Abstract
Myeloid differentiation primary response protein 88 (MyD88) is classically known as an adaptor, linking TLR and IL-1R to downstream signaling pathways in the innate immune system. In addition to its role in innate immune cells, MyD88 has been shown to play an important role in T cells. How MyD88 regulates helper T-cell differentiation remains largely unknown, however. Here we demonstrate that MyD88 is an important regulator of IL-17-producing CD4+ T helper cells (Th17) cell proliferation. MyD88-deficient CD4+ T cells showed a defect in Th17 cell differentiation, but not in Th1 cell or Th2 cell differentiation. The impaired IL-17 production from MyD88-deficient CD4+ T cells is not a result of defective RAR-related orphan receptor γt (RORγt) expression. Instead, MyD88 is essential for sustaining the mammalian target of rapamycin (mTOR) activation necessary to promote Th17 cell proliferation by linking IL-1 and IL-23 signaling. MyD88-deficient CD4+ T cells showed impaired mTOR activation and, consequently, reduced Th17 cell proliferation. Importantly, the absence of MyD88 in T cells ameliorated disease in the experimental autoimmune encephalomyelitis model. Taken together, our results demonstrate that MyD88 has a dual function in Th17 cells by delivering IL-1 signaling during the early differentiation stage and integrating IL-23 signaling to the mTOR complex to expand committed Th17 cells.
Myeloid differentiation primary response protein 88 (MyD88) was originally isolated as a cloned cDNA that was induced in M1 myeloblastic leukemia cells on activation with IL-6 (1). The function of MyD88 was then uncovered, because the C-terminal portion of MyD88 was found to be similar to the Drosophila Toll receptor and the mammalian IL-1 receptor (IL-1R) (2). This conserved region in the cytoplasmic tails of IL-1R and Toll-like receptor (TLR) is referred to as the Toll/IL-1R (TIR) domain. MyD88 is now known to play an essential role in the innate immune response by linking members of the TLR and IL-1R superfamily to the downstream activation of NF-κB and MAPKs (3).
Among cytokines produced by activated innate immune cells, IL-23 has been shown to promote production of the proinflammatory cytokine IL-17 in activated T cells (4). IL-17–producing CD4+ T helper (Th17) cells were identified after the discovery that IL-23 is linked to traditionally Th1-associated autoimmune disorders, such as experimental autoimmune encephalitis (EAE). Il23a−/− mice, but not Il12a−/− mice, were shown to be autoimmune-resistant (5). IL-23 is required for Th17 cell-mediated autoimmune disorders in vivo, but the role of IL-23 in Th17 cell differentiation remains controversial (6). Previous studies support the idea that IL-23 helps expand or maintain Th17 cells (7–9). In addition, a recent study reemphasized the importance of IL-23 in the generation of pathogenic Th17 cells, showing that they can be generated with IL-23, IL-6, and IL-1β (10).
In addition to IL-23, other cytokines, including TGF-β, IL-6, and IL-1, play roles in Th17 cell development. TGF-β with proinflammatory cytokines was shown to be critical in the support of Th17 cell differentiation (8, 11, 12). In particular, an inflammatory cytokine, IL-6, favors Th17 cell development by inhibiting regulatory T cells (13). The role of IL-1 in Th17 cell differentiation has been investigated as well. IL-1 receptor type 1-deficient (Il1r1−/−) mice showed a lower incidence of EAE and severe defects in the induction of IL-17–producing T cells (14). IL-1 signaling in T cells was further shown to be involved in early Th17 cell differentiation by regulating IFN regulatory factor 4 and RAR-related orphan receptor γt (RORγt) (15).
Although roles for MyD88 in the innate immune system are well established, little is known about their potential function in the adaptive immune system. Several studies have demonstrated important roles of MyD88 in T cells. For instance, T-cell expression of MyD88 is required for resistance to Toxoplasma gondii (16); the MyD88-dependent signaling pathway in CD4+ T cells has been shown to enhance proliferation and augment humoral immune responses (17); and MyD88 is required for T-cell effector function in the development of inflammatory bowel disease (18). Interestingly, although Myd88−/− T cells were found to exhibit decreased IL-17 production (18), how T-cell differentiation could be regulated by MyD88 was not clear in that study.
