T-bet negatively regulates autoimmune myocarditis by suppressing local production of interleukin 17

J Exp Med. 2006 Aug 7;203(8):2009-19. doi: 10.1084/jem.20052222. Epub 2006 Jul 31.

Abstract

Experimental autoimmune myocarditis (EAM) appears after infectious heart disease, the most common cause of dilated cardiomyopathy in humans. Here we report that mice lacking T-bet, a T-box transcription factor required for T helper (Th)1 cell differentiation and interferon (IFN)-gamma production, develop severe autoimmune heart disease compared to T-bet+/+ control mice. Experiments in T-bet-/- IL-4-/- and T-bet-/- IL-4Ralpha-/- mice, as well as transfer of heart-specific Th1 and Th2 cell lines, showed that autoimmune heart disease develops independently of Th1 or Th2 polarization. Analysis of T-bet-/- IL-12Rbeta1-/- and T-bet-/- IL-12p35-/- mice then identified interleukin (IL)-23 as critical for EAM pathogenesis. In addition, T-bet-/- mice showed a marked increase in production of the IL-23-dependent cytokine IL-17 by heart-infiltrating lymphocytes, and in vivo IL-17 depletion markedly reduced EAM severity in T-bet-/- mice. Heart-infiltrating T-bet-/- CD8+ but not CD8- T cells secrete IFN-gamma, which inhibits IL-17 production and protects against severe EAM. In contrast, T-bet-/- CD8+ lymphocytes completely lost their capacity to release IFN-gamma within the heart. Collectively, these data show that severe IL-17-mediated EAM can develop in the absence of T-bet, and that T-bet can regulate autoimmunity via the control of nonspecific CD8+ T cell bystander functions in the inflamed target organ.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Autoimmune Diseases / immunology*
  • Autoimmune Diseases / metabolism
  • Autoimmunity / immunology
  • Bone Marrow
  • CD3 Complex / immunology
  • CD8-Positive T-Lymphocytes / immunology
  • Cell Differentiation
  • Cytokines / biosynthesis
  • Dendritic Cells / cytology
  • Dendritic Cells / immunology
  • Humans
  • Immunization
  • Interleukin-17 / biosynthesis*
  • Interleukin-17 / deficiency
  • Interleukin-23
  • Interleukin-23 Subunit p19
  • Interleukins / biosynthesis
  • Lymphoid Tissue / immunology
  • Mice
  • Mice, SCID
  • Myocarditis / immunology*
  • Myocarditis / metabolism
  • Myocardium / cytology
  • Myocardium / pathology
  • Receptors, Interleukin-2 / immunology
  • T-Box Domain Proteins
  • T-Lymphocytes, Regulatory / immunology
  • Th1 Cells / cytology
  • Th1 Cells / immunology
  • Th2 Cells / cytology
  • Th2 Cells / immunology
  • Transcription Factors / deficiency
  • Transcription Factors / metabolism*

Substances

  • CD3 Complex
  • Cytokines
  • IL23A protein, human
  • Il23a protein, mouse
  • Interleukin-17
  • Interleukin-23
  • Interleukin-23 Subunit p19
  • Interleukins
  • Receptors, Interleukin-2
  • T-Box Domain Proteins
  • T-box transcription factor TBX21
  • Transcription Factors