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role of th1 and th17 cd4+ t cell subsets in the pathogenesis of ...

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CNS. F<strong>in</strong>ally, it was found that transferred Th17 <strong>cell</strong>s can convert to a Th1 phenotype <strong>in</strong><br />

<strong>the</strong> host, suggest<strong>in</strong>g plasticity <strong>in</strong> <strong>the</strong> Th17 <strong>cell</strong> subset <strong>and</strong> emphasiz<strong>in</strong>g a pathogenic <strong>role</strong><br />

for Th1 <strong>cell</strong>s.<br />

Next, tak<strong>in</strong>g <strong>in</strong>to account our data <strong>and</strong> earlier f<strong>in</strong>d<strong>in</strong>gs previous to <strong>the</strong> Th17 <strong>cell</strong><br />

discovery that demonstrated a cytotoxic capacity <strong>of</strong> auto‐antigenic T <strong>cell</strong>s over<br />

astrocytes, important CNS resident glial <strong>cell</strong>s, we asked which <strong>of</strong> <strong>the</strong> CD4 + T <strong>cell</strong> subset<br />

was cytotoxic to astrocytes. By establish<strong>in</strong>g an <strong>in</strong> vitro co‐culture <strong>of</strong> myel<strong>in</strong>‐specific Th1<br />

<strong>and</strong> Th17 <strong>cell</strong>s with GFP positive‐astrocytes, it was possible to pursue cytotoxicity by<br />

fluorescent time‐lapse microscopy. It was found that Th1 but not Th17 <strong>cell</strong>s were<br />

cytotoxic to astrocytes, fur<strong>the</strong>r emphasiz<strong>in</strong>g <strong>the</strong> pathogenic <strong>role</strong> <strong>of</strong> Th1 <strong>cell</strong>s.<br />

F<strong>in</strong>ally, <strong>in</strong> order to identify molecules that are differently regulated <strong>in</strong> Th1 <strong>and</strong> Th17<br />

<strong>cell</strong>s <strong>and</strong> to underst<strong>and</strong> which different <strong>role</strong>s <strong>the</strong>se <strong>cell</strong>s might play <strong>in</strong> EAE, a<br />

transcriptome analysis by microarrays <strong>of</strong> both populations was performed. We found<br />

<strong>the</strong> nuclear receptor Rev‐Erbα to be expressed <strong>in</strong> Th17 but not <strong>in</strong> Th1 <strong>cell</strong>s. A pathway<br />

analysis revealed a relationship <strong>of</strong> Rev‐Erbα with RORα, an important transcription<br />

factor for Th17 differentiation, but no def<strong>in</strong>ite <strong>role</strong> for this molecule <strong>in</strong> regulat<strong>in</strong>g Th17<br />

differentiation could be established.<br />

In conclusion, this <strong>the</strong>sis demonstrates, contrary to <strong>in</strong>itial evidence, that both myel<strong>in</strong>‐<br />

specific Th1 <strong>and</strong> Th17 CD4 + T <strong>cell</strong> <strong>subsets</strong> are able to <strong>in</strong>duce pathogenicity <strong>in</strong> EAE,<br />

though with different capabilities to mediate disease. Also, Th1 <strong>cell</strong>s are true cytotoxic<br />

effector <strong>cell</strong>s destroy<strong>in</strong>g astrocytes, important neuronal buffer <strong>cell</strong>s. A new gene was<br />

also discovered, Rev‐Erbα, which is differently regulated by Th1 <strong>and</strong> Th17 <strong>cell</strong>s. Though<br />

no impact <strong>of</strong> Rev‐Erbα <strong>in</strong> Th17 differentiation could be determ<strong>in</strong>ed, a possible <strong>role</strong> <strong>in</strong><br />

Th17 biology will need to be fur<strong>the</strong>r addressed.<br />

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