Robust antigen specific th17 T cell response to group A Streptococcus is dependent on IL-6 and intranasal route of infection

PLoS Pathog. 2011 Sep;7(9):e1002252. doi: 10.1371/journal.ppat.1002252. Epub 2011 Sep 22.

Abstract

Group A streptococcus (GAS, Streptococcus pyogenes) is the cause of a variety of clinical conditions, ranging from pharyngitis to autoimmune disease. Peptide-major histocompatibility complex class II (pMHCII) tetramers have recently emerged as a highly sensitive means to quantify pMHCII-specific CD4+ helper T cells and evaluate their contribution to both protective immunity and autoimmune complications induced by specific bacterial pathogens. In lieu of identifying an immunodominant peptide expressed by GAS, a surrogate peptide (2W) was fused to the highly expressed M1 protein on the surface of GAS to allow in-depth analysis of the CD4+ helper T cell response in C57BL/6 mice that express the I-A(b) MHCII molecule. Following intranasal inoculation with GAS-2W, antigen-experienced 2W:I-A(b)-specific CD4+ T cells were identified in the nasal-associated lymphoid tissue (NALT) that produced IL-17A or IL-17A and IFN-γ if infection was recurrent. The dominant Th17 response was also dependent on the intranasal route of inoculation; intravenous or subcutaneous inoculations produced primarily IFN-γ+ 2W:I-A(b+) CD4+ T cells. The acquisition of IL-17A production by 2W:I-A(b)-specific T cells and the capacity of mice to survive infection depended on the innate cytokine IL-6. IL-6-deficient mice that survived infection became long-term carriers despite the presence of abundant IFN-γ-producing 2W:I-A(b)-specific CD4+ T cells. Our results suggest that an imbalance between IL-17- and IFN-γ-producing CD4+ T cells could contribute to GAS carriage in humans.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Administration, Intranasal
  • Animals
  • Antigens, Bacterial / immunology
  • Bacterial Outer Membrane Proteins / immunology
  • CD4-Positive T-Lymphocytes / immunology*
  • Carrier Proteins / immunology
  • Interferon-gamma / biosynthesis
  • Interleukin-17 / biosynthesis
  • Interleukin-6 / deficiency
  • Interleukin-6 / immunology*
  • Lymphoid Tissue / microbiology
  • Mice
  • Mice, Inbred C57BL
  • Recombinant Fusion Proteins / immunology
  • Streptococcus pyogenes / immunology*
  • Th17 Cells / immunology*

Substances

  • Antigens, Bacterial
  • Bacterial Outer Membrane Proteins
  • Carrier Proteins
  • Interleukin-17
  • Interleukin-6
  • Recombinant Fusion Proteins
  • streptococcal M protein
  • Interferon-gamma