Interleukin 17 Receptor A Modulates Monocyte Subsets and Macrophage Generation In Vivo

Interleukin (IL)-17A signaling via Interleukin 17 receptor A (Il17ra) contributes to the inflammatory host response by inducing recruitment of innate immune cells, but also plays a role in homeostatic neutrophilic granulocyte regulation. Monocytes, the other main innate immune cell, have a longer life span and can pursue multiple differentiation pathways towards tissue macrophages. Monocytes are divided into two subpopulations by expression of the Ly6C/Gr1 surface marker in mice. We here investigated the role of Il17ra in monocyte homeostasis and macrophage generation. In Il17ra-/- and in mixed bone marrow chimeric wt/Il17ra-/- mice, the concentrations of circulating Il17ra-/-Gr1low monocytes were significantly decreased compared to wt cells. Pulmonary, splenic and resident peritoneal Il17ra-/- macrophages were significantly fewer than of wt origin. Bone marrow progenitor and monocyte numbers were equal, but the proportion of Il17ra-/-Gr1low monocytes was already decreased at bone marrow level. After monocyte depletion, initial Gr1high and Gr1low monocyte regeneration of Il17ra-/- and wt cells was very similar. However, Il17ra-/-Gr1low counts were not sustained. After labeling with either fluorescent beads or BrdU, Il17ra-/-Gr1high monocyte transition to Gr1low cells was not detectable unlike wt cells. Monocyte recruitment in acute peritonitis, which is known to be largely due to Gr1high cell migration, was unaffected in an identical environment. Unilateral ureteral obstruction induces a less acute inflammatory and fibrotic kidney injury. Compared to wt cells in the same environment, Il17ra-/- macrophage accumulation in the kidney was decreased. In the absence of Il17ra on all myeloid cells, renal fibrosis was significantly attenuated. Our data show that Il17ra modulates Gr1low monocyte counts and suggest defective Gr1high to Gr1low monocyte transition as an underlying mechanism. Lack of Il17ra altered homeostatic tissue macrophage formation and diminished renal inflammation and fibrosis. Il17ra appears to be a novel modulator of monocyte phenotype and possible therapeutic target in renal fibrosis.


Introduction
Monocytes are innate immune cells that frequently mediate early immune response [1][2][3]. Life span is considerably longer than that of the other main innate myeloid cells, neutrophilic granulocytes, and monocytes can differentiate into macrophages with heterogeneous functions regarding cytokine production and antigen presentation in the target tissues. While some recruitment mechanisms of granulocytes and monocytes are similar, surface receptor expression [4] and mechanisms of mobilization from the bone marrow differ substantially [3].
A number of observations suggest that most circulating Gr1 low cells develop from Gr1 high monocytes in the periphery [10][11][12]. While a mechanism driving this transition remains to be determined, the evidence includes that the proportion of Gr1 high cells is higher in bone marrow than peripheral blood, that Gr1 high cells reappear before Gr1 low cells after monocyte depletion [10,11], and that Gr1 high cells labeled with fluorescent latex beads [13] or BrdU [12] can transition to Gr1 low monocytes.
Both monocyte subtypes contribute to tissue macrophages and myeloid antigen presenting cells. For generation of many macrophage types, especially in acute inflammation, Gr1 high monocytes appear to be the predominant subtype [1][2][3]. However, adoptive transfer experiments have demonstrated that Gr1 low monocytes give rise to splenic myeloid dendritic cells [14] and pulmonary macrophages [15] and very recently, with the use of novel genetic models, a significant contribution of Gr1 low CX3CR1 high monocytes to resident macrophage populations in many organs has been documented [12]. Macrophages in the atherosclerotic aorta develop from both subtypes [16]. In acute inflammation in listerial peritonitis, Gr1 low monocytes are responsible for the immediate host response [17].
The T cell cytokine IL-17 participates in regulation of innate immunity. Neutrophil recruitment is enhanced by IL-17 e.g. in encephalitis, ischemia-reperfusion injury and solid allograft rejection [18,19]. However, evidence of a direct IL-17 effect on neutrophils is lacking and current data rather suggest indirect action, e.g. via epithelial cells [18,19]. Regarding monocytes and macrophages, we have previously demonstrated that IL-17 receptor A (Il17ra) that is required for both IL-17A and IL-17F [20], but also IL-17C and IL-17E signaling is expressed [21,22]. Peritoneal macrophage accumulation and CD11c expression in acute peritonitis were decreased in IL-17 and IL-17 receptor A deficient (Il17ra -/-) mice [21]. Monocytes differentially express Il17ra and macrophage cytokine secretion is influenced by IL-17A [23].
We here investigated whether or not IL-17 signaling influences monocyte homeostasis, subpopulations and macrophage generation at rest and during inflammation in vivo. Our results indicate a significant impact of monocyte IL-17 receptor expression on monocyte counts and macrophage generation at an individual cell level.

