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Updated: Jul 11, 2026

Th17 Inflammation Model of Oropharyngeal Candidiasis in Immunodeficient Mice
Published on: February 18, 2015
IL-23 and the Th17 pathway promote inflammation and impair antifungal immune resistance
Teresa Zelante1, Antonella De Luca, Pierluigi Bonifazi
1Department of Experimental Medicine and Biochemical Sciences, University of Perugia, Perugia, Italy.
Abstract:
Although inflammation is an essential component of the protective response to fungi, its dysregulation may significantly worsen fungal diseases. We found here that the IL-23/IL-17 developmental pathway acted as a negative regulator of the Th1-mediated immune resistance to fungi and played an inflammatory role previously attributed to uncontrolled Th1 cell responses. Both inflammation and infection were exacerbated by a heightened Th17 response against Candida albicans and Aspergillus fumigatus, two major human fungal pathogens. IL-23 acted as a molecular connection between uncontrolled fungal growth and inflammation, being produced by dendritic cells in response to a high fungal burden and counter-regulating IL-12p70 production. Both IL-23 and IL-17 subverted the inflammatory program of neutrophils, which resulted in severe tissue inflammatory pathology associated with infection. Our data are the first demonstrating that the IL-23/IL-17 pathway promotes inflammation and susceptibility in an infectious disease model. As IL-23-driven inflammation promotes infection and impairs antifungal resistance, modulation of the inflammatory response represents a potential strategy to stimulate protective immune responses to fungi.
Insights
The IL-23/IL-17 pathway worsens fungal infections by hindering Th1 immunity and promoting inflammation. Modulating this pathway could improve antifungal immune responses.
Area of Science:
- Immunology
- Infectious Diseases
Background:
- Inflammation is crucial for fighting fungal infections, but its dysregulation can worsen disease.
- The Th1 immune response is key for resistance against fungi.
Purpose of the Study:
- To investigate the role of the IL-23/IL-17 pathway in fungal infections.
- To understand how this pathway affects Th1-mediated immunity and inflammation.
Main Methods:
- Studied the IL-23/IL-17 pathway in models of Candida albicans and Aspergillus fumigatus infection.
- Analyzed the impact of IL-23 and IL-17 on immune cells, including neutrophils and dendritic cells.
- Assessed the relationship between fungal burden, inflammation, and immune responses.
Main Results:
- The IL-23/IL-17 pathway negatively regulated Th1 immune resistance to fungi.
- Heightened Th17 responses exacerbated inflammation and infection severity.
- IL-23 linked fungal burden to inflammation by counter-regulating IL-12p70.
- IL-23 and IL-17 promoted inflammatory pathology in neutrophils.
Conclusions:
- The IL-23/IL-17 pathway promotes inflammation and susceptibility in fungal infections.
- This pathway impairs antifungal resistance and worsens disease.
- Targeting the IL-23/IL-17 pathway may offer a strategy to enhance protective immune responses against fungi.
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