Transforming growth factor-β signaling in T cells promotes stabilization of atherosclerotic plaques through an interleukin-17-dependent pathway

Sci Transl Med. 2013 Jul 31;5(196):196ra100. doi: 10.1126/scitranslmed.3006133.

Abstract

Adaptive immunity has a major impact on atherosclerosis, with pro- and anti-atherosclerotic effects exerted by different subpopulations of T cells. Transforming growth factor-β (TGF-β) may promote development either of anti-atherosclerotic regulatory T cells or of T helper 17 (TH17) cells, depending on factors in the local milieu. We have addressed the effect on atherosclerosis of enhanced TGF-β signaling in T cells. Bone marrow from mice with a T cell-specific deletion of Smad7, a potent inhibitor of TGF-β signaling, was transplanted into hypercholesterolemic Ldlr(-/-) mice. Smad7-deficient mice had significantly larger atherosclerotic lesions that contained large collagen-rich caps, consistent with a more stable phenotype. The inflammatory cytokine interleukin-6 (IL-6) was expressed in the atherosclerotic aorta, and increased mRNA for IL-17A and the TH17-specific transcription factor RORγt were detected in draining lymph nodes. Treating Smad7-deficient chimeras with neutralizing IL-17A antibodies reversed stable cap formation. IL-17A stimulated collagen production by human vascular smooth muscle cells, and RORγt mRNA correlated positively with collagen type I and α-smooth muscle actin mRNA in a biobank of human atherosclerotic plaques. These data link IL-17A to induction of a stable plaque phenotype, could lead to new plaque-stabilizing therapies, and should prompt an evaluation of cardiovascular events in patients treated with IL-17 receptor blockade.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antibodies, Neutralizing / pharmacology
  • Aorta / pathology
  • Bone Marrow Cells / drug effects
  • Bone Marrow Cells / pathology
  • Chimera
  • Collagen / biosynthesis
  • Humans
  • Immunohistochemistry
  • Integrases / metabolism
  • Interleukin-17 / immunology
  • Interleukin-17 / metabolism*
  • Interleukin-6 / immunology
  • Interleukin-6 / metabolism
  • Mice
  • Mice, Inbred C57BL
  • Muscle, Smooth, Vascular / pathology
  • Myocytes, Smooth Muscle / drug effects
  • Myocytes, Smooth Muscle / metabolism
  • Myocytes, Smooth Muscle / pathology
  • Plaque, Atherosclerotic / immunology
  • Plaque, Atherosclerotic / metabolism
  • Plaque, Atherosclerotic / pathology*
  • Receptors, LDL / deficiency
  • Receptors, LDL / metabolism
  • Signal Transduction* / drug effects
  • Smad7 Protein / deficiency
  • Smad7 Protein / metabolism
  • T-Lymphocytes / drug effects
  • T-Lymphocytes / metabolism*
  • Th17 Cells / drug effects
  • Th17 Cells / metabolism
  • Transforming Growth Factor beta / metabolism*

Substances

  • Antibodies, Neutralizing
  • Interleukin-17
  • Interleukin-6
  • Receptors, LDL
  • Smad7 Protein
  • Smad7 protein, mouse
  • Transforming Growth Factor beta
  • Collagen
  • Cre recombinase
  • Integrases