bioRxiv · 10.1101/2024.05.16.594586
IL-23 drives uveitis by acting on a novel population of tissue-resident entheseal T cells
Abstract
Recurrent acute anterior uveitis is a frequent extra-articular manifestation of the axial spondyloarthropathies (AxSpA); chronic inflammatory diseases affecting the spine, enthesis, peripheral joints, skin, and gastrointestinal tract. Pathology in AxSpA has been associated with local tissue-resident populations of interleukin (IL)-23 responsive lymphoid cells. Here we reveal a novel population of ocular T cells defined by CD3+CD4-CD8-{gamma}{delta}TCR+IL-23R+ that reside within the anterior uvea as an ocular entheseal analogue of the mouse eye. Localised cytokine expression demonstrates that uveal IL-23R+ IL-17A-producing cells are both necessary and sufficient to drive uveitis in response to IL-23. This T cell population is also present in humans, occupying extravascular tissues of the anterior uveal compartment. Consistent with the concept of IL-23 as a unifying mediator in AxSpA, we present evidence that IL-23 can also act locally on tissue resident T cells in the anterior compartment of the eye at sites analogous to the enthesis to drive ocular inflammation.
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Hedley, R., Ward, A., Chu, C. J., Coupland, S. E., Kiriakidis, S., Taylor, P. C., Dakin, S. G., Buckley, C. D., Sherlock, J., Dick, A. D., Copland, D. A.. 2024-05-21. IL-23 drives uveitis by acting on a novel population of tissue-resident entheseal T cells. https://doi.org/10.1101/2024.05.16.594586
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