Granulocyte macrophage colony-stimulating factor induces CCL17 production via IRF4 to mediate inflammation

J Clin Invest. 2016 Sep 1;126(9):3453-66. doi: 10.1172/JCI87828. Epub 2016 Aug 15.

Abstract

Data from preclinical and clinical studies have demonstrated that granulocyte macrophage colony-stimulating factor (GM-CSF) can function as a key proinflammatory cytokine. However, therapies that directly target GM-CSF function could lead to undesirable side effects, creating a need to delineate downstream pathways and mediators. In this work, we provide evidence that GM-CSF drives CCL17 production by acting through an IFN regulatory factor 4-dependent (IRF4-dependent) pathway in human monocytes, murine macrophages, and mice in vivo. In murine models of arthritis and pain, IRF4 regulated the formation of CCL17, which mediated the proinflammatory and algesic actions of GM-CSF. Mechanistically, GM-CSF upregulated IRF4 expression by enhancing JMJD3 demethylase activity. We also determined that CCL17 has chemokine-independent functions in inflammatory arthritis and pain. These findings indicate that GM-CSF can mediate inflammation and pain by regulating IRF4-induced CCL17 production, providing insights into a pathway with potential therapeutic avenues for the treatment of inflammatory diseases and their associated pain.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Arthritis / metabolism
  • Bone Marrow Cells / metabolism
  • Chemokine CCL17 / metabolism*
  • Gene Silencing
  • Granulocyte-Macrophage Colony-Stimulating Factor / pharmacology*
  • Heterozygote
  • Humans
  • Inflammation*
  • Interferon Regulatory Factors / metabolism*
  • Jumonji Domain-Containing Histone Demethylases / metabolism
  • Macrophages / metabolism
  • Mice
  • Monocytes / cytology
  • Monocytes / metabolism
  • Oligonucleotide Array Sequence Analysis
  • Pain
  • Pain Management
  • Peritonitis / metabolism

Substances

  • CCL17 protein, human
  • Ccl17 protein, mouse
  • Chemokine CCL17
  • Interferon Regulatory Factors
  • interferon regulatory factor-4
  • Granulocyte-Macrophage Colony-Stimulating Factor
  • Jumonji Domain-Containing Histone Demethylases
  • KDM6B protein, human