IL-6 Signalling to Responding T Cells Is Key to Calcitonin Gene-Related Peptide-Exposed Endothelial Cell Enhancement of Th17 Immunity During Langerhans Cell Antigen Presentation
Wanhong Ding
Department of Dermatology, Weill Cornell Medicine, New York, New York, USA
Search for more papers by this authorCameron Moattari
Department of Dermatology, Weill Cornell Medicine, New York, New York, USA
Search for more papers by this authorLori L. Stohl
Department of Dermatology, Weill Cornell Medicine, New York, New York, USA
Search for more papers by this authorJohn A. Wagner
Brain and Mind Research Institute, Weill Cornell Medicine, New York, New York, USA
Search for more papers by this authorXi K. Zhou
Department of Population Health Sciences, Weill Cornell Medicine, New York, New York, USA
Search for more papers by this authorCorresponding Author
Richard D. Granstein
Department of Dermatology, Weill Cornell Medicine, New York, New York, USA
Correspondence:
Richard D. Granstein ([email protected])
Search for more papers by this authorWanhong Ding
Department of Dermatology, Weill Cornell Medicine, New York, New York, USA
Search for more papers by this authorCameron Moattari
Department of Dermatology, Weill Cornell Medicine, New York, New York, USA
Search for more papers by this authorLori L. Stohl
Department of Dermatology, Weill Cornell Medicine, New York, New York, USA
Search for more papers by this authorJohn A. Wagner
Brain and Mind Research Institute, Weill Cornell Medicine, New York, New York, USA
Search for more papers by this authorXi K. Zhou
Department of Population Health Sciences, Weill Cornell Medicine, New York, New York, USA
Search for more papers by this authorCorresponding Author
Richard D. Granstein
Department of Dermatology, Weill Cornell Medicine, New York, New York, USA
Correspondence:
Richard D. Granstein ([email protected])
Search for more papers by this authorFunding: This work was supported by Filomen M. D'Agostino Foundation; Pfizer; National Center for Advancing Translational Sciences, UL1 TR002384; Seth Sprague Educational and Charitable Foundation.
ABSTRACT
Calcitonin gene-related peptide (CGRP) biases Langerhans cell (LC) Ag presentation to CD4+ T cells towards Th17-type immunity through actions on endothelial cells (ECs). We now report further evidence that IL-6 signalling at responding T cells mediates this effect. This CGRP effect was absent with ECs from IL-6 KO mice. Exposure of LCs, but not T cells, to IL-6 enhanced IL-6 and IL-17A production and reduced IFN-γ in the T-cell response. Pretreatment of LCs with IL-6 receptor α-chain (IL-6Rα) antibodies prior to IL-6 exposure significantly inhibited these responses. However, T-cell pretreatment with an IL-6/IL-6Rα chimera mimicked the effect of IL-6 pretreatment of LCs on T-cell responses. When this experiment was performed in the presence of the ADAM17 and ADAM10 inhibitor TAPI-1 during LC pretreatment of LCs and during the Ag presentation culture, release of soluble IL-6Rα chains into the medium was very significantly reduced, but this did not affect levels of T-cell cytokine release. Interestingly, LC exposure to IL-6 significantly increased LC IL-6 expression. Furthermore, pretreatment of T cells with antibodies against the IL-6 receptor β-chain significantly inhibited the IL-6 effect. CGRP may stimulate ECs in lymphatics and/or lymph nodes to produce IL-6 which likely results in migrating LCs nonclassically presenting IL-6. Furthermore, we found that IL-6 induces IL-6 production by LCs, suggesting an autocrine amplification pathway for this effect.
Conflicts of Interest
R.D. Granstein has a research agreement with Pfizer Inc. for a clinical study of calcitonin gene-related peptides. He is on the scientific advisory board of Elysium Health Inc. and holds equity and stock options; has research agreements with Galderma Inc., Leo Pharma Inc., Pfizer Inc., and Elysium Health Inc.; and is an advisor to Gore Range Capital and may receive fees for this. He is also an advisor to BelleTorus Corporation and holds stock options.
Open Research
Data Availability Statement
The data that support the findings of this study are available from the corresponding author upon reasonable request.
