Blocking IL-17A promotes the resolution of pulmonary inflammation and fibrosis via TGF-β1–dependent and–independent mechanisms

S Mi, Z Li, HZ Yang, H Liu, JP Wang, YG Ma… - The Journal of …, 2011 - journals.aai.org
S Mi, Z Li, HZ Yang, H Liu, JP Wang, YG Ma, XX Wang, HZ Liu, W Sun, ZW Hu
The Journal of Immunology, 2011journals.aai.org
Pulmonary fibrosis is the pathologic basis for a variety of incurable human chronic lung
diseases. IL-17A, a glycoprotein secreted from IL-17–producing cells, has recently been
shown to be a proinflammatory cytokine involved in chronic inflammation and autoimmune
disease. In this study, we report that IL-17A increased the synthesis and secretion of
collagen and promoted the epithelial–mesenchymal transition in alveolar epithelial cells in a
TGF-β1–dependent manner. Using in vivo fibrotic models, we found IL-17A expression to be …
Abstract
Pulmonary fibrosis is the pathologic basis for a variety of incurable human chronic lung diseases. IL-17A, a glycoprotein secreted from IL-17–producing cells, has recently been shown to be a proinflammatory cytokine involved in chronic inflammation and autoimmune disease. In this study, we report that IL-17A increased the synthesis and secretion of collagen and promoted the epithelial–mesenchymal transition in alveolar epithelial cells in a TGF-β1–dependent manner. Using in vivo fibrotic models, we found IL-17A expression to be elevated and IL-17A–associated signaling pathways to be activated in fibrotic lung tissues. Neutralization of IL-17A in vivo promoted the resolution of bleomycin-induced acute inflammation, attenuated pulmonary fibrosis, and increased survival. Additionally, IL-17A antagonism inhibited silica-induced chronic inflammation and pulmonary fibrosis. Targeting IL-17A resulted in a shift of the suppressive immune response in fibrotic lung tissue toward a Th1-type immune response, and it effectively induced autophagy, which promoted the autophagic degradation of collagen and autophagy-associated cell death. Moreover, IL-17A was found to attenuate the starvation-induced autophagy, and autophagy modulators regulated collagen degradation in the alveolar epithelial cells in a TGF-β1–independent manner. Administration of 3-methylamphetamine, an autophagy inhibitor, reversed the therapeutic efficacy of IL-17A antagonism in pulmonary fibrosis. Our studies indicate that IL-17A participates in the development and progression of pulmonary fibrosis in both TGF-β1–dependent and–independent manners and that the components of the IL-17A signaling pathway are potential therapeutic targets for the treatment of fibroproliferative lung diseases.
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