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Interleukin-31 promotes fibrosis and T helper 2 polarization in systemic sclerosis.

Abstract
Systemic sclerosis (SSc) is a chronic multisystem disorder characterized by fibrosis and autoimmunity. Interleukin (IL)-31 has been implicated in fibrosis and T helper (Th) 2 immune responses, both of which are characteristics of SSc. The exact role of IL-31 in SSc pathogenesis is unclear. Here we show the overexpression of IL-31 and IL-31 receptor A (IL-31RA) in dermal fibroblasts (DFs) from SSc patients. We elucidate the dual role of IL-31 in SSc, where IL-31 directly promotes collagen production in DFs and indirectly enhances Th2 immune responses by increasing pro-Th2 cytokine expression in DFs. Furthermore, blockade of IL-31 with anti-IL-31RA antibody significantly ameliorates fibrosis and Th2 polarization in a mouse model of SSc. Therefore, in addition to defining IL-31 as a mediator of fibrosis and Th2 immune responses in SSc, our study provides a rationale for targeting the IL-31/IL-31RA axis in the treatment of SSc.
AuthorsAi Kuzumi, Ayumi Yoshizaki, Kazuki M Matsuda, Hirohito Kotani, Yuta Norimatsu, Maiko Fukayama, Satoshi Ebata, Takemichi Fukasawa, Asako Yoshizaki-Ogawa, Yoshihide Asano, Kyojiro Morikawa, Yutaka Kazoe, Kazuma Mawatari, Takehiko Kitamori, Shinichi Sato
JournalNature communications (Nat Commun) Vol. 12 Issue 1 Pg. 5947 (10 12 2021) ISSN: 2041-1723 [Electronic] England
PMID34642338 (Publication Type: Journal Article)
Copyright© 2021. The Author(s).
Chemical References
  • Antibodies, Monoclonal
  • Collagen Type I
  • Collagen Type I, alpha 1 Chain
  • IL13 protein, human
  • IL31 protein, human
  • IL31RA protein, human
  • IL4 protein, human
  • IL6 protein, human
  • Interleukin-13
  • Interleukin-6
  • Interleukins
  • Protein Isoforms
  • Receptors, Interleukin
  • STAT1 Transcription Factor
  • STAT1 protein, human
  • Interleukin-4
Topics
  • Adult
  • Aged
  • Animals
  • Antibodies, Monoclonal (pharmacology)
  • Collagen Type I (genetics, immunology)
  • Collagen Type I, alpha 1 Chain
  • Disease Models, Animal
  • Female
  • Fibroblasts (drug effects, immunology, pathology)
  • Fibrosis
  • Gene Expression Regulation
  • Humans
  • Interleukin-13 (genetics, immunology)
  • Interleukin-4 (genetics, immunology)
  • Interleukin-6 (genetics, immunology)
  • Interleukins (genetics, immunology)
  • Male
  • Mice
  • Middle Aged
  • Protein Isoforms (genetics, immunology)
  • Receptors, Interleukin (antagonists & inhibitors, genetics, immunology)
  • STAT1 Transcription Factor (genetics, immunology)
  • Scleroderma, Systemic (drug therapy, genetics, immunology, pathology)
  • Skin (drug effects, immunology, pathology)
  • T-Lymphocytes, Regulatory (drug effects, immunology, pathology)
  • Th2 Cells (drug effects, immunology, pathology)

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