References
- 1 J. Kipnis and A. J. Filiano, “Neuroimmunology in 2017: The Central Nervous System: Privileged by Immune Connections,” Nature Reviews. Immunology 18 (2018): 83–84.
- 2 D. Wrona, “Neural–Immune Interactions: An Integrative View of the Bidirectional Relationship Between the Brain and Immune Systems,” Journal of Neuroimmunology 172 (2006): 38–58.
- 3 A. Salvador, K. A. de Lima, and L. Kipnis, “Neuromodulation by the Immune System: A Focus on Cytokines,” Nature Reviews. Immunology 21 (2021): 526–541.
- 4 C. Diaz-Salazar, R. Bou-Puerto, A. M. Mujal, et al., “Cell-Intrinsic Adrenergic Signaling Controls the Adaptive NK Cell Response to Viral Infection,” Journal of Experimental Medicine 217 (2020): e20190549.
- 5 H. Xu, J. Ding, C. B. M. Porter, et al., “Transcriptional Atlas of Intestinal Immune Cells Reveals That Neuropeptide α-CGRP Modulates Group 2 Innate Lymphoid Cell Responses,” Immunity 51 (2019): 696–708.
- 6 F. A. Pinho-Ribeiro, B. Baddal, R. Haarsma, et al., “Blocking Neuronal Signaling to Immune Cells Treats Streptococcal Invasive Infection,” Cell 173 (2018): 1083–1097.e22.
- 7 M. C. Takenaka, M. G. Gueresch, and A. S. Basso, “Neuroimmune Interactions: Dendritic Cell Modulation by the Sympathetic Nervous System,” Seminars in Immunopathology 39 (2017): 165–176.
- 8 C. S. N. Klose, T. Mahlakõiv, J. B. Moeller, et al., “The Neuropeptide Neuromedin U Stimulates Innate Lymphoid Cells and Type 2 Inflammation,” Nature 549 (2017): 282–286.
- 9 B. E. Steinberg, H. A. Silverman, S. Robbiati, et al., “Cytokine-Specific Neurograms in the Sensory Vagus Nerve,” Bioelectronic Medicine 3 (2016): 7–17.
- 10 T. Liu, Y.-J. Gao, and R.-R. Ji, “Emerging Role of Toll-Like Receptors in the Control of Pain and Itch,” Neuroscience Bulletin 28 (2012): 131–144.
- 11 D. Roosterman, T. Goerge, S. W. Schneider, N. W. Bunnett, and M. Steinhoff, “Neuronal Control of Skin Function: The Skin as a Neuroimmunoendocrine Organ,” Physiological Reviews 86 (2006): 1309–1379.
- 12 D. L. Bellinger, D. Lorton, S. Y. Felten, and D. L. Felten, “Innervation of Lymphoid Organs and Implications in Development, Aging, and Autoimmunity,” International Journal of Immunopharmacology 14 (1992): 329–344.
- 13 R. P. Boggon and A. J. Palfrey, “The Microscopic Anatomy of Human Lymphatic Trunks,” Journal of Anatomy 114, no. Pt 3 (1973): 389–405.
- 14 C. J. Dalsgaard, H. Björklund, C. E. Jonsson, A. Hermansson, and D. Dahl, “Distribution of Neurofilament-Immunoreactive Nerve Fibers in Human Skin,” Histochemistry 81 (1984): 111–114.
- 15 C. J. Dalsgaard, C. E. Jonsson, T. Hökfelt, and A. C. Cuello, “Localization of Substance P-Immunoreactive Nerve Fibers in the Human Digital Skin,” Experientia 39 (1983): 1018–1020.
- 16 J. S. Pober and W. C. Sessa, “Evolving Functions of Endothelial Cells in Inflammation,” Nature Reviews Immunology 7 (2007): 803–815.
- 17 W. Ding, M. Manni, L. L. Stohl, X. K. Zhou, J. A. Wagner, and R. D. Granstein, “Pituitary Adenylate Cyclase-Activating Peptide and Vasoactive Intestinal Polypeptide Bias Langerhans Cell ag Presentation Toward Th17 Cells,” European Journal of Immunology 42 (2012): 901–911.
