TY - JOUR T1 - Dual Inhibition of Interleukin-23 and Interleukin-17 Offers Superior Efficacy in Mouse Models of Autoimmunity JF - Journal of Pharmacology and Experimental Therapeutics JO - J Pharmacol Exp Ther SP - 152 LP - 165 DO - 10.1124/jpet.115.224246 VL - 354 IS - 2 AU - Paul R. Mangan AU - Linhui Julie Su AU - Victoria Jenny AU - Andrea L. Tatum AU - Caryn Picarillo AU - Stacey Skala AU - Noah Ditto AU - Zheng Lin AU - XiaoXia Yang AU - Pete Z. Cotter AU - David J. Shuster AU - Yunling Song AU - Virna Borowski AU - Rochelle L. Thomas AU - Elizabeth M. Heimrich AU - Brigitte Devaux AU - Ruchira Das Gupta AU - Irvith Carvajal AU - Kim W. McIntyre AU - Jenny Xie AU - Qihong Zhao AU - Mary Struthers AU - Luisa M. Salter-Cid Y1 - 2015/08/01 UR - http://jpet.aspetjournals.org/content/354/2/152.abstract N2 - Therapies targeting either interleukin (IL)-23 or IL-17 have shown promise in treating T helper 17 (Th17)–driven autoimmune diseases. Although IL-23 is a critical driver of IL-17, recognition of nonredundant and independent functions of IL-23 and IL-17 has prompted the notion that dual inhibition of both IL-23 and IL-17 could offer even greater efficacy for treating autoimmune diseases relative to targeting either cytokine alone. To test this hypothesis, we generated selective inhibitors of IL-23 and IL-17 and tested the effect of either treatment alone compared with their combination in vitro and in vivo. In vitro, using a novel culture system of murine Th17 cells and NIH/3T3 fibroblasts, we showed that inhibition of both IL-23 and IL-17 completely suppressed IL-23–dependent IL-22 production from Th17 cells and cooperatively blocked IL-17–dependent IL-6 secretion from the NIH/3T3 cells to levels below either inhibitor alone. In vivo, in the imiquimod induced skin inflammation model, and in the myelin oligodendrocyte glycoprotein peptide–induced experimental autoimmune encephalomyelitis model, we demonstrated that dual inhibition of IL-17 and IL-23 was more efficacious in reducing disease than targeting either cytokine alone. Together, these data support the hypothesis that neutralization of both IL-23 and IL-17 may provide enhanced benefit against Th17 mediated autoimmunity and provide a basis for a therapeutic strategy aimed at dual targeting IL-23 and IL-17. ER -