Naïve T cells are stimulated to differentiate into specialized effector cells primarily through theactions of secreted cytokines. T helper (T
H) cells have been typically considered to fall into one of two effector cell lineages; T
H-1 and T
H-2 cells modulating cellular and humoral T cell immunity, respectively, based on their cytokine expression profiles
1. More recent work described T
H-17 cells, a third lineage of effector T
H cells distinct from, and in fact antagonized by products of the T
H-1 and T
H-2 lineages
2,3. Named after their ‘signature’ cytokine interleukin 17 (IL-17), this subset of T
H cells appear to have evolved as an arm of the adaptive immune system specialized for enhanced host protection against extracellular bacteria and some fungi, as these microbes may not be effectively controlled by T
H-1 or T
H-2 responses
4,5. The varied tissue sources of cytokines that induce differentiation and regulate homeostasis of T
H-17 cells, namely IL-23, IL-6, and transforming growth factor-β (TGF-β, together with the presence of IL-17 receptors on both hematopoietic and non-hematopoietic cells, have highlighted the complicated relationships that exist between adaptive and innate immune cells. While the full scope of T
H-17 cell effector functions is still emerging, the strong inflammatory response promoted by T
H-17 cells has been associated with the pathogenesis of a number of autoimmune and inflammatory disorders previously attributed to T
H-1 or T
H-2 cells including rheumatoid arthritis, multiple sclerosis and psoriasis
4. As such, the targeting of T
H-17 cells for treatment of autoimmune and inflammatory disorders, either directly through IL-17 blockade, or indirectly through inhibition of IL-23, is currently being pursued clinically. However, the structural uniqueness of the IL-17 system, combined with a dearth of biochemical and structural information on receptor interactions, is a current barrier to the development of mechanism or structure-based antagonists. The IL-17 family is composed of six cytokines and five receptors, and the ligand-receptor pairing is not completely worked out for all members
6. On the basis of the crystal structure of IL-17F, the six structurally related IL-17 cytokines (IL-17A IL-17F) are predicted to form a homodimeric fold (or heterodimeric fold in the case of IL-17A-F) homologous to that of the cysteine-knot growth factors such as nerve growth factor (NGF)
7,8. T
H-17 cell-derived IL-17A and IL-17F share the greatest homology within the family (50%) and require both IL-17RA (
http://www.signaling-gateway.org/molecule/query?afcsid=A001253) and IL-17RC for signaling
9,10. While it has been shown that fibroblasts, epithelial and endothelial cells coexpress both IL-17RA and IL-17RC, T cells do not express IL-17RC, and only express IL-17RA
11. Until recently, it was thought that lymphocytes are not responsive to IL-17; however, Flavell and coworkers reported that T cells indeed can directly respond to IL-17
12.
The five IL-17 receptors (IL-17RA IL-17RE) are not homologous to any known receptors, and exhibit considerable sequence divergence between one another. All appear to contain extracellular domains composed of fibronectin type-III (FnIII) domains, and cytoplasmic SEF/IL-17R (SEFIR) domains that show loose homology to Toll/IL-1R (TLR) domains
13,14. The IL-17 receptors mediate signaling events that are distinct from those triggered by the more widely known receptors for type I four helix cytokines
15,16. Like TLR stimulation, IL-17 receptor stimulation results in activation of NF-κB and mitogen-activated protein kinases (MAPK). However, IL-17 receptor signaling does not utilize the same set of membrane proximal adaptor molecules as TLR signaling; IL-17R requires the adaptor Act1 which alsocontains a SEFIR domain
17–19. These unique signaling properties of IL-17 receptors enable T
H-17 cells to act as a bridge between innate and adaptive immune cells.
Mechanistically, fluorescence resonance energy transfer (FRET) studies have suggested that IL-17RA may exist as a preformed dimer on the cell surface that undergoes a conformational change upon IL-17 binding to form a heterodimeric signaling complex with IL-17RC. However, the molecular basis for how a homodimeric IL-17 cytokine would pair with two different receptors remains unknown
14,20.