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Targeting IL-6 receptor mediated metabolic pathways to control Th17 cell differentiation and inflammatory responses
Yazan Alwarawrah1, Amanda G Nichols1, Isha Patel2
1Department of Pediatrics, Division of Pediatric Endocrinology and Diabetes, University of North Carolina, Chapel Hill, NC, United States.
Frontiers in Immunology
|September 12, 2025
Summary
Interleukin-6 (IL-6) receptor signaling is crucial for T helper 17 (Th17) cell metabolism and differentiation. Targeting IL-6R-regulated metabolic pathways offers a strategy to control IL-6-driven inflammation.
Area of Science:
- Immunology
- Cell Metabolism
- Molecular Biology
Background:
- Interleukin-6 (IL-6) is a key cytokine involved in inflammation.
- IL-6 influences T cell function, including the differentiation of CD4+ T cells into pro-inflammatory Th17 cells.
- Cellular metabolism is tightly linked to T cell function.
Purpose of the Study:
- To investigate the role of IL-6 receptor (IL-6R) signaling in Th17 cell metabolism.
- To determine if metabolic pathways regulated by IL-6R can be targeted to control Th17-mediated inflammation.
Main Methods:
- Utilized T cell-specific IL-6R conditional knockout mice and littermate controls.
- Analyzed T cell populations, differentiation, glucose uptake, glycolysis, oxygen consumption, and mitochondrial function.
- Inhibited lactate dehydrogenase (LDH) using FX11 to assess its impact on Th17 and Treg cells.
Main Results:
- IL-6R signaling regulates CD4+ and CD8+ T cell proportions and drives Th17 cell differentiation.
- IL-6R signaling is essential for Th17 cell glycolysis, reducing glucose uptake and key glycolytic enzyme expression while increasing basal oxygen consumption.
- IL-6R signaling enhances oxidative capacity and mitochondrial coupling efficiency in Th17 cells.
- FX11 selectively impaired Th17 cell differentiation with minimal impact on Treg cells.
Conclusions:
- IL-6R signaling is a critical regulator of Th17 cell metabolism, influencing both glycolytic and oxidative pathways.
- Targeting IL-6R-regulated metabolic pathways, such as by inhibiting LDH, offers a selective approach to suppress inflammatory Th17 responses.
- This provides a potential therapeutic strategy for managing IL-6-mediated inflammatory conditions.
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