News Release
  May 10, 2013

CONTACT:

Karen Kreeger

215-349-5658
karen.kreeger@uphs.upenn.edu

Perelman School of Medicine


This announcement is available online at
http://www.uphs.upenn.edu/news/News_Releases/2013/05/koretzky/

Not All Cytokine-producing Cells Start Out the Same Way, According to Penn Study

Implications for manipulating the immune response for some inflammatory disorders

PHILADELPHIA — Cytokines are molecules produced by immune cells that induce the migration of other cells to sites of infection or injury, promote the production of anti-microbial agents, and signal the production of inflammatory mediators. These events are important for fighting infections. However, sometimes this process goes unchecked, resulting in unwanted inflammation that can damage tissues and organs.

Interleukin 17, or IL17, is a well-studied cytokine that regulates immune function at mucosal surfaces in the body but is dysregulated in many diseases, such as multiple sclerosis, rheumatoid arthritis, and psoriasis.

Not all IL17-producing cells are the same, and the rules regarding how particular cell types are instructed to produce this important mediator differ. Research published this week in Nature Immunology, from the Perelman School of Medicine at the University of Pennsylvania by Gary Koretzky, MD, PhD, the Francis C. Wood professor of Medicine and Investigator in the Abramson Family Cancer Research Institute; Martha Jordan, PhD, research assistant professor in Pathology and Laboratory Medicine, Jiyeon Kim, an MD-PhD student in the Koretzky lab, and other members of the Perelman School  community including Morris Birnbaum, MD, PhD from the Department of Medicine and scientists in the laboratory of Celeste Simon, PhD, from the Abramson Family Cancer Research Institute and the Department of Cell and Developmental Biology, sheds light on the intricacies of those instructions. 

T-helper cells that are present in peripheral tissues are known to be a prominent source of IL17. These cells interact with microbial organisms, in particular in the gastrointestinal tract, and are instructed or  “induced” to produce and secrete IL17.  These inducible, T-helper, IL17-producing cells are found predominantly at mucosal sites and are important for maintaining the health of these tissues.

“Natural” IL17-producing cells, on the other hand, do not have to interact with microorganisms to become capable of making this important cytokine.  What these natural IL17-producing T cells do and how they are instructed to produce IL17 has become a research focus for Jordan and Koretzky.

“Although we know much less about natural IL17-producing cells, previous work from our laboratory demonstrated that these cells obtain their ability to produce this cytokine as they develop in the thymus,” says Koretzky.  “The current study in Nature Immunology compares the signals used by inducible versus natural IL-17 cells that are necessary for cytokine production, testing the hypothesis that they are distinct populations of cells. This may one day help us to develop tools to manipulate one cell population while leaving the other untouched.”

The team found evidence that the inducible versus natural cells do, in fact, have very different characteristics.  Although the kinase Akt plays a critical role in regulating cytokine production by both cell types, how these cell types use Akt differs.  For example, mTORC1, a protein complex activated by Akt, is critical for the generation of inducible IL17-producing cells in the gut; however, natural IL17 cells develop independently of mTORC1. This finding suggests that the trigger for the development of inducible versus natural IL17-producing cells is different. To probe this finding further, Koretzky and Jordan focused attention on different forms of Akt. 

Previous work by many laboratories defined different subtypes of Akt, and emerging data suggest that these forms may have differential functions in various tissues. 

This finding was extended to inducible and natural IL17-producing T cells in the current Nature Immunology publication, as the team found that one particular form of Akt -- Akt2 -- is necessary for optimal inducible cell development but dispensable for natural IL17-producing cells. The findings show how a previously unknown role of Akt and its partner molecules shapes the maturation of IL17-producing cells.

Understanding the rules that govern IL17 cell development and function will suggest ways to specifically modulate one population or the other, which may be important during IL17-mediated immune responses, especially when that response spins out of control.

This work was supported by grants from the National Institutes of Health (R01 DK56886, 5K01AR52802, R37GM053256) and the Abramson Family Cancer Research Institute.

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Penn Medicine is one of the world's leading academic medical centers, dedicated to the related missions of medical education, biomedical research, and excellence in patient care. Penn Medicine consists of the Raymond and Ruth Perelman School of Medicine at the University of Pennsylvania (founded in 1765 as the nation's first medical school) and the University of Pennsylvania Health System, which together form a $4.3 billion enterprise.

The Perelman School of Medicine has been ranked among the top five medical schools in the United States for the past 17 years, according to U.S. News & World Report's survey of research-oriented medical schools. The School is consistently among the nation's top recipients of funding from the National Institutes of Health, with $392 million awarded in the 2013 fiscal year.

The University of Pennsylvania Health System's patient care facilities include: The Hospital of the University of Pennsylvania -- recognized as one of the nation's top "Honor Roll" hospitals by U.S. News & World Report; Penn Presbyterian Medical Center; Chester County Hospital; Penn Wissahickon Hospice; and Pennsylvania Hospital -- the nation's first hospital, founded in 1751. Additional affiliated inpatient care facilities and services throughout the Philadelphia region include Chestnut Hill Hospital and Good Shepherd Penn Partners, a partnership between Good Shepherd Rehabilitation Network and Penn Medicine.

Penn Medicine is committed to improving lives and health through a variety of community-based programs and activities. In fiscal year 2013, Penn Medicine provided $814 million to benefit our community.