title: IL-23 and autoimmunity: new insights into the pathogenesis of inflammatory bowel disease.
abstract: The intestinal immune system has the challenge of maintaining both a state of tolerance toward intestinal antigens and the ability to combat pathogens. This balance is partially achieved by reciprocal regulation of proinflammatory, effector CD4(+) T cells and tolerizing, suppressive regulatory T cells. Inflammatory bowel disease (IBD) comprises Crohn's disease (CD) and ulcerative colitis (UC). Genome-wide association studies have linked CD to a number of IL-23 pathway genes, notably IL23R (interleukin 23 receptor). Similar associations in IL-23 pathway genes have been observed in UC. IL23R is a key differentiation feature of CD4(+) Th17 cells, effector cells that are critical in mediating antimicrobial defenses. However, IL-23 and Th17 cell dysregulation can lead to end-organ inflammation. The differentiation of inflammatory Th17 cells and suppressive CD4(+) Treg subsets is reciprocally regulated by relative concentrations of TGFbeta, with the concomitant presence of proinflammatory cytokines favoring Th17 differentiation. The identification of IL-23 pathway and Th17 expressed genes in IBD pathogenesis highlights the importance of the proper regulation of the IL-23/Th17 pathway in maintaining intestinal immune homeostasis.
authors.affiliation: Section of Digestive Diseases, Departments of 1Medicine, Yale University, New Haven, Connecticut 06520, USA. clara.abraham@yale.edu
authors.forename: Clara
authors.initials: C
authors.lastname: Abraham
authors.forename: Judy H
authors.initials: JH
authors.lastname: Cho
mesh_terms: D001145:Arrhythmias, Cardiac / Q000276:immunology; D015551:Autoimmunity; D006706:Homeostasis; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000188:drug therapy / Q000235:genetics / Q000276:immunology*; D053759:Interleukin-23 / Q000235:genetics / Q000276:immunology*
chemical_list: D053759:Interleukin-23