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IL-23 drives uveitis by acting on a population of tissue-resident entheseal T cells

Hedley, Robert; Ward, Amy; Chu, Colin J; Coupland, Sarah E; Kiriakidis, Serafim; Taylor, Peter C; Dakin, Stephanie G; ... Copland, David A; + view all (2025) IL-23 drives uveitis by acting on a population of tissue-resident entheseal T cells. JCI Insight , Article e182616. 10.1172/jci.insight.182616. (In press). Green open access

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Abstract

Recurrent acute anterior uveitis is a frequent extra-articular manifestation of the axial spondyloarthropathies (AxSpA); chronic inflammatory diseases affecting the spine, enthesis, peripheral joints, skin, and gastrointestinal tract. Pathology in AxSpA has been associated with local tissue-resident populations of interleukin (IL)-23 responsive lymphoid cells. Here we characterize a population of ocular T cell defined by CD3+CD4-CD8-CD69+gdTCR+IL-23R+ that reside within the anterior uvea as an ocular entheseal analogue of the mouse eye. Localised cytokine expression demonstrates that uveal IL-23R+ IL-17A-producing cells are both necessary and sufficient to drive uveitis in response to IL-23. This T cell population is also present in humans, occupying extravascular tissues of the anterior uveal compartment. Consistent with the concept of IL-23 as a unifying mediator in AxSpA, we present evidence that IL-23 can also act locally on tissue resident T cells in the anterior compartment of the eye at sites analogous to the enthesis to drive ocular inflammation.

Type: Article
Title: IL-23 drives uveitis by acting on a population of tissue-resident entheseal T cells
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1172/jci.insight.182616
Publisher version: https://doi.org/10.1172/jci.insight.182616
Language: English
Additional information: This is an Open Access article published under a Creative Commons Attribution 4.0 International (CC BY 4.0) Licence (https://creativecommons.org/licenses/by/4.0/).
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Institute of Ophthalmology
URI: https://discovery.ucl.ac.uk/id/eprint/10213343
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