A TH17-intrinsic IL-1β-STAT5 axis drives steroid resistance in autoimmune neuroinflammation

Sci Immunol. 2024 May 3;9(95):eabq1558. doi: 10.1126/sciimmunol.abq1558. Epub 2024 May 3.

Abstract

Steroid resistance poses a major challenge for the management of autoimmune neuroinflammation. T helper 17 (TH17) cells are widely implicated in the pathology of steroid resistance; however, the underlying mechanisms are unknown. In this study, we identified that interleukin-1 receptor (IL-1R) blockade rendered experimental autoimmune encephalomyelitis (EAE) mice sensitive to dexamethasone (Dex) treatment. Interleukin-1β (IL-1β) induced a signal transducer and activator of transcription 5 (STAT5)-mediated steroid-resistant transcriptional program in TH17 cells, which promoted inflammatory cytokine production and suppressed Dex-induced anti-inflammatory genes. TH17-specific deletion of STAT5 ablated the IL-1β-induced steroid-resistant transcriptional program and rendered EAE mice sensitive to Dex treatment. IL-1β synergized with Dex to promote the STAT5-dependent expression of CD69 and the development of central nervous system (CNS)-resident CD69+ TH17 cells. Combined IL-1R blockade and Dex treatment ablated CNS-resident TH17 cells, reduced EAE severity, and prevented relapse. CD69+ tissue-resident TH17 cells were also detected in brain lesions of patients with multiple sclerosis. These findings (i) demonstrate that IL-1β-STAT5 signaling in TH17 cells mediates steroid resistance and (ii) identify a therapeutic strategy for reversing steroid resistance in TH17-mediated CNS autoimmunity.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, N.I.H., Extramural

MeSH terms

  • Animals
  • Dexamethasone* / pharmacology
  • Dexamethasone* / therapeutic use
  • Drug Resistance
  • Encephalomyelitis, Autoimmune, Experimental* / drug therapy
  • Encephalomyelitis, Autoimmune, Experimental* / immunology
  • Female
  • Humans
  • Interleukin-1beta* / immunology
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Neuroinflammatory Diseases / drug therapy
  • Neuroinflammatory Diseases / immunology
  • STAT5 Transcription Factor* / immunology
  • STAT5 Transcription Factor* / metabolism
  • Signal Transduction / immunology
  • Th17 Cells* / immunology

Substances

  • STAT5 Transcription Factor
  • Interleukin-1beta
  • Dexamethasone