The SNP (c.1142G > A;p.R381Q) in the IL-23 receptor (IL23R) confers protection from multiple inflammatory diseases, representing one of the most significant human genetic polymorphisms in autoimmunity. We, therefore, sought to define the functional consequences of this clinically significant variant. We find that CD4+CD45RO+ and CD8+ T cells from healthy R381Q IL23R carriers show decreased IL-23-dependent IL-17 and IL-22 production relative to WT IL23R individuals. This was associated with a lower percentage of circulating Th17 and Tc17 cells. Furthermore, CD8+ T cells from R381Q IL23R individuals showed decreased IL-23-dependent expansion and signal transducer and activator of transcription 3 (STAT3) activation compared with WT CD8+ T cells. Importantly, cells transfected with the IL23R glutamine variant show decreased IL-23-mediated signaling compared with the IL23R arginine allele. Our results show that the R381Q IL23R variant leads to selective, potentially desirable, loss of function alterations in primary human CD4+ and CD8+ T cells, resulting in highly significant protection against autoimmunity.cytokines | Crohn's disease | ulcerative colitis | psoriasis T he IL-23/Th17 pathway is critical for optimal microbial defenses (1, 2); however, disregulation of this pathway can lead to inflammation (3-9). The SNP (c.1142G > A; p.R381Q) in IL-23 receptor (IL23R) confers protection from inflammatory diseases, including ankylosing spondylitis, psoriasis, and inflammatory bowel disease (10-12); it represents one of the most significant human genetic polymorphisms in autoimmunity. On binding to the IL23R complex, IL-23 mediates its effects by signaling through the Janus kinase (JAK)-signal transducer and activator of transcription (STAT) and NF-κB pathways (13,14). IL-23 modulates responses in multiple cell populations, including differentiation and maintenance of CD4+ Th17 (6, 15-17) and CD8+ Tc17 cells (18)(19)(20)(21).We considered that the disease-protective R381Q IL23R may result in a loss of function, leading to decreased IL-23/Th17 pathway cytokine production, or a gain of function, leading to enhanced microbial clearance. We find that CD4+CD45RO+ and CD8+ T cells from healthy R381Q IL23R carriers show decreased IL-23-dependent IL-17 and IL-22 production relative to WT IL23R individuals. This was associated with a lower percent of circulating Th17 and Tc17 cells. Furthermore, R381Q CD8+ T cells showed decreased IL-23-and STAT3-dependent expansion and STAT3 activation compared with WT cells. Our results indicate that the protective R381Q IL23R variant leads to selective loss of function in primary human CD4+ and CD8+ T cells.
ResultsMemory CD4+ T Cells from R381Q IL23R Individuals Show Decreased IL-23-Mediated Th17 Cytokine Production on in Vitro Stimulation. To define the role of the disease-protective R381Q IL23R polymorphism, we genotyped 650 healthy individuals and identified 48 individuals carrying the minor glutamine allele, consistent with prior estimates of a 7% allele frequency (11). WT individuals are...