- 18 W. Ding, L. L. Stohl, L. Xu, et al., “Calcitonin Gene-Related Peptide-Exposed Endothelial Cells Bias ag Presentation to CD4+ T Cells Toward a Th17 Response,” Journal of Immunology 196 (2016): 2181–2194.
- 19 W. Ding, L. L. Stohl, J. Saab, et al., “Regulation of Cutaneous Immunity In Vivo by Calcitonin Gene-Related Peptide Signaling Through Endothelial Cells,” Journal of Immunology 208 (2022): 633–641.
- 20 J. Huang, L. L. Stohl, X. Zhou, W. Ding, and R. D. Granstein, “Calcitonin Gene-Related Peptide Inhibits Chemokine Production by Human Dermal Microvascular Endothelial Cells,” Brain, Behavior, and Immunity 25 (2011): 787–799.
- 21 C. Chen, E. Itakura, G. M. Nelson, et al., “IL-17 Is a Neuromodulator of Caenorhabditis elegans Sensory Responses,” Nature 542 (2017): 43–48.
- 22 G. B. Choi, Y. S. Yim, H. Wong, et al., “The Maternal Interleukin-17A Pathway in Mice Promotes Autism-Like Phenotypes in Offspring,” Science 351 (2016): 933–939.
- 23 D. Mehta and R. D. Granstein, “Immunoregulatory Effects of Neuropeptides on Endothelial Cells: Relevance to Dermatological Disorders,” Dermatology 235 (2019): 175–186.
- 24 I. I. Ivanov, B. S. McKenzie, L. Zhou, et al., “The Orphan Nuclear Receptor RORgammat Directs the Differentiation Program of Proinflammatory IL-17+ T Helper Cells,” Cell 126 (2006): 1121–1133.
- 25 A. Balato, E. Scala, N. Balato, et al., “Biologics That Inhibit the Th17 Pathway and Related Cytokines to Treat Inflammatory Disorders,” Expert Opinion on Biological Therapy 17 (2017): 1363–1374.
- 26 E. Bettelli, Y. Carrier, W. Gao, et al., “Reciprocal Developmental Pathways for the Generation of Pathogenic Effector TH17 and Regulatory T Cells,” Nature 441 (2006): 235–238.
- 27 K. M. Murphy, A. B. Heimberger, and D. Y. Loh, “Induction by Antigen of Intrathymic Apoptosis of CD4+ CD8+ TCRlo Thymocytes In Vivo,” Science 250 (1990): 1720–1723.
- 28 C. S. Hsieh, A. B. Heimberger, J. S. Gold, A. O'Garra, and K. M. Murphy, “Differential Regulation of T Helper Phenotype Development by Interleukins 4 and 10 in an Alpha Beta T-Cell-Receptor Transgenic System,” Proceedings of the National Academy of Sciences of the United States of America 89 (1992): 6065–6069.
- 29 M. J. Barnden, J. Allison, W. R. Heath, and F. R. Carbone, “Defective TCR Expression in Transgenic Mice Constructed Using cDNA-Based Alpha- and Beta-Chain Genes Under the Control of Heterologous Regulatory Elements,” Immunology and Cell Biology 76 (1998): 34–40.
- 30 H. Watanabe, K. Numata, T. Ito, K. Takagi, and A. Matsukawa, “Innate Immune Response in Th1- and Th2-Dominant Mouse Strains,” Shock 22 (2004): 460–466.
- 31 M. Mihara, M. Hashizume, H. Yoshida, M. Suzuki, and M. Shiina, “IL-6/IL-6 Receptor System and Its Role in Physiological and Pathological Conditions,” Clinical Science 122 (2012): 143–159.
- 32 B. E. Slack, L. K. Ma, and C. C. Seah, “Constitutive Shedding of the Amyloid Precursor Protein Ectodomain is Up-Regulated by Tumour Necrosis Factor-Alpha Converting Enzyme,” Biochemical Journal 357 (2001): 787–794.
- 33 S. N. Harbour, D. F. DiToro, S. J. Witte, et al., “TH17 Cells Require Ongoing Classic IL-6 Receptor Signaling to Retain Transcriptional and Functional Identity,” Science Immunology 5 (2020): eaaw2262.
- 34 T. Korn and M. Hiltensperger, “Role of IL-6 in the Commitment of T Cell Subsets,” Cytokine 146 (2021): 155654.