Monocyte depletion by liposomal clodronate and labeling with latex microspheres
Liposomal clodronate was kindly provided by Dr. van Rooijen [24]. Mice were injected intravenously with 200 ml of clodronate or control PBS liposomes (5 mg/ml). This depleted monocytes both in peripheral blood and bone marrow (data not shown). FITC-labeled latex microspheres (0.5 mm, Polysciences, Eppelheim, Germany) were injected i.v. at a dose of 10 ml/mouse.

Thioglycollate-induced peritonitis and unilateral ureteral obstruction
For induction of peritonitis, 1 ml of 3% thioglycollate (Sigma-Aldrich, St. Louis, MO) was injected i.p., and cells were recovered after 10 h or 3 days by washing twice with 5 ml PBS.

Cell preparation and staining for flow cytometry
Single cells suspensions from blood, bone marrow, spleen, kidney and lung were prepared. Lungs and kidneys was digested with a cocktail of 125 U/ml collagenase XI, 450 U/ml collagenase I, 60 U/ml DNase I, and 60 U/ml hyaluronidase (Sigma-Aldrich) as described [21]. For assessment of TNFa production, monocytes from mixed bone marrow chimeric mice were stimulated for 60 min with 1 mg/ml LPS (E.coli, Sigma) at 37uC in EDTA-anti-coagulated whole blood.

Statistical analysis
Two-tailed t-test or ANOVA (for more than two data points, as indicated in figure legends) with appropriate post-hoc test were used. Results from mixed chimeric mice were analyzed using paired t-test or repeated measures ANOVA if more than two measures were compared. Data are expressed as mean6SEM. Pvalues ,0.05 were considered significant and are indicated in the figures as *p,0.05, **p,0.01, and ***p,0.001.

Gr1 low monocyte deficiency in the absence of IL-17 receptor A
To test for a role of IL-17 receptor A in monocyte homeostasis, we analyzed peripheral blood monocytes in wildtype (wt) and Il17ra -/mice. Total white blood counts and the concentration of monocytes were very similar (figure 1A, B), but the proportion of Gr1 high monocytes was significantly elevated in Il17ra -/mice (figure 1C,D). This was not caused by an increase in Gr1 high , but a decrease in Gr1 low absolute monocyte counts (figure 1E).
To dissect between systemic effects of IL-17 receptor deficiency and cell intrinsic effects in Il17ra -/monocytes, mixed chimeric mice were generated by reconstitution of CD45.2 wt mice with a 1:1 mixture of wt (CD45.1) and Il17ra -/-(CD45.2) bone marrow. We first investigated possible contamination with host (CD45.2) cells among circulating blood monocytes by assessing Il17ra expression (figure 2). It was virtually absent on circulating CD45.2 monocytes indicating very good replacement of recipient cells. Il17ra expression was significantly higher on wt Gr1 high than Gr1 low monocytes (figure 2B). Il17ra associates with Il17rc and both are required for IL-17A and IL-17F signaling [18,19], but in combination with Il17rb, it also serves as a receptor of IL-25 (IL-17E) [26]. We found high expression of Il17ra mRNA, and lower levels of Il17rb, Il17rc and Il17re (required for IL-17C signal [27]) in bone marrow monocytes before Gr1 high to Gr1 low transition (figure 2C).
We next assessed the proportion of Il17ra -/cells among blood leukocytes (figure 3). In individual bone marrow chimeric wt/ Il17ra -/animals, wt and Il17ra -/proportions were equal among lymphocytes and granulocytes, but significantly decreased among monocytes (figure 3A). Consistently, peripheral blood concentrations of Il17ra -/monocytes were significantly lower than wt monocytes (figure 3B). The proportion of Gr1 high monocytes was significantly higher among Il17ra -/than wt monocytes in each individual mouse (figure 3C). Principally the same results were found using the Ly6C antibody ( figure 3D). This was reflected by a much more marked decrease in absolute Il17ra -/-Gr1 low monocyte than Gr1 high monocyte blood concentrations compared to wt cells in identical environments (figure 3E). There was no significant difference in the proportion of dead monocytes of either genotype or subtype in the circulation (figure 3F), only a non-significant tendency towards even less cell death in Il17ra -/-Gr1 low monocytes.
These data suggest a deficiency in monocytes, most markedly Gr1 low cells, in the absence of IL-17 signal. The fact that this was even more marked in an identical environment suggests a role of the IL-17 signal on a cellular level.

