A Positive Feedback Loop of IL-21 Signaling Provoked by Homeostatic CD4+CD25− T Cell Expansion Is Essential for the Development of Arthritis in Autoimmune K/BxN Mice
pmid: 19342640
A Positive Feedback Loop of IL-21 Signaling Provoked by Homeostatic CD4+CD25− T Cell Expansion Is Essential for the Development of Arthritis in Autoimmune K/BxN Mice
Abstract Rheumatoid arthritis is a joint-specific autoimmune inflammatory disease of unknown etiology. The K/BxN mouse is a model of rheumatoid arthritis that is thought to be mainly due to autoantibody-mediated inflammatory responses. We showed previously that homeostatic proliferation of autoreactive CD4+ T cells is required for disease initiation in the K/BxN mice. In this study, we show that the homeostatically proliferating CD4+CD25− T cells produce IL-21. We generated IL-21R-deficient (IL-21R−/−) K/BxN mice and found that these mice were completely refractory to the development of spontaneous arthritis. They contained fewer CD4+ T cells with a reduced proportion of homeostatically proliferating cells, fewer follicular Th cells, and, surprisingly, more Th17 cells than their control counterparts. They also failed to develop IgG1+ memory B cells and autoantigen-specific IgG1 Ab-secreting cells. IL-21 induced expression of receptor activator of NF-κB ligand (RANKL) a regulator of osteoclastogenesis, and few RANKL-expressing infiltrates were found in the synovia of IL-21R−/− K/BxN mice. Thus, our results demonstrate that IL-21 forms a positive feedback autocrine loop involving homeostatically activated CD4+ cells and that it plays an essential role in the development of autoimmune arthritis by mechanisms dependent on follicular Th cell development, autoreactive B cell maturation, and RANKL induction but independent of Th17 cell function. Consistent with this, in vivo administration of soluble the IL-21R-Fc fusion protein delayed the onset and progression of arthritis. Our findings suggest that effective targeting of IL-21-mediated processes may be useful in treating autoimmune arthritis.
- Hanyang University Korea (Republic of)
- Institute of Biomedical Science United Kingdom
CD4-Positive T-Lymphocytes, Mice, Knockout, Arthritis, Interleukins, Interleukin-17, Interleukin-2 Receptor alpha Subunit, Autoantigens, Autoimmune Diseases, Interleukin-21, Disease Models, Animal, Mice, Gene Expression Regulation, Immunoglobulin G, Antibody Formation, Disease Progression, Animals, Homeostasis, Receptors, Interleukin-21, Cell Proliferation, Signal Transduction
CD4-Positive T-Lymphocytes, Mice, Knockout, Arthritis, Interleukins, Interleukin-17, Interleukin-2 Receptor alpha Subunit, Autoantigens, Autoimmune Diseases, Interleukin-21, Disease Models, Animal, Mice, Gene Expression Regulation, Immunoglobulin G, Antibody Formation, Disease Progression, Animals, Homeostasis, Receptors, Interleukin-21, Cell Proliferation, Signal Transduction
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