Here we investigated the molecular mechanism by which MyD88 regulates CD4+ T-cell differentiation. Our results demonstrate that MyD88 contributes to Th17 cell differentiation, but not to Th1 or Th2 cell differentiation. Both IL-1 and IL-23 signaling depend on MyD88 and result in up-regulation of IL-23R. MyD88-deficient Th17 cells show reduced IL-23R expression and mTOR activation, leading to impaired Th17 cell proliferation. Furthermore, MyD88 is crucial for proper Th17 cell differentiation in vivo. Thus, our findings reveal a unique role for the innate adaptor MyD88 in the regulation of Th17 cell differentiation.
Results
Impaired IL-17A Production in MyD88-Deficient CD4+ T Cells.
MyD88-deficient (Myd88−/−) T cells have been shown to exhibit decreased IL-17 production (18), but the underlying mechanism has been unclear. To study how MyD88 regulates Th17 cell differentiation, we enriched CD4+ T cells from MyD88-sufficient (i.e., WT) and Myd88−/− mice and performed in vitro T-cell differentiation. The Myd88−/− CD4+ T cells showed a substantial defect in IL-17A production under Th17 cell-polarizing conditions (Fig. 1A). MyD88 deficiency did not affect IFN-γ production under Th1 cell-polarizing conditions or IL-4 production under Th2 cell-polarizing conditions (Fig. 1A).
Given our observation of impaired IL-17A production after T-cell restimulation, we next asked whether the defect started during T-cell differentiation. Myd88−/− CD4+ T cells already showed a lower frequency of IL-17A+ cells after 3 d of Th17 cell differentiation (Fig. S1A), although the defect was less dramatic than that observed after restimulation. Again, Myd88−/− CD4+ T cells showed no defect in IFN-γ expression under Th1 cell-polarizing conditions (Fig. S1A). In addition, the induction of Il17a mRNA was poorer in Myd88−/− CD4+ T cells compared with WT under Th17 cell-polarizing conditions; however, Ifng mRNA levels were comparable in WT and Myd88−/− CD4+ T cells (Fig. S1B). Along with IL-17A, the production of IL-17F, another IL-17 cytokine family member, was severely impaired from Myd88−/− CD4+ T cells after restimulation, and the defect in Il17f mRNA level was detected based on the early Th17 cell differentiation (Fig. S1C).
RORγt Is Expressed Normally in Myd88−/− Th17 Cells.
IL-2 or IL-10 signaling has been shown to modulate Th17 cell generation (19, 20); however, in the present study, impaired IL-17 production in Myd88−/− CD4+ T cells was not related to increased IL-2 or IL-10 production (Fig. S2). Given that Myd88−/− CD4+ T cells are defective in IL-17 production under Th17 cell-polarizing conditions but not in IFN-γ or IL-4 production under Th1 or Th2 cell-polarizing conditions, respectively, we speculated that the defect might result from cytokine signaling specific to Th17 cell differentiation. Among Th17-skewing cytokines, including TGF-β, IL-6, IL-1β, and IL-23, we first focused on IL-1β because of the well-established role of MyD88 as an adaptor in IL-1R signaling (3). Indeed, the defect in IL-17A production from Myd88−/− CD4+ T cells was less marked in the absence of IL-1β (Fig. S3A). However, the defect could not be explained solely by the lack of IL-1 signaling in Myd88−/− CD4+ T cells, because they still exhibited impaired IL-17A production without IL-1β (Fig. S3A). A similar defect in Il17a mRNA expression from Myd88−/− CD4+ T cells was observed in the absence of IL-1β (Fig. S3B).
