Cyclosporin A inhibits the production of IL-17 by memory Th17 cells from healthy individuals and patients with rheumatoid arthritis

Cytokine. 2008 Jun;42(3):345-52. doi: 10.1016/j.cyto.2008.03.006. Epub 2008 Apr 18.

Abstract

Recent evidence from several studies indicated that IL-17-producing Th17 cells can represent the key effector cells in the induction and development of autoimmune disorders. Cyclosporine A (CsA) is a commonly used immunosuppressant to treat lots of autoimmune diseases including rheumatoid arthritis (RA). Here, we demonstrated that PBMCs and purified CD4(+) T cells from healthy individuals and patients with RA could be induced to produce large amounts of IL-17 after stimulation with anti-CD3 plus anti-CD28 mAbs. Phenotypic analysis indicated that the majority of IL-17-producing cells were Th17 cells with memory phenotype. The addition of CsA into cell cultures significantly inhibited the IL-17 production by Th17 cells at protein and at mRNA levels. Compared to the PBMCs from normal individuals, PBMCs from the patients with RA produced higher levels of IL-17 that was also significantly inhibited by CsA both at protein and at mRNA levels. The mechanism might be the effect of CsA on the T cells activation because the expression of CD69 and CD25 molecules on T cells was markedly reduced in the presence of CsA. Taken together, these results demonstrated that CsA suppressed the IL-17 production and inhibited the Th17 cells differentiation from both healthy individuals and patients with RA.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Antigens, CD / metabolism
  • Antigens, Differentiation, T-Lymphocyte / metabolism
  • Arthritis, Rheumatoid / immunology*
  • Cells, Cultured
  • Cyclosporine / pharmacology*
  • Down-Regulation
  • Female
  • Gene Expression Regulation
  • Humans
  • Immunologic Memory*
  • Immunosuppressive Agents / pharmacology
  • Interferon-gamma / biosynthesis
  • Interleukin-17 / antagonists & inhibitors
  • Interleukin-17 / biosynthesis*
  • Interleukin-2 Receptor alpha Subunit / metabolism
  • Lectins, C-Type
  • Leukocytes, Mononuclear / drug effects
  • Lymphocyte Activation
  • Male
  • Middle Aged
  • RNA, Messenger / analysis
  • T-Lymphocyte Subsets / drug effects*
  • T-Lymphocytes, Helper-Inducer / drug effects*
  • Time Factors

Substances

  • Antigens, CD
  • Antigens, Differentiation, T-Lymphocyte
  • CD69 antigen
  • Immunosuppressive Agents
  • Interleukin-17
  • Interleukin-2 Receptor alpha Subunit
  • Lectins, C-Type
  • RNA, Messenger
  • Interferon-gamma
  • Cyclosporine