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10.1172/jci.insight.91127

http://scihub22266oqcxt.onion/10.1172/jci.insight.91127
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suck abstract from ncbi


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pmid28289717      JCI+Insight ä ; 2 (5): ä
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  • Retinoic-acid-orphan-receptor-C inhibition suppresses Th17 cells and induces thymic aberrations #MMPMID28289717
  • Guntermann C; Piaia A; Hamel ML; Theil D; Rubic-Schneider T; del Rio-Espinola A; Dong L; Billich A; Kaupmann K; Dawson J; Hoegenauer K; Orain D; Hintermann S; Stringer R; Patel DD; Doelemeyer A; Deurinck M; Schümann J
  • JCI Insight ä[]; 2 (5): ä PMID28289717show ga
  • Retinoic-acid-orphan-receptor-C (RORC) is a master regulator of Th17 cells, which are pathogenic in several autoimmune diseases. Genetic Rorc deficiency in mice, while preventing autoimmunity, causes early lethality due to metastatic thymic T cell lymphomas. We sought to determine whether pharmacological RORC inhibition could be an effective and safe therapy for autoimmune diseases by evaluating its effects on Th17 cell functions and intrathymic T cell development. RORC inhibitors effectively inhibited Th17 differentiation and IL-17A production, and delayed-type hypersensitivity reactions. In vitro, RORC inhibitors induced apoptosis, as well as Bcl2l1 and BCL2L1 mRNA downregulation, in mouse and nonhuman primate thymocytes, respectively. Chronic, 13-week RORC inhibitor treatment in rats caused progressive thymic alterations in all analyzed rats similar to those in Rorc-deficient mice prior to T cell lymphoma development. One rat developed thymic cortical hyperplasia with preneoplastic features, including increased mitosis and reduced IKAROS expression, albeit without skewed T cell clonality. In summary, pharmacological inhibition of RORC not only blocks Th17 cell development and related cytokine production, but also recapitulates thymic aberrations seen in Rorc-deficient mice. While RORC inhibition may offer an effective therapeutic principle for Th17-mediated diseases, T cell lymphoma with chronic therapy remains an apparent risk.
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