IL-17 signaling pathway
The Interleukin-17 family consists of six cytokines in mammals. Among
them, Interleukin 17A (IL-17) and Interleukin 17F (IL-17F)
are produced by a distinct subset of CD4+ T helper (Th) cells called
Th17 cells. IL-17 and IL-17F play a critical role in
inflammation and pathogenesis of multiple autoimmune diseases [1],
[2], [3],
[4], [5].
Development and differentiation of Th17 cells requires a complex network
of cytokines. In humans, Th17 differentiation is mediated by IL-23
and IL-6 released from myeloid dendritic cells, IL-1 beta
and IL-6 derived from macrophages, as well as IL-21
produced by activated T cells [1],
[6]. IL-17 released from
Th17 cells affects different cell populations of the inflamed tissue,
including fibroblasts, chondrocytes, osteoblasts, mast cells,
neutrophils, airway epithelial cells and vascular endothelial cells [1],
[7].
IL-17 acts through the Interleukin 17 receptor A (IL-17
receptor), which associates with Interleukin 17 receptor C (IL-17RC)
to form a multimeric receptor complex [8].
IL-17RC binds both IL-17F and IL-17 [9].
Much is known regarding IL-17, but the understanding of IL-17
receptor signal transduction is still limited [10].
IL-17 receptor signaling induces activation of Nuclear factor
kappa-B (NF-kB), Mitogen-activated protein kinase 3 and 1 (ERK1/2)
and CCAAT-enhancer-binding proteins (C/EBPbeta and C/EBPdelta)
followed by subsequent transcription of IL-17 target genes
involved in inflammation and autoimmunity [1].
Among the main IL-17 target genes are: IL-6, which
mediates inflammation and reinforces Th17 development; granulopoietic
growth factors, such as Granulocyte colony-stimulating factor (G-CSF)
and Granulocyte-macrophage colony-stimulating factor (GM-CSF);
neutrophil-attracting CXC chemokines, such as CXCL1 chemokine ligand 1 (GRO-1),
CXCL5 chemokine ligand 5 (ENA-78), CXCL6 chemokine ligand 6 (GCP2)
and Interleukin 8 (IL-8); CC chemokines, such as CCL2, CCL7
and CCL20; Beta-defensin 2 (both CCL20 and Beta-defensin
2, which have antimicrobial activity and chemotactic activity to
CCR6-positive dendritic and T cells [11],
[12], [13]);
the acute phase protein Lipocalin 2 (NGAL), which exhibits
antibacterial activity; Intercellular adhesion molecule 1 (ICAM1);
Prostaglandin-endoperoxide synthase 2 (COX-2), which catalyzes
the biosynthesis of Prostaglandin E2 (PGE2), the mediator for pain and
fever during inflammation; Nitric oxide synthase 2 (iNOS), which
generates Nitric oxide (NO) during inflammation;
mucus/gel-forming mucins, Mucin 5AC and Mucin 5B, which
are secreted by airway cells (mucins contribute to mucociliary defense,
but mucin overproduction leads to airway obstruction by mucus in chronic
airway diseases, such as asthma and cystic fibrosis [14]);
Tumor necrosis factor (ligand) superfamily, member 11 (RANKL),
which promotes osteoclastogenesis and subsequent bone destruction in
autoimmune diseases such as rheumatoid arthritis; and matrix
metalloproteinases, such as MMP-1, MMP-3 (Stromelysin-1)
and MMP-9, the major players in matrix destruction and tissue
damage in arthritis [3], [10].
After stimulation with IL-17, TRAF3 interacting protein 2 (CIKS)
is recruited to IL-17 receptor and triggers the activation of the
E3 ubiquitin ligase TNF receptor-associated factor 6 (TRAF6),
Mitogen-activated protein kinase kinase kinase 7 (TAK1) and
Mitogen-activated protein kinase kinase kinase 14 (NIK(MAP3K14))
followed by downstream activation of transcription factor NF-kB [3],
[15], [16],
[17], [18].
Most IL-17-regulated genes contain crucial NF-kB sites in
their promoters [10], [19].
However, IL-17 induces NF-kB activation only weakly. NF-kB
can play an important but poorly understood role in controlling IL-17
target genes [20]. The
transcription factors C/EBPbeta and C/EBPdelta are also
responsible for cooperative enhancement of the promoters of IL-17
target genes [17], [19],
[20], [21].
The upstream events that regulate C/EBPbeta and C/EBPdelta
activation are poorly understood. C/EBPbeta and C/EBPdelta
expression and activities are regulated by both transcriptional and
posttranscriptional events. IL-17 has been found to up-regulate
expression of C/EBPbeta and C/EBPdelta [17],
[20], [21].
Their expression is dependent on CIKS, the NF-kB upstream
activator in IL-17 receptor signaling [22].
IL-17 signaling can also regulate C/EBPbeta activity and
subsequent expression of pro-inflammatory genes. The phosphorylation of
two sites in the regulatory domains of C/EBPbeta by ERK1/2
and Glycogen synthase kinase 3 beta (GSK3 beta) inhibits C/EBPbeta
activity [23].
IL-17 also activates Janus kinase 1 and 2 (JAK1 and JAK2)
signaling [12], [24].
In human airway epithelial cells, IL-17 induces a JAK1/JAK2-associated
Phosphoinositide-3-kinase (PI3K) signaling pathway independent from NF-kB
activation. JAK1/JAK2 / PI3K reg class IA / PI3K
cat class IA signaling results in an increase in lipid
Phosphatidylinositol (3,4,5) (PtdIns(3,4,5)P3) and activation of
V-akt murine thymoma viral oncogene homolog (AKT(PKB)) that, in
turn, phosphorylates and inactivates GSK3 beta [18].
IL-17 also induces the phosphorylation and activation of
mitogen-activated protein kinases MEK1 and MEK2, MEK3
and MEK6, and p38 MAPK. MEK1 and MEK2 can
directly phosphorylate ERK1/2 and activate its signaling pathway,
whereas MEK3 and MEK6 can phosphorylate and activate p38
MAPK [25]. p38 MAPK increases
mRNA stability of multiple IL-17-induced transcripts, e.g. COX-2
[10].
In the airway epithelium, both IL-6 and IL-17 are involved
in the expression of mucin genes, Mucin 5AC and Mucin 5B [26],
[27]. Because IL-17
signaling results in the induction of IL-6, mucin expression is
at least partly up-regulated by IL-17 through IL-6 by an
autocrine/paracrine loop [26].
Expression of Mucin 5AC and Mucin 5B in response to IL-17
has been proposed to depend on ERK1/2 or JAK2/ ERK1/2
signaling [26], [27].
Several transcription factors such as c-Jun/c-Fos and SP1
can be involved in Mucin 5AC and Mucin 5B transcription [14],
[28].
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