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.

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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