We then investigated whether TGF-β signaling was altered in Myd88−/− CD4+ T cells by assessing Foxp3 expression as a readout. Compared with WT, Myd88−/− CD4+ T cells expressed more Foxp3 after treatment with TGF-β alone (Fig. 1B, Upper). TGF-β–induced Foxp3 has been shown to inhibit Th17 cell differentiation by antagonizing RORγt (21). Thus, we evaluated whether enhanced TGF-β–induced Foxp3 expression in Myd88−/− CD4+ T cells results in reduced RORγt-directed IL-17 expression. After cells were cultured with various cytokines, both WT and Myd88−/− CD4+ T cells showed greatly reduced Foxp3 expression under IL-17–producing conditions (TGF-β + IL-6 or TGF-β + IL-6 + IL-1β + IL-23) (Fig. 1B). Importantly, under Th17-polarizing conditions, Myd88−/− CD4+ T cells showed no significant decrease in Rorc mRNA levels (Fig. S4) or RORγt expression (Fig. 1C). These data suggest that impaired IL-17 production from Myd88−/− CD4+ T cells is not related to reduced RORγt expression.
IL-1β and IL-23 Contribute Synergistically to IL-17 Production.
Because we observed the greatest impairment in IL-17 production from Myd88−/− CD4+ T cells after anti-CD3 restimulation (Fig. 1A), we investigated T-cell responses during the later differentiation stage. At 5 d after Th17 cell-polarizing cultures, cells were restimulated with anti-CD3 for 6 h to assess mRNA levels of cytokines. Consistent with our results presented above, genes for IL-17 cytokine family members IL-17A, IL-17F, and IL-22 were poorly expressed from Myd88−/− CD4+ T cells after anti-CD3 restimulation (Fig. 2A). Importantly, Myd88−/− CD4+ T cells did not exhibit a global defect in cytokine expression; IL-21, IL-2, and IL-10 expression was actually enhanced (Fig. 2A). Of note, on day 5 (0 h), mRNA levels of IL-17A, IL-17F, and IL-22 were increased in WT, but not in Myd88−/−, CD4+ T cells (Fig. 2A). This finding prompted us to examine the later stage of Th17 cell differentiation in depth.
IL-17A production was further increased at day 5 in WT, but not in Myd88−/− CD4+ T cells, when the differentiation was driven by IL-6, TGF-β, IL-1β, and IL-23 (Fig. 2B). The increase in IL-17A production during day 3–5 in WT was not observed without IL-1β and IL-23, suggesting a critical role of IL-1β– and IL-23–mediated signaling. At day 5, the amount of Il17a mRNA in WT was increased when both IL-1β and IL-23 were added together with TGF-β and IL-6 in the culture (Fig. 2C). Similarly (albeit with different kinetics), Il17f gene expression was maintained in the presence of IL-1β and IL-23 together with TGF-β and IL-6 (Fig. 2C).
Along with Rorc, several transcription factors or molecules, including Ahr (22), Batf (23), Socs3 (24), Runx1 (25), Rora (26), and Il23r (13), are known to be involved in Th17 cell differentiation. We tested whether the impairment of IL-17 expression in Myd88−/− CD4+ T cells by IL-1β and IL-23 is caused by differential expression of these factors. The expression of Ahr, Batf, and Socs3 mRNA was comparable in WT and Myd88−/− CD4+ T cells (Fig. 2D). The expression of Runx1 and Rora mRNA did not differ with or without IL-1β and IL-23; however, Il23r expression was greatly increased at day 5 in WT, but not in Myd88−/−, CD4+ T cells by IL-1β and IL-23 (Fig. 2D).
MyD88-Dependent IL-23R Expression Enhances IL-17A Production.
We then examined whether IL-23R–mediated signaling requires MyD88 for Th17 cell differentiation. Unlike WT CD4+ T cells, which showed a synergistic effect on Il17a expression by IL-1β and IL-23, Myd88−/− CD4+ T cells failed to demonstrate the same effect even with various combinations of IL-1β and IL-23 (Fig. 3A, Left). In parallel studies, Il23r expression was lower from Myd88−/− CD4+ T cells compared with WT, suggesting a potential role of MyD88 in the induction of IL-23R (Fig. 3A, Right).