- 35 S. Rose-John and M. F. Neurath, “IL-6 Trans-Signaling: The Heat Is on,” Immunity 20 (2004): 2–4.
- 36
S. Rose-John, G. H. Waetzig, J. Scheller, J. Grötzinger, and D. Seegert, “The IL-6/sIL-6R Complex as a Novel Target for Therapeutic Approaches,” Expert Opinion on Therapeutic Targets 11 (2004): 613–624.
10.1517/14728222.11.5.613 Google Scholar
- 37 S. Rose-John, “IL-6 Trans-Signaling via the Soluble IL-6 Receptor: Importance for the Pro-Inflammatory Activities of IL-6,” International Journal of Biological Sciences 8 (2012): 1237–1247.
- 38 T. Kishimoto, T. Taga, and S. Akira, “Cytokine Signal Transduction,” Cell 76 (1994): 253–262.
- 39 J. Scheller, J. Grötzinger, and S. Rose-John, “Updating Interleukin-6 Classic-and Trans-Signaling,” Signal Transduction 6 (2006): 240–259.
- 40 T. Taga and T. Kishimoto, “Gp130 and the Interleukin-6 Family of Cytokines,” Annual Review of Immunology 15 (1997): 797–819.
- 41 J. A. Lust, K. A. Donovan, M. P. Kline, P. R. Greipp, R. A. Kyle, and N. J. Maihle, “Isolation of an mRNA Encoding a Soluble Form of the Human Interleukin-6 Receptor,” Cytokine 4 (1992): 96–100.
- 42 J. Müllberg, H. Schooltink, T. Stoyan, et al., “The Soluble Interleukin-6 Receptor Is Generated by Shedding,” European Journal of Immunology 23 (1993): 473–480.
- 43 J. Scheller, A. Chalaris, C. Garbers, and S. Rose-John, “ADAM17: A Molecular Switch to Control Inflammation and Tissue Regeneration,” Trends in Immunology 32 (2011): 380–387.
- 44 M. Narazaki, K. Yasukawa, T. Saito, et al., “Soluble Forms of the Interleukin-6 Signal-Transducing Receptor Component gp130 in Human Serum Possessing a Potential to Inhibit Signals Through Membrane-Anchored gp130,” Blood 82 (1993): 1120–1126.
- 45 S. Heink, N. Yogev, C. Garbers, et al., “Trans-Presentation of IL-6 by Dendritic Cells Is Required for the Priming of Pathogenic T(H)17 Cells,” Nature Immunology 18 (2017): 74–85.
- 46 E. M. Briso, O. Dienz, and M. Rincon, “Cutting Edge: Soluble IL-6R Is Produced by IL-6R Ectodomain Shedding in Activated CD4 T Cells,” Journal of Immunology 180 (2008): 7102–7106.
- 47 S. Dominitzki, M. C. Fantini, C. Neufert, et al., “Cutting Edge: Trans-Signaling via the Soluble IL-6R Abrogates the Induction of FoxP3 in Naïve CD4+CD25 T Cells,” Journal of Immunology 179 (2007): 2041–2045.
- 48 G. W. Jones, R. M. McLoughlin, V. J. Hammond, et al., “Loss of CD4+ T Cell IL-6R Expression During Inflammation Underlines a Role for IL-6 Trans Signaling in the Local Maintenance of Th17 Cells,” Journal of Immunology 184 (2010): 2130–2139.
- 49 B. J. Nickoloff, “Cracking the Cytokine Code in Psoriasis,” Nature Medicine 13 (2007): 242–244.
- 50 S. P. Raychaudhuri and E. M. Farber, “Are Sensory Nerves Essential for the Development of Psoriatic Lesions?,” Journal of the American Academy of Dermatology 28 (1993): 488–489.
- 51 H. H. Perlman, “Remission of Psoriasis Vulgaris From the Use of Nerve-Blocking Agents,” Archives of Dermatology 105 (1972): 128–129.
- 52 S. B. Dewing, “Remission of Psoriasis Associated With Cutaneous Nerve Section,” Archives of Dermatology 104 (1971): 220–221.