IL-17ra -/monocyte derived macrophage generation under homeostatic conditions
As there was no indication of enhanced cell death in Il17ra -/-Gr1 low monocytes, we next tested whether or not their deficiency in blood was due to increased migration into tissues. Gr1 low monocytes are known precursors of pulmonary tissue macrophages [15]. Flow cytometric analysis of lungs of mixed chimeric wt/Il17ra -/mice revealed that Il17ra -/cells were underrepresented in pulmonary CD115 + monocytes and both CD11b + F4/80 + and CD11b + CD11c + macrophages ( figure 4A,B). This does not suggest an increased migration of the gene deficient cells into the tissue. The results for the CD11b + myeloid compartment were significantly different from the findings in CD103 + CD11bnon-myeloid dendritic cells. Here, no decrease in CD45.2 cells was noted ( figure 4A,B). Indeed, there was a relative increase over CD45.1, which might be an Il17ra -/phenotype but would also be expected in any cell type not completely replaced after lethal irradiation due to residual recipient cells.
Macrophages were also assessed in the spleen and resting peritoneal cavity. Also in these compartments, the proportion of Il17ra -/among all CD11b + cells and among macrophages in mixed bone marrow chimeric wt/Il17ra -/mice was significantly lower than the expected 50% ( figure 4C,D).
These data suggest the IL-17 signal at the level of the individual cell to be involved in tissue myeloid macrophage homeostasis in the absence of inflammation.

Bone marrow Gr1 low monocyte formation
We next tested whether the observed monocyte defect was due to a defect in monocyte generation in the bone marrow. To this end, bone marrow myeloid cell maturation and monocytes were further investigated in wt/Il17ra -/mixed chimeras to provide identical environments for development ( figure 5). Bone marrow progenitors, defined as described [28], were very similar for the genotypes ( figure 5A,B). Similarly, the proportion of Il17ra -/-CD11b + CD115 + monocytes in the bone marrow did not differ from the expected 50% (figure 5C). However a small, but very consistent and significant increase in the proportion of Il17ra -/-Gr1 high cells was observed ( figure 5D).
These data show that the decrease in the proportion of Gr1 low Il17ra -/monocytes commences at the bone marrow level.

Peripheral Gr1 low monocyte recovery
Given the unchanged total monocyte population in the bone marrow, we investigated monocyte repopulation after depletion with liposomal clodronate in mixed chimeric wt/Il17ra -/mice [24]. As described, clodronate completely abolished peripheral blood monocyte counts on day one after application (data not shown). During initial recovery on day three, the proportion of Il17ra -/monocytes was equal to wt cells (figure 6A), as was the proportion of Gr1 high cells in both genotypes (figure 6B) which is reflected in similar absolute counts of the monocyte subtypes of either genotype at this timepoint (figures 6C,D). This suggests no major deficiency in initial monocyte recovery. However, during the following days, which brought normalization of wt absolute monocyte counts of each subgroup and the proportion of Gr1 high cells ([10], figure 6), Il17ra -/cell counts decreased, largely due to a stop in the rise of absolute numbers of Gr1 low cells ( figure 6D).
These data suggest no defect in initial generation of Gr1 low monocytes, but rather in maintenance of their numbers as the reason for low Il17ra -/monocyte counts.
Monocyte Gr1 high to Gr1 low subpopulation transition in the absence of IL-17 receptor A Previous reports have suggested that Gr1 high to Gr1 low monocyte conversion occurs in the periphery [10,11]. To investigate Gr1 high to Gr1 low monocyte conversion in the absence of IL-17 receptor A, we used fluorescent bead labeling [13] in mixed chimeric mice. Initial labeling of both subsets and bead clearance from Gr1 high cells was similar for both genotypes ( figure 7A,B). Consistent with conversion of Gr1 high to Gr1 low monocytes and as described, a delayed rise in the proportion of bead + Gr1 low cells occurred in wt cells (figure 7B) [13]. However, this was completely absent in Gr1 low Il17ra -/monocytes in an identical environment.
To assess monocyte subtype conversion with an independent stable cell labeling method, proliferating cells in resting mixed chimeric mice were pulse labeled with BrdU and peripheral monocyte BrdU content assessed over time ( figure 7C). The proportion of BrdU + among Gr1 high monocytes of both genotypes rose simultaneously during the first day and decreased afterwards. This is consistent with the similar proliferation of bone marrow monocytes ( figure 7D) and suggests no difference in liberation from the bone marrow. Among Gr1 low monocytes of wt genotype, the rise in the BrdU + proportion was sustained until day 6, likely due to repopulation by peripheral conversion of Gr1 high cells. In contrast, among the low absolute numbers of Gr1 low Il17ra -/monocytes, only an initial rise in the BrdU + proportion on day one was observed, similar to Gr1 high monocytes of either genotype. No delayed rise as in the Gr1 low wt monocyte population occurred, the proportion of pulse-labeled Gr1 low Il17ra -/monocytes rather steadily declined. Also in the bone marrow, among the reduced number of Gr1 low Il17ra -/monocytes (figure 5D), the proportion of BrdU + cells was significantly