If poor induction of IL-23R expression in Myd88−/− CD4+ T cells contributes to low IL-17 production, then overexpression of IL-23R should restore IL-17 in Myd88−/− CD4+ T cells. To test this, we infected Myd88−/− CD4+ T cells with retrovirus expressing IL-23R. IL-23R overexpression had little effect on IL-17A expression under Th0 cell-polarizing conditions, but increased the frequency of IL-17A+ cells under Th17 cell-polarizing conditions (Fig. 3B). These findings indicate that impaired IL-17 expression from Myd88−/− CD4+ T cells can be restored, at least in part, by IL-23R expression.
To further test the role of MyD88-dependent IL-23R expression in IL-17 production, we retrovirally transduced Myd88−/− CD4+ T cells with an empty vector, WT MyD88, or TIR. The TIR construct lacks the death domain of MyD88, and thus its downstream signaling, including IL receptor-associated kinase (IRAK) interaction and NF-κB activation, is impaired (17). Transduced cells (CD4+ NGFR+) were sorted, and Il17a and Il23r gene expression was assessed. We found that WT MyD88, but not TIR, induced the expression of Il17a and Il23r in Myd88−/− CD4+ T cells (Fig. 3C), suggesting that MyD88 is essential for inducing the IL-23R expression necessary for IL-17 production.
IL-23–Mediated Signaling Promotes Th17 Cell Expansion by Activating mTOR.
To understand how IL-1 and IL-23 signaling collaborates during Th17 cell differentiation, we first analyzed the temporal expression of their receptors. In line with the observation that IL-1 signaling is critical during early Th17 cell development (15), Il1r1 expression was increased during early Th17 cell differentiation and diminished after 3 d of culture (Fig. 4A and Fig. S5). Myd88−/− CD4+ T cells exhibited no defect in Il1r1 expression; in contrast, Il23r expression was low until day 3 and increased during later Th17 cell differentiation, which was not observed in Myd88−/− CD4+ T cells (Fig. 4A). Because these two receptors were expressed during different time periods, we asked whether IL-1 signaling and IL-23 signaling are sequentially involved in Th17 cell differentiation. To test this, we added IL-1β or IL-23 to the cultures at different time points. When IL-1 signaling was absent during early Th17 cell development, Il17a and Il23r expression was poorly induced (Fig. 4B). Notably, when cells were initially cultured with TGF-β, IL-6, and IL-1β, adding IL-23 at day 3 potently induced Il17a and Il23r expression, similar to when all cytokines were added at the beginning (Fig. 4B; compare the fifth and seventh groups). Taken together, these results indicate that IL-1 signaling is essential during early Th17 cell development, and that IL-23 is required mainly for later Th17 cell differentiation.
We next asked which signaling molecules are involved in the later Th17 cell differentiation. To test this, we added specific inhibitors for mTOR, IKK, JNK, and p38 at day 3 of Th17 cultures and assessed Il17a expression at day 5. Our results show that blocking NF-κB or MAPK signaling had little effect on Il17a expression (Fig. 4C). However, rapamycin treatment reduced Il17a expression, suggesting that the mammalian target of rapamycin (mTOR)-mediated signaling pathway is critical for the later Th17 cell differentiation. Moreover, Il23r expression was reduced by rapamycin treatment (Fig. S6). In fact, phosphorylation of S6 ribosomal protein was sustained in WT at day 5 when IL-1β and IL-23 were present together with IL-6 and TGF-β (Fig. 4D). Furthermore, both IL-1β and IL-23 are required for activation of the mTOR signaling pathway (Fig. 4E). Because mTOR activation is linked to cell proliferation, we assessed whether IL-1 and IL-23 signaling promotes cell proliferation. WT and Myd88−/− CD4+ T cells proliferated at a similar rate during early stages of Th0 or Th17 cell differentiation (Fig. S7). However, during later Th17 cell differentiation (day 3–5), MyD88-dependent IL-1β and IL-23 signaling was required for the cell proliferation (Fig. 4F). Taken together, these findings indicate that MyD88 plays a critical role in integrating IL-1 and IL-23 signaling for Th17 cell proliferation and expansion.
