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Cong-Qiu Chu - Targeting the IL-17 Pathway in Inflammatory Disorders

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Cong-Qiu Chu Targeting the IL-17 Pathway in Inflammatory Disorders
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Springer International Publishing Switzerland 2017
Cong-Qiu Chu Targeting the IL-17 Pathway in Inflammatory Disorders 10.1007/978-3-319-28040-0_1
1. Overview of IL-17 Family
Cong-Qiu Chu 1
(1)
VA Portland Health Care System, Oregon Health & Science University, Portland, Oregon, USA
1.1 Discovery and Structure of IL-17
The name of IL-17 was first proposed by Yao et al. [].
IL-17E was found to be identical to IL-25, which was described by an independent group [].
1.2 IL-17 Receptors and Signaling
IL-17 receptor (IL-17R) is also a unique cytokine receptor family [].
Figure 11 IL-17 receptors The IL-17R family comprises five members IL-17RA - photo 1
Figure 1.1
IL-17 receptors. The IL-17R family comprises five members: IL-17RA, IL-17RB, IL-17RC, IL-17RD, and IL-17RE. IL-17RA is a common receptor that forms heterodimers with other IL-17Rs for ligand binding and signal transduction: IL-17RA-RC for IL-17A, IL-17F, and IL-17A/F; IL-17RA-RE for IL-17C; IL-17RA-RB for IL-17E (IL-25). It is not clear whether IL-17RB also forms a homodimer for IL-17B; IL-17RD remains an orphan receptor, but it regulates IL-17A signaling and forms TNFR2IL-17RD receptor complex. The receptor for IL-17D has not been identified. IL-17RA-RC, IL-17RA-RB, and IL-17RA-RE transduce signal via adaptor molecule Act1. Act1 NFB activator 1 (also known as CIKS connection to IKK and SAPK/JNK), IL-17RA IL-17 receptor adaptor, C/EBPs CCAAT-enhancer-binding proteins, MAPKs mitogen-activated protein kinases, NFB nuclear factor B, TRAF tumor necrosis factor-associated factor
Indeed, the major IL-17RA interacting residues are identical among all IL-17 cytokines [].
The proinflammatory and host defense effects of IL-17A and IL-17F are executed chiefly by activation of NFB and MAPK pathways. A signal from IL-17R is first relayed by a cytosolic protein, signaling adaptor, called Act1 (NFB activator 1, also known as CIKS) (Fig. ].
Figure 12 Structure of Act1 Act1 is IL-17R adaptor which relays IL-17 - photo 2
Figure 1.2
Structure of Act1. Act1 is IL-17R adaptor which relays IL-17 cytokineIL-17R signaling. It contains a SEFIR domain that binds cytoplasmic SEFIR domain of IL-17Rs. A decoy peptide correspondence of the sequence of CC loop of Act1 SEFIR domain can block the IL-17A and IL-17E (IL-25) signaling, indicating interruption of interaction between Act1 and IL-17R is potentially therapeutic. C/EBP CCAAT-enhancer-binding proteins, HLH helixloophelix, MAPKs mitogen-activated protein kinases, NFB nuclear factor B, SEFIR similar expression to fibroblast growth factor genes and IL-17R, TRAF tumor necrosis factor-associated factor
Act1 is essential for IL-17 signal transduction. Deficiency of Act1 results in a loss of IL-17-dependent NFB activation and proinflammatory cytokine production [].
The importance of Act1 in autoimmunity and inflammatory diseases has been demonstrated in animal models of inflammatory diseases. For instance, mice with deficiency of Act1 have reduced demyelination in a cuprizone-induced multiple sclerosis (MS) model, which is known to be mediated by IL-17 signaling []. These data suggest that Act1 is a candidate target for therapeutic intervention in human inflammatory diseases.
As in other cytokine signaling, IL-17/IL-17R signaling is also finely regulated. Many regulators have been described to involve positive and negative regulation of the IL-17/IL-17R signaling pathway at various stages []. These soluble receptor-Fc fusion proteins are highly likely to be evaluated as therapeutic agents (Fig. 5.1b).
Signaling through the IL-17R complex can influence function of other IL-17 cytokines. Chang et al. []. These findings indicate that IL-17C may be another target for therapy in Th17-mediated inflammatory diseases, but caution needs to be taken for its protective effect in intestines.
It is noteworthy that IL-17RD remains an orphan receptor, i.e., no ligand has been identified to bind IL-17RD. Interestingly, IL-17RD is able to critically regulate the activities of IL-17A [].
Recent studies also revealed that IL-17RD negatively regulates TLR response []. These data indicate a complex regulatory mechanism that IL-17RD is involved with other inflammatory pathways.
References
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