Interleukin 17 (IL-17) has been linked to autoimmune diseases, although its regulation and function have remained unclear. Here we have evaluated in vitro and in vivo the requirements for the differentiation of naive CD4 T cells into effector T helper cells that produce IL-17. This process required the costimulatory molecules CD28 and ICOS but was independent of the cytokines and transcription factors required for T helper type 1 or type 2 differentiation. Furthermore, both IL-4 and interferon-gamma negatively regulated T helper cell production of IL-17 in the effector phase. In vivo, antibody to IL-17 inhibited chemokine expression in the brain during experimental autoimmune encephalomyelitis, whereas overexpression of IL-17 in lung epithelium caused chemokine production and leukocyte infiltration. Thus, IL-17 expression characterizes a unique T helper lineage that regulates tissue inflammation.

Recently, a third subset of TH cells, named as TH IL-17 , TH17, or inflammatory TH (THi), which produce IL-17, was identified by us as well as other investigators to mediate a pathogenic inflammatory response (5-7). THi cells were also found to produce IL-17F and IL-22 (5, 7-9). IL-23, sharing a p40 unit with IL-12, has been first found to regulate IL-17 expression and the development or expansion of THi cells in vitro (5-7). More recently, several groups showed that TGF-␤ in the context of IL-6 and other inflammatory cytokines supports THi differentiation in vitro, independent of IL-23 (10 -12), possibly at least in part by regulating the chromatin remodeling of the IL-17-IL-17F locus (13). IL-1␤ and TNF-␣ may also be involved in promoting THi development or in regulating expression of IL-17 at the effector phase (11,14).The downstream signaling pathways, such as STAT, that selectively mediate THi generation are unclear. STAT1 appears to negatively regulate THi differentiation (7), whereas STAT4 or STAT6 were not involved (6). Recently, Socs3-deficient T cells were found to exhibit enhanced IL-17 expression; this effect was associated with enhanced activity of STAT3 in response to IL-23 that could bind to . STAT3 has critical functions in the immune system, including control of dendritic cell production, inhibition of macrophage inflammatory signaling, and regulation of steady state and emergency granulopoiesis (16 -18). However, the precise physiological function of STAT3 in THi lineage differentiation has not been directly addressed. Whether STAT5, another STAT protein that has been shown activated by , has any function in THi differentiation is also unclear.In this study, we show that IL-6 up-regulates expression of IL-23R and that IL-23 synergizes with IL-6 in promoting THi differentiation. Retroviral expression of a hyperactive STAT3 enhances THi cell development. STAT3 deficiency in CD4 T cells results in impaired THi development and a deficiency in ROR␥t, a THi-specific transcription factor recently identified (20). These data indicate that STAT3 is a cytokine-activated essential regulator in THi development.

Regulatory T (Treg) and T helper 17 (Th17) cells were recently proposed to be reciprocally regulated during differentiation. To understand the underlying mechanisms, we utilized a Th17 reporter mouse with a red fluorescent protein (RFP) sequence inserted into the interleukin-17F (IL-17F) gene. Using IL-17F-RFP together with a Foxp3 reporter, we found that the development of Th17 and Foxp3(+) Treg cells was associated in immune responses. Although TGF-beta receptor I signaling was required for both Foxp3 and IL-17 induction, SMAD4 was only involved in Foxp3 upregulation. Foxp3 inhibited Th17 differentiation by antagonizing the function of the transcription factors RORgammat and ROR*. In contrast, IL-6 overcame this suppressive effect of Foxp3 and, together with IL-1, induced genetic reprogramming in Foxp3(+) Treg cells. STAT3 regulated Foxp3 downregulation, whereas STAT3, RORgamma, and ROR* were required for IL-17 expression in Treg cells. Our data demonstrate molecular antagonism and plasticity of Treg and Th17 cell programs.

SUMMARY Th17 cells have been recently discovered in both mouse and human. Although IL-1 has been shown to be important in human Th17 cell differentiation with little knowledge of the underlying mechanism, its function in mouse is less clear. Here we show that IL-1R1 expression in T cells, which was induced by IL-6, was necessary for Th17-mediated autoimmunity and for early Th17 differentiation in vivo. Moreover, IL-1 signaling in T cells was required in dendritic cell-mediated Th17 differentiation from naïve or regulatory precursors and IL-1 synergized with IL-6 and IL-23 to regulate Th17 differentiation and maintain cytokine expression in effector Th17 cells. Importantly, IL-1 regulated the expression of IRF4 and RORγt during Th17 differentiation; over-expression of these two factors resulted in IL-1-independent Th17 polarization. Our data thus indicate a critical role of IL-1 in Th17 differentiation and this pathway may serve as a novel target for Th17-mediated immunopathology.

Although interleukin (IL) 17 has been extensively characterized, the function of IL-17F, which has an expression pattern regulated similarly to IL-17, is poorly understood. We show that like IL-17, IL-17F regulates proinflammatory gene expression in vitro, and this requires IL-17 receptor A, tumor necrosis factor receptor–associated factor 6, and Act1. In vivo, overexpression of IL-17F in lung epithelium led to infiltration of lymphocytes and macrophages and mucus hyperplasia, similar to observations made in IL-17 transgenic mice. To further understand the function of IL-17F, we generated and analyzed mice deficient in IL-17F or IL-17. IL-17, but not IL-17F, was required for the initiation of experimental autoimmune encephalomyelitis. Mice deficient in IL-17F, but not IL-17, had defective airway neutrophilia in response to allergen challenge. Moreover, in an asthma model, although IL-17 deficiency reduced T helper type 2 responses, IL-17F–deficient mice displayed enhanced type 2 cytokine production and eosinophil function. In addition, IL-17F deficiency resulted in reduced colitis caused by dextran sulfate sodium, whereas IL-17 knockout mice developed more severe disease. Our results thus demonstrate that IL-17F is an important regulator of inflammatory responses that seems to function differently than IL-17 in immune responses and diseases.