Complement-mediated regulation of the IL-17A axis is a central genetic determinant of the severity of experimental allergic asthma

S Lajoie, IP Lewkowich, Y Suzuki, JR Clark… - Nature …, 2010 - nature.com
S Lajoie, IP Lewkowich, Y Suzuki, JR Clark, AA Sproles, K Dienger, AL Budelsky…
Nature immunology, 2010nature.com
Severe asthma is associated with the production of interleukin 17A (IL-17A). The exact role
of IL-17A in severe asthma and the factors that drive its production are unknown. Here we
demonstrate that IL-17A mediated severe airway hyperresponsiveness (AHR) in susceptible
strains of mice by enhancing IL-13-driven responses. Mechanistically, we demonstrate that
IL-17A and AHR were regulated by allergen-driven production of anaphylatoxins, as mouse
strains deficient in complement factor 5 (C5) or the complement receptor C5aR mounted …
Abstract
Severe asthma is associated with the production of interleukin 17A (IL-17A). The exact role of IL-17A in severe asthma and the factors that drive its production are unknown. Here we demonstrate that IL-17A mediated severe airway hyperresponsiveness (AHR) in susceptible strains of mice by enhancing IL-13-driven responses. Mechanistically, we demonstrate that IL-17A and AHR were regulated by allergen-driven production of anaphylatoxins, as mouse strains deficient in complement factor 5 (C5) or the complement receptor C5aR mounted robust IL-17A responses, whereas mice deficient in C3aR had fewer IL-17-producing helper T cells (TH17 cells) and less AHR after allergen challenge. The opposing effects of C3a and C5a were mediated through their reciprocal regulation of IL-23 production. These data demonstrate a critical role for complement-mediated regulation of the IL-23–TH17 axis in severe asthma.
nature.com