MyD88 Is Required for IL-23 Signaling During Later Th17 Cell Differentiation.
Although both IL-1β and IL-23 have been shown to be important for MyD88-mediated Th17 cell proliferation, whether MyD88 is required for IL-23 signaling is unclear. Because early IL-1 signaling is essential for MyD88-mediated Th17 cell differentiation, we addressed this question using inducible deletion of Myd88 during later Th17 cell differentiation. As shown in Fig. 5A, treatment of cells from Myd88fl/fl ERCreT2 mice with 4-hydroxytamoxifen (4-OHT) (27) reduced the level of MyD88. To test whether MyD88 is required for IL-23 signaling during later Th17 cell differentiation, CD4+ T cells from WT (Myd88fl/fl), Myd88fl/fl ERCreT2, or Myd88fl/fl CD4-Cre (Myd88ΔT) mice (27) were cultured initially with TGF-β, IL-6, and IL-1β. To avoid hindrance of early IL-1 signaling, 4-OHT was added at day 2, followed by IL-23 at day 3. As shown in previously (Fig. 4B), adding IL-23 to the cultures increased IL-17A production in WT, but not in Myd88−/−, CD4+ T cells (Fig. 5B). Importantly, in the presence of 4-OHT, IL-17A production from Myd88fl/fl ERCreT2 CD4+ T cells was significantly reduced compared with WT (Fig. 5 B and C). mRNA expression of Il17a and Il23r genes was also poorly induced in Myd88fl/fl ERCreT2 CD4+ T cells compared with WT (Fig. 5D). In addition, MyD88-dependent IL-23 signaling was required for activation of mTOR signaling pathway (Fig. S8). Taken together, these results indicate that MyD88 is an important regulator not only of early IL-1, but also of later IL-23 signaling for Th17 cell proliferation.
MyD88 Is Crucial for Th17 Cell Differentiation in Vivo.
To determine whether the proposed role for MyD88 in Th17 cell differentiation is relevant in vivo, EAE was induced in WT and Myd88ΔT mice. All WT mice (16 of 16) developed EAE after immunization with myelin oligodendrocyte glycoprotein (MOG), compared with only 6 of 13 Myd88ΔT mice (Table S1). EAE was less prevalent in Myd88ΔT mice compared with WT mice (Fig. 5E); however, the disease was of similar onset and severity in the two groups (Table S1). Taken together, these data demonstrate that MyD88 has a crucial role for proper Th17 cell differentiation in vivo.
Discussion
Many molecules classically known to be critical for the innate immune system also have important functions in adaptive immune responses (28, 29). The present study shows that MyD88 plays an important role in Th17 cell differentiation. In addition, it demonstrates the underlying molecular mechanism by which MyD88-mediated IL-1 signaling sequentially synergizes with IL-23 to promote Th17 cell proliferation.
IL-23 has a unique function in the maintenance of a T-cell subset producing IL-17 (6). IL-23R was shown to be essential for the terminal differentiation of Th17 cells in vivo (9); however, the molecular mechanism governing expression of the IL-23R remains unclear. IL-23R expression was abolished in the absence of Th17-inducing proinflammatory cytokines such as IL-6 (13). Importantly, it has been suggested that IL-23 induces IL-23R expression via positive feedback regulation (30, 31). Our results further show that MyD88-mediated IL-1 signaling in CD4+ T cells is a prerequisite for the up-regulation of IL-23R by IL-23. IL-1 and IL-23 are produced mainly by activated antigen-presenting cells. Of interest, IL-1 also up-regulates IL-23 subunit p19 gene expression in antigen-presenting cells (32). Thus, IL-1 and IL-23 signaling seems to be closely regulated through MyD88 in both innate and adaptive immune cells.
