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Blood, 1 November 2008, Vol. 112, No. 9, pp. 3696-3703.
Prepublished online as a Blood First Edition Paper on August 12, 2008; DOI 10.1182/blood-2008-05-155408.
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IMMUNOBIOLOGY
Prostaglandin E2 synergistically with interleukin-23 favors human Th17 expansion
Carlo Chizzolini1,
Rachel Chicheportiche1,
Montserrat Alvarez1,
Casimir de Rham1,
Pascale Roux-Lombard1,
Sylvie Ferrari-Lacraz1, and
Jean-Michel Dayer1
1 Division of Immunology and Allergy, Department of Internal Medicine, University Hospital and School of Medicine, Geneva, Switzerland
Microenvironment molecular cues direct T helper (Th) cell differentiation; however, Th17 fate determination is still imprecisely understood in humans. To assess the role of prostaglandin E2 (PGE2) in Th expansion, we activated peripheral blood mononuclear cells by CD3 cross-linking. In the presence of exogenous PGE2, peripheral blood mononuclear cells produced higher interleukin-17 (IL-17), C-C chemokine ligand 20 (CCL20)/macrophage inflammatory protein 3 (MIP-3 ), CXC chemokine ligand 8 (CXCL8)/IL-8, and lower interferon- and IL-22 levels than in control cultures. Exogenous PGE2 and IL-23 synergized in inducing IL-17, whereas indomethacin and IL-23 blockade drastically reduced IL-17 but not interferon- production. Furthermore, IL-1 but not tumor necrosis factor was absolutely required for IL-17 production. PGE2 doubled the frequency of CD4+ T cells producing IL-17 and within the CD4+ subset enhanced C-C chemokine receptor 6 (CCR6) and CCR4 while decreasing CXC chemokine receptor 3 (CXCR3) expression. Furthermore, in CD4+ T-cell lines, the production of IL-17 segregated with the CCR6+ subset. In the presence of CCR6+ compared with CXCR3+ Th cells, monocytes/macrophages produced much higher levels of matrix metalloproteinase-1, -3, and -9 but similar levels of CXCL10 and IL-1β. These results identify PGE2 and IL-23 as participating in the expansion of CD4+ T cells endowed with high IL-17 production capacity, which in turn favors monocyte production of mediators important for host defense and tissue destruction.

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