- 53 Y. He, G. Ding, X. Wang, T. Zhu, and S. Fan, “Calcitonin Gene-Related Peptide in Langerhans Cells in Psoriatic Plaque Lesions,” Chinese Medical Journal 113 (2000): 747–751.
- 54 S. M. Ostrowski, A. Belkadi, C. M. Loyd, D. Diaconu, and N. L. Ward, “Cutaneous Denervation of Psoriasiform Mouse Skin Improves Acanthosis and Inflammation in a Sensory Neuropeptide-Dependent Manner,” Journal of Investigative Dermatology 131 (2011): 1530–1538.
- 55 C. N. Ellis, B. Berberian, V. I. Sulica, et al., “A Double-Blind Evaluation of Topical Capsaicin in Pruritic Psoriasis,” Journal of the American Academy of Dermatology 29 (1993): 438–442.
- 56 S. H. Lee, R. Tonello, S. T. Im, et al., “Resolvin D3 Controls Mouse and Human TRPV1-Positive Neurons and Preclinical Progression of Psoriasis,” Theranostics 10 (2020): 12111–12126.
- 57 G. Schett, D. Elewaut, I. B. McInnes, J. M. Dayer, and M. F. Neurath, “How Cytokine Networks Fuel Inflammation: Toward a Cytokine-Based Disease Taxonomy,” Nature Medicine 19 (2013): 822–824.
- 58 B. Toruniowa, D. Krasowska, M. Kozioł, A. Ksiazek, and A. Pietrzak, “Serum Levels of IL-6 in Mycosis Fungoides, Psoriasis, and Lichen Planus,” Annals of the New York Academy of Sciences 762 (1995): 432–434.
- 59 R. M. Grossman, J. Krueger, D. Yourish, et al., “Interleukin 6 Is Expressed in High Levels in Psoriatic Skin and Stimulates Proliferation of Cultured Human Keratinocytes,” Proceedings. National Academy of Sciences. United States of America 86 (1989): 6367–6371.
- 60 A. Saggini, S. Chimenti, and A. Chiricozzi, “IL-6 as a Druggable Target in Psoriasis: Focus on Pustular Variants,” Journal of Immunology Research 2014 (2014): 964069.
- 61 A. Grasland, E. Mahé, E. Raynaud, and I. Mahé, “Psoriasis Onset With Tocilizumab,” Joint, Bone, Spine 80 (2013): 541–542.
- 62 D. Wendling, H. Letho-Gyselinck, X. Guillot, and C. Prati, “Psoriasis Onset With Tocilizumab Treatment for Rheumatoid Arthritis,” Journal of Rheumatology 39 (2012): 657.
- 63 T. Barkhausen, T. Tschernig, P. Rosenstiel, et al., “Selective Blockade of Interleukin-6 Trans-Signaling Improves Survival in a Murine Polymicrobial Sepsis Model,” Critical Care Medicine 39 (2011): 1407–1413.
- 64 S. Grivennikov, E. Karin, J. Terzic, et al., “IL-6 and Stat3 Are Required for Survival of Intestinal Epithelial Cells and Development of Colitis-Associated Cancer,” Cancer Cell 15 (2009): 103–113.
- 65 S. Schreiber, K. Aden, J. P. Bernardes, et al., “Therapeutic Interleukin 6 Trans-Signaling Inhibition by Olamkicept (sgp130Fc) in Patients With Active Inflammatory Bowel Disease,” Gastroenterology 160 (2021): 2354–2366.e11.
- 66 M. Cottone, C. Sapienza, F. S. Macaluso, and M. Cannizzaro, “Psoriasis and Inflammatory Bowel Disease,” Digestive Diseases 37, no. 6 (2019): 451–457.
- 67 C. Vlachos, G. Gaitanis, K. H. Katsanos, D. K. Christodoulou, E. Tsianos, and I. D. Bassukas, “Psoriasis and Inflammatory Bowel Disease: Links and Risks,” Psoriasis 6 (2016): 73–92.
- 68 H. Xu, J. Liu, M. Niu, et al., “Soluble IL-6R-Mediated IL-6 Trans-Signaling Activation Contributes to the Pathological Development of Psoriasis,” Journal of Molecular Medicine 99, no. 7 (2021): 1009–1020.