Activation of OX40 augments Th17 cytokine expression and antigen-specific uveitis

Am J Pathol. 2010 Dec;177(6):2912-20. doi: 10.2353/ajpath.2010.100353. Epub 2010 Oct 15.

Abstract

Uveitis is a major and common cause of visual disability. Recent studies have shown that Th17 cells are implicated in the pathogenesis of this serious intraocular disorder. Activated T cells express an inducible costimulatory molecule called OX40, and OX40 in turn promotes the activation and proliferation of these lymphocytes. Nevertheless, it is unclear whether OX40 plays a vital role in enhancing the effector function of Th17 cells as well as the severity of uveitis. In this study, we demonstrated an increase of OX40 transcription in ovalbumin-induced uveitis, whereas anti-OX40L antibody substantially inhibited the antigen-specific ocular inflammation. Next, results from flow cytometry showed that activated Th17 cells expressed OX40, and OX40-activating antibody significantly augmented the production of Th17 cytokines in vitro. To validate the impact of OX40 in vivo, we stimulated ovalbumin-specific T cells with the OX40-activating antibody. Compared to donor cells without OX40 activation, adoptive transfer of OX40-stimulated lymphocytes elicited more severe ocular inflammation. Furthermore, an interleukin-17-neutralizing antibody attenuated OX40-mediated uveitis. In conclusion, our findings suggest that activation of OX40 augments Th17 cell function and thereby contributes to ocular inflammation. This study thus enhances our knowledge of costimulatory molecule-mediated immunopathological mechanisms of uveitis and suggests a future therapeutic strategy to treat uveitis by the targeting of OX40.

Publication types

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

MeSH terms

  • Animals
  • Antibodies, Neutralizing / pharmacology
  • Antigens / adverse effects
  • Antigens / immunology
  • Cell Differentiation / drug effects
  • Cell Differentiation / immunology
  • Cells, Cultured
  • Cytokines / genetics
  • Cytokines / metabolism*
  • Epitopes / immunology
  • Gene Expression / drug effects
  • Immunotherapy
  • Membrane Glycoproteins / antagonists & inhibitors
  • Membrane Glycoproteins / immunology
  • Membrane Glycoproteins / pharmacology
  • Mice
  • Mice, Inbred BALB C
  • Mice, Inbred C57BL
  • OX40 Ligand
  • Receptors, OX40 / agonists*
  • Receptors, OX40 / metabolism
  • Receptors, OX40 / physiology
  • Th17 Cells / drug effects
  • Th17 Cells / immunology
  • Th17 Cells / metabolism*
  • Th17 Cells / physiology
  • Tumor Necrosis Factor Inhibitors
  • Tumor Necrosis Factors / immunology
  • Tumor Necrosis Factors / pharmacology
  • Uveitis / genetics
  • Uveitis / immunology*
  • Uveitis / metabolism*
  • Uveitis / therapy

Substances

  • Antibodies, Neutralizing
  • Antigens
  • Cytokines
  • Epitopes
  • Membrane Glycoproteins
  • OX40 Ligand
  • Receptors, OX40
  • Tnfrsf4 protein, mouse
  • Tnfsf4 protein, mouse
  • Tumor Necrosis Factor Inhibitors
  • Tumor Necrosis Factors