ePoster Presentation 49th Annual Scientific Meeting of the Australian and New Zealand Society for Immunology 2021

Interleukin-17 contributes to ross river virus-induced arthritis and myositis (#258)

Helen Mostafavi 1 2 , Kothila Tharmarajah 1 2 , Jelena Vider 2 3 , Nicholas P West 3 , Joseph R Freitas 1 2 , Barbara Cameron 4 , Paul S Foster 5 , Linda P Hueston 6 , Andrew R Lloyd 4 , Suresh Mahalingam 1 2 , Ali Zaid 1 2
  1. Emerging Viruses, Inflammation & Therapeutics Group, Menzies Health Institute Queensland, Southport, Gold Coast, Queensland, Australia
  2. School of Pharmacy & Medical Sciences, Griffith University, Southport, Gold Coast, Queensland, Australia
  3. Mucosal Immunology Group, Menzies Health Institute Queensland, Southport, Gold Coast, Queensland, Australia
  4. Viral Immunology Systems Program, Kirby Institute, University of New South Wales, Kensington, Sydney, New South Wales, Australia
  5. School of Biomedical Sciences, Faculty of Health Sciences & Hunter Medical Research Institute, University of Newcastle, Newcastle, New South Wales, Australia
  6. Arbovirus Emerging Diseases Unit, Centre for Infectious Diseases & Microbiology Laboratory Services, Pathology West - ICPMR Westmead, Westmead, Sydney, New South Wales, Australia

Arthritogenic alphaviruses are mosquito-borne viruses that are a major cause of infectious arthropathies worldwide, and recent outbreaks of chikungunya virus and Ross River virus (RRV) infections highlight the need for robust intervention strategies. Alphaviral arthritis can persist for months after the initial acute disease, and is mediated by cellular immune responses. A common strategy to limit inflammation and pathology is to dampen the overwhelming inflammatory responses by modulating proinflammatory cytokine pathways. Here, we investigate the contribution of interleukin-17 (IL-17), a cytokine involved in arthropathies such as rheumatoid arthritis, in the development RRV-induced arthritis and myositis. IL-17 was quantified in serum from RRV-infected patients, and mice were infected with RRV and joints and muscle tissues collected to analyse cellular infiltrates, tissue mRNA, cytokine expression, and joint and muscle histopathology. IL-17 expression was increased in musculoskeletal tissues and serum of RRV-infected mice and humans, respectively. IL-17‒producing T cells and neutrophils contributed to the cellular infiltrate in the joint and muscle tissue during acute RRV disease in mice. Blockade of IL-17A/F using a monoclonal antibody (mAb) reduced disease severity in RRV-infected mice and led to decreased proinflammatory proteins, cellular infiltration in synovial tissues and cartilage damage, without affecting viral titers in inflamed tissues. IL-17A/F blockade triggered a shift in transcriptional profile of both leukocyte infiltrates and synovial stromal cells by downregulating proinflammatory genes. This study highlights a previously uncharacterized role for an effector cytokine in alphaviral pathology and points towards potential therapeutic benefit in targeting the IL-17 to treat patients presenting with RRV-induced arthropathy.