Interleukin-17A induces glucocorticoid insensitivity in human bronchial epithelial cells

Eur Respir J. 2012 Feb;39(2):439-45. doi: 10.1183/09031936.00017911. Epub 2011 Aug 4.

Abstract

A subset of asthma patients suffer from glucocorticoid (GC) insensitivity. T-helper cell type 17 cells have an emerging role in GC insensitivity, although the mechanisms are still poorly understood. We investigated whether interleukin (IL)-17A induces GC insensitivity in airway epithelium by studying its effects on responsiveness of tumour necrosis factor (TNF)-α-induced IL-8 production to budesonide in human bronchial epithelial 16HBE cells. We unravelled the underlying mechanism by the use of specific pathway inhibitors, reporter and overexpression constructs and a histone deacetylase (HDAC) activity assay. We demonstrated that IL-17A-induced IL-8 production is normally sensitive to GCs, while IL-17A pre-treatment significantly reduced the sensitivity of TNF-α-induced IL-8 production to budesonide. IL-17A activated the p38, extracellular signal-related kinase (ERK) and phosphoinositide-3-kinase (PI3K) pathways, and the latter appeared to be involved in IL-17A-induced GC insensitivity. Furthermore, IL-17A reduced HDAC activity, and overexpression of HDAC2 reversed IL-17A-induced GC insensitivity. In contrast, IL-17A did not affect budesonide-induced transcriptional activity of the GC receptor, suggesting that IL-17A does not impair the actions of the ligated GC receptor. In conclusion, we have shown for the first time that IL-17A induces GC insensitivity in airway epithelium, which is probably mediated by PI3K activation and subsequent reduction of HDAC2 activity. Thus, blockade of IL-17A or downstream signalling molecule PI3K may offer new strategies for therapeutic intervention in GC-insensitive asthma.

MeSH terms

  • Asthma / drug therapy
  • Asthma / immunology*
  • Cells, Cultured
  • Drug Resistance / immunology*
  • Extracellular Signal-Regulated MAP Kinases / metabolism
  • Glucocorticoids / pharmacology*
  • Histone Deacetylase 2 / metabolism
  • Humans
  • Interleukin-17 / immunology*
  • Interleukin-17 / metabolism
  • Interleukin-8 / metabolism
  • Phosphatidylinositol 3-Kinases / metabolism
  • Phosphorylation / drug effects
  • Phosphorylation / immunology
  • Proto-Oncogene Proteins c-akt / metabolism
  • Receptors, Glucocorticoid / immunology
  • Receptors, Glucocorticoid / metabolism
  • Respiratory Mucosa / cytology
  • Respiratory Mucosa / drug effects*
  • Respiratory Mucosa / immunology*
  • Signal Transduction / drug effects
  • Signal Transduction / immunology
  • Th17 Cells / drug effects
  • Th17 Cells / immunology
  • Transcription, Genetic / immunology
  • Tumor Necrosis Factor-alpha / metabolism
  • p38 Mitogen-Activated Protein Kinases / metabolism

Substances

  • CXCL8 protein, human
  • Glucocorticoids
  • IL17A protein, human
  • Interleukin-17
  • Interleukin-8
  • Receptors, Glucocorticoid
  • Tumor Necrosis Factor-alpha
  • Phosphatidylinositol 3-Kinases
  • AKT1 protein, human
  • Proto-Oncogene Proteins c-akt
  • Extracellular Signal-Regulated MAP Kinases
  • p38 Mitogen-Activated Protein Kinases
  • HDAC2 protein, human
  • Histone Deacetylase 2