77,78 Mechanistically, the effect of IL-17E on disease is linked

77,78 Mechanistically, the effect of IL-17E on disease is linked to expression of IL-23 and IL-13. In the absence of IL-17E signals, IL-23, a critical mediator of Th17 cell survival and maintenance, is elevated, whereas the reduction in disease severity seen with IL-17E treatment is linked to increased expression of IL-13, which in turn blocks IL-23 secretion by dendritic cells, preventing Th17 cell survival.77,78 Similarly, IL-17E inhibited Th1 cell-driven colitis through blockade of IL-12 and IL-23 expression by CD14+

cells isolated from the inflamed gut of patients with IBD.79 These studies together with the observation Maraviroc purchase that IL-17E expression is down-regulated in the inflamed colon tissue of patients with Crohn’s disease or ulcerative colitis, suggest the possible use of IL-17E as a therapeutic agent for IBD.79

The cellular source(s), receptor utilization and target cells of the IL-17B, IL-17C and IL-17D family members are poorly characterized. Initially discovered using database searches for homology to IL-17A, it is unclear whether these cytokines share similar biological properties (Fig. 1).80–82 Based on sequence comparison to IL-17A it is hypothesized that these family check details members also form dimers, although biochemical analysis of IL-17B suggests that it forms a tightly associated, non-disulphide linked dimer, which is in contrast to what is observed tuclazepam with IL-17A and IL-17F.82 How IL-17C and IL-17D behave is undetermined. Although a specific high-affinity interaction was observed between IL-17B and the IL-17RB subunit using in vitro biochemical assays, the import of this finding is unclear.82 Likewise, while IL-17C has been reported to associate with IL-17RE, the functional significance of this interaction has not been demonstrated.7 The receptors for IL-17D are unknown. Expression profiling has provided some information on the cellular sources of these cytokines (Table 1). Expression

of IL-17B protein has only been reported in neurons and chondrocytes.81–86 Interleukin-1β treatment of bovine cartilage explants promoted secretion of IL-17B,87 suggesting that expression is modulated by pro-inflammatory stimuli. Similarly, although basal IL-17C mRNA is undetectable, significant induction is observed after exposure to inflammatory signals.81 Tumour necrosis factor-α stimulated IL-17C secretion from human keratinocytes, whereas the TLR5 agonist, flagellin, promoted il17c mRNA expression in murine colon tissues.9,88 Details of IL-17D protein expression have been reported.80 Pre-clinical and clinical studies suggest that expression of these family members is modulated by inflammation. Both IL-17B and IL-17C were detected in the paws of mice afflicted with collagen-induced arthritis, with IL-17B exclusively found in chondrocytes while IL-17C was detected in several populations of leucocytes.

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