TY - JOUR A1 - Erbel, Christian A1 - Akhavanpoor, Mohammadreza A1 - Okuyucu, Deniz A1 - Wangler, Susanne A1 - Dietz, Alex A1 - Zhao, Li A1 - Stellos, Konstantinos A1 - Little, Kristina M. A1 - Lasitschka, Felix A1 - Doesch, Andreas A1 - Hakimi, Maani A1 - Dengler, Thomas J. A1 - Giese, Thomas A1 - Blessing, Erwin A1 - Katus, Hugo A1 - Gleissner, Christian A. T1 - IL-17A influences essential functions of the monocyte/macrophage lineage and is involved in advanced murine and human atherosclerosis T2 - The journal of immunology N2 - Atherosclerosis is a chronic inflammatory disease. Lesion progression is primarily mediated by cells of the monocyte/macrophage lineage. IL-17A is a proinflammatory cytokine, which modulates immune cell trafficking and is involved inflammation in (auto)immune and infectious diseases. But the role of IL-17A still remains controversial. In the current study, we investigated effects of IL-17A on advanced murine and human atherosclerosis, the common disease phenotype in clinical care. The 26-wk-old apolipoprotein E–deficient mice were fed a standard chow diet and treated either with IL-17A mAb (n = 15) or irrelevant Ig (n = 10) for 16 wk. Furthermore, essential mechanisms of IL-17A in atherogenesis were studied in vitro. Inhibition of IL-17A markedly prevented atherosclerotic lesion progression (p = 0.001) by reducing inflammatory burden and cellular infiltration (p = 0.01) and improved lesion stability (p = 0.01). In vitro experiments showed that IL-17A plays a role in chemoattractance, monocyte adhesion, and sensitization of APCs toward pathogen-derived TLR4 ligands. Also, IL-17A induced a unique transcriptome pattern in monocyte-derived macrophages distinct from known macrophage types. Stimulation of human carotid plaque tissue ex vivo with IL-17A induced a proinflammatory milieu and upregulation of molecules expressed by the IL-17A–induced macrophage subtype. In this study, we show that functional blockade of IL-17A prevents atherosclerotic lesion progression and induces plaque stabilization in advanced lesions in apolipoprotein E–deficient mice. The underlying mechanisms involve reduced inflammation and distinct effects of IL-17A on monocyte/macrophage lineage. In addition, translational experiments underline the relevance for the human system. Y1 - 2014 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/37178 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-371782 SN - 1550-6606 SN - 0022-1767 N1 - This article is distributed under The American Association of Immunologists, Inc., Reuse Terms and Conditions for Author Choice articles. http://www.jimmunol.org/site/misc/authorchoice.xhtml VL - 193 IS - 9 SP - 4344 EP - 4355 PB - American Association of Immunologists CY - Bethesda, Md. ER -