IL-1 signaling on T cells is known to be important (14, 15). The incidence of EAE is significantly lower in Il1r1−/− mice compared with WT mice, correlated with a failure to induce Th17 cells (14). The molecular mechanism by which IL-1R contributes to Th17 cell differentiation remains unclear, however. Chung et al. (15) reported that IL-1 signaling is required for early Th17 cell differentiation by up-regulating RORγt and IFN regulatory factor 4 expression; however, as shown in the present study, RORγt expression is not altered in Myd88−/− CD4+ T cells. This discrepancy might be related to the fact that MyD88 is an adaptor not only for IL-1R, but also for TLR. Chung et al. (15) used a coculture system in which dendritic cells and T cells were cultured in the presence of LPS. Several previous studies have uncovered the critical role of TLR in the adaptive immune system (17, 33, 34). Of note, Reynolds et al. (35) recently showed that TLR2 signaling in CD4+ T cells promotes Th17 responses. Thus, in the experimental setup of Chung et al. (15), the MyD88-dependent signaling pathway was likely activated by TLR even in the absence of IL-1 signaling on T cells. Whether RORγt functions, such as transcriptional activity, are altered in Myd88−/− CD4+ T cells remains elusive.
SIGIRR, a negative regulator for TLR and IL-1R signaling, has been shown to suppress Th17 cell proliferation (36). Importantly, this study demonstrated that Th17 cell effector function is linked to mTOR-mediated cell proliferation. When fully differentiated WT and Sigirr−/− Th17 cells were treated with IL-1, IL-1–induced mTOR kinase activation was increased in Sigirr−/− Th17 cells compared with WT cells (36). In line with this finding, our results show that MyD88-dependent IL-1 and IL-23 signaling is required for the later stage of Th17 cell proliferation by activating the mTOR signaling pathway.
There is growing interest in the interplay between host metabolism and the immune system. In particular, mTOR plays an essential role in integrating environmental cues. Several previous studies have shown that mTOR critically regulates the differentiation of T cells (37–40). mTOR in T cells acts to integrate signal 1 (antigen recognition through T-cell receptor) and signal 2, the integrated sum of environmental cues, including CD28, IL-2R, amino acids. and skewing cytokines (41). In the present study, Myd88−/− CD4+ T cells demonstrated no global defect in mTOR activation; however, MyD88 deficiency in T cells could not integrate IL-1 and IL-23 signaling (signal 2) and failed to generate sustained mTOR activation. This may explain why MyD88 deficiency affects only IL-17 expression, even though mTORC1 was shown to be involved in both Th1 and Th17 responses (40).
In conclusion, our findings show that MyD88 has a dual function in Th17 cell differentiation. MyD88 delivers IL-1 signaling during the initial commitment stage and links it to IL-23 signaling, which expands committed Th17 cells via mTOR activation. Given that MyD88 also plays an important role in activating innate immune responses, MyD88 serves as a good example linking two arms of the immune systems. Our results have important implications for targeting MyD88-dependent signaling in both innate and adaptive immune cells to treat Th17 cell-associated diseases.
Materials and Methods
Myd88-deficient, Myd88flox/flox, Myd88flox/flox CD4-Cre, Myd88flox/flox CreT2, and WT mice were used for the experiments. Purified CD4+ T cells were activated by plate-bound anti-CD3 and soluble anti-CD28. Tamoxifen-induced MyD88 deletion was monitored by immunoblot analysis after treating the cells with 4-OHT at different time points. Mice were injected with MOG peptide and also pertussis toxin on days 0 and 2 after immunization. Full materials and methods with associated references, eight figures and one table can be found at the extended online supporting information.
Supplementary Material
Acknowledgments
We thank Sang-Won V. Kim and Dan R. Littman (New York University, New York, NY) for the IL-23R retroviral vectors, Sei Yoshida and Ken Inoki (University of Michigan, Ann Arbor, MI) for helpful comments on mTOR signaling, and Ryan H. Newton (Beth Israel Deaconess Medical Center) for a critical reading of the manuscript. This work was supported by National Institutes of Health Grants AI062789 (to L.A.T.) and AI073677 (to C.-H.C.).
Footnotes
The authors declare no conflict of interest.
This article is a PNAS Direct Submission.
This article contains supporting information online at www.pnas.org/lookup/suppl/doi:10.1073/pnas.1206048110/-/DCSupplemental.
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