patients with common and genetic forms of disease. Mechanistically, flagellated microbial species of the periodontitis microbiome triggered epithelial IL-23 induction in a TLR5 receptor-dependent manner. Therefore, unlike other Th17-driven diseases, non-hematopoietic-cell-derived IL-23 served as an initiator of pathogenic inflammation in periodontitis. Beyond periodontitis, analysis of publicly available datasets revealed the expression of epithelial IL-23 in settings of infection, malignancy, and autoimmunity, suggesting a broader role for epithelial-intrinsic IL-23 in human disease. Collectively, this work highlights an important role for the barrier epithelium in the induction of IL-23-mediated inflammation.
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