Combinatorial actions of IL-22 and IL-17 drive optimal immunity to oral candidiasis through SPRRs

Felix E Y Aggor1, Martinna Bertolini1,2, Bianca M Coleman1

  • 1University of Pittsburgh, Division of Rheumatology and Clinical Immunology, Pittsburgh, Pennsylvania, United States of America.

Plos Pathogens
|July 1, 2024
PubMed

Insights

The combined action of IL-17 and IL-22 cytokines is crucial for fighting oropharyngeal candidiasis (OPC). This study reveals small proline-rich proteins (SPRRs) as key antifungal effectors in mucosal immunity.

Area of Science:

  • Immunology
  • Microbiology
  • Molecular Biology

Background:

  • Oropharyngeal candidiasis (OPC) is a common fungal infection, often linked to T cell deficiencies.
  • Interleukin-17 (IL-17) and Interleukin-22 (IL-22) are known to play roles in OPC, but their combined effect is not fully understood.

Purpose of the Study:

  • To investigate the essential role of combined IL-17 and IL-22 signaling in host defense against OPC.
  • To identify novel molecular mechanisms and effector molecules involved in anti-Candida immunity.

Main Methods:

  • Utilized knockout mouse models lacking IL-17 receptor A (IL-17RA) and IL-22 receptor 1 (IL-22RA1) to assess susceptibility to OPC.
  • Analyzed fungal loads, host weight, and symptoms of colitis in genetically modified mice.
  • Examined the expression of small proline-rich proteins (SPRRs) and assessed the candidacidal activity of Sprr2a1 in vitro.

Main Results:

  • Mice deficient in both IL-17RA and IL-22RA1 exhibited severe OPC, high fungal burdens in the esophagus and intestines, significant weight loss, and colitis.
  • Dual cytokine receptor deficiency led to impaired expression of SPRRs.
  • Sprr2a1 demonstrated direct killing activity against Candida in vitro, and mice lacking Sprr1-3a were susceptible to OPC.

Conclusions:

  • Cooperative signaling of Type 17 cytokines (IL-17 and IL-22) is essential for effective oral mucosal defense against Candida fungal infections.
  • Small proline-rich proteins (SPRRs) are identified as critical antimicrobial effectors in fungal immunity, particularly against OPC.

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