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*Department of Neurology,
Center for Bioinformatics, and
Department of Microbiology and Immunology, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599
IFN-β-1a has been used over the past 15 years as a primary therapy for relapsing-remitting multiple sclerosis (MS). However, the immunomodulatory mechanisms that provide a therapeutic effect against this CNS inflammatory disease are not yet completely elucidated. The effect of IFN-β-1a on Th17 cells, which play a critical role in the development of the autoimmune response, has not been extensively studied in humans. We have investigated the effect of IFN-β-1a on dendritic cells (DCs) and naive CD4+CD45RA+ T cells derived from untreated MS patients and healthy controls in the context of Th17 cell differentiation. We report that IFN-β-1a treatment down-regulated the expression of IL-1β and IL-23p19 in DCs, whereas it induced the gene expression of IL-12p35 and IL-27p28. We propose that IFN-β-1a-mediated up-regulation of the suppressor of cytokine signaling 3 expression, induced via STAT3 phosphorylation, mediates IL-1β and IL-23 down-regulation, while IFN-β-1a-induced STAT1 phosphorylation induces IL-27p28 expression. CD4+CD45RA+ naive T cells cocultured with supernatants from IFN-β-1a-treated DCs exhibited decreased gene expression of the Th17 cell markers retinoic acid-related orphan nuclear hormone receptor c (RORc), IL-17A, and IL-23R. A direct IFN-β-1a treatment of CD45RA+ T cells cultured in Th17-polarizing conditions also down-regulated RORc, IL-17A, and IL-23R, but up-regulated IL-10 gene expression. Studies of the mechanisms involved in the Th17 cell differentiation suggest that IFN-β-1a inhibits IL-17 and induces IL-10 secretion via activated STAT1 and STAT3, respectively. IFN-βs suppression of Th17 cell differentiation may represent its most relevant mechanism of selective suppression of the autoimmune response in MS.
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1 This study was supported by National Institutes of Health Grant K08 NS045871 and an Independent Medical Grant by EMD Serono Inc./Pfizer (to S.M.P.). A National MS Society Center Award (to S.M.P.) provided fellowship support for X.Z.
2 Address correspondence and reprint requests to Dr. Silva Markovic-Plese, 6109 Neuroscience Research Building, 105 Mason Farm Road, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599. E-mail address: markovics{at}neurology.unc.edu
3 Abbreviations used in this paper: RR, relapsing-remitting; MS, multiple sclerosis; DC, dendritic cell; HC, healthy control; SOCS3, suppressor of cytokine signaling 3; SN, supernatant; RORc, retinoic acid-related orphan nuclear hormone receptor c; qRT-PCR, quantitative RT-PCR; FLUD, fludarabine; IFNAR, type I IFN receptor; EAE, experimental autoimmune encephalomyelitis.
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