한빛사논문
Tae Sung Kim,1 TomokoIkeuchi,1,13 Vasileios Ionas Theofilou,1,2,13 Drake Winslow Williams,1,13 Teresa Greenwell-Wild,1 Armond June,3 Emmanuel E. Adade,4 Lu Li,3 Loreto Abusleme,5 Nicolas Dutzan,6 Yao Yuan,7 Laurie Brenchley,1 Nicolas Bouladoux,8 Yosuke Sakamachi,9 NIDCD/NIDCR Genomics and Computational Biology Core,10 Robert J. Palmer, Jr.,1 Ramiro Iglesias-Bartolome,7 Giorgio Trinchieri,11 Stavros Garantziotis,9 Yasmine Belkaid,8 Alex M. Valm,4 Patricia I. Diaz,3 Steven M. Holland,12 and Niki M. Moutsopoulos 1,14,*
1Oral Immunity and Infection Section, National Institute of Dental and Craniofacial Research, National Institutes of Health, Bethesda, MD 20892, USA
2Department of Oncology and Diagnostic Sciences, School of Dentistry, University of Maryland, Baltimore, MD 21201, USA
3Department of Oral Biology, School of Dental Medicine, State University of New York at Buffalo, University at Buffalo, Buffalo, NY 14214, USA
4Department of Biological Sciences, University at Albany, State University of New York, Albany, NY 12210, USA
5Department of Pathology and Oral Medicine, Faculty of Dentistry, University of Chile, Santiago, Chile
6Department of Conservative Dentistry, Faculty of Dentistry, University of Chile, Santiago, Chile
7Laboratory of Cellular and Molecular Biology, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892, USA
8Metaorganism Immunity Section, Laboratory of Host Immunity and Microbiome, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD 20892, USA
9Immunity, Inflammation and Disease Laboratory, National Institute of Environmental Health Sciences, National Institutes of Health, Research Triangle Park, NC 27709, USA
10Genomic and Computational Biology Core, National Institute on Deafness and Other Communication Disorders, National Institutes of Health, Bethesda, MD 20892, USA
11Cancer Immunobiology Section, Laboratory of Integrative Cancer Immunology, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892, USA
12Laboratory of Clinical Immunology and Microbiology, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD 20892, USA
13These authors contributed equally
14Lead contact
*Corresponding author: correspondence to Niki M. Moutsopoulos
Abstract
At mucosal surfaces, epithelial cells provide a structural barrier and an immune defense system. However, dysregulated epithelial responses can contribute to disease states. Here, we demonstrated that epithelial cell-intrinsic production of interleukin-23 (IL-23) triggers an inflammatory loop in the prevalent oral disease periodontitis. Epithelial IL-23 expression localized to areas proximal to the disease-associated microbiome and was evident in experimental models and patients with common and genetic forms of disease. Mechanistically, flagellated microbial species of the periodontitis microbiome triggered epithelial IL-23 induction in a TLR5 receptor-dependent manner. Therefore, unlike other Th17-driven diseases, non-hematopoietic-cell-derived IL-23 served as an initiator of pathogenic inflammation in periodontitis. Beyond periodontitis, analysis of publicly available datasets revealed the expression of epithelial IL-23 in settings of infection, malignancy, and autoimmunity, suggesting a broader role for epithelial-intrinsic IL-23 in human disease. Collectively, this work highlights an important role for the barrier epithelium in the induction of IL-23-mediated inflammation.
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