PT  - JOURNAL ARTICLE
AU  - Mangan, Paul R.
AU  - Su, Linhui Julie
AU  - Jenny, Victoria
AU  - Tatum, Andrea L.
AU  - Picarillo, Caryn
AU  - Skala, Stacey
AU  - Ditto, Noah
AU  - Lin, Zheng
AU  - Yang, XiaoXia
AU  - Cotter, Pete Z.
AU  - Shuster, David J.
AU  - Song, Yunling
AU  - Borowski, Virna
AU  - Thomas, Rochelle L.
AU  - Heimrich, Elizabeth M.
AU  - Devaux, Brigitte
AU  - Das Gupta, Ruchira
AU  - Carvajal, Irvith
AU  - McIntyre, Kim W.
AU  - Xie, Jenny
AU  - Zhao, Qihong
AU  - Struthers, Mary
AU  - Salter-Cid, Luisa M.
TI  - Dual Inhibition of Interleukin-23 and Interleukin-17 Offers Superior Efficacy in Mouse Models of Autoimmunity
AID  - 10.1124/jpet.115.224246
DP  - 2015 Aug 01
TA  - Journal of Pharmacology and Experimental Therapeutics
PG  - 152--165
VI  - 354
IP  - 2
4099  - http://jpet.aspetjournals.org/content/354/2/152.short
4100  - http://jpet.aspetjournals.org/content/354/2/152.full
SO  - J Pharmacol Exp Ther2015 Aug 01; 354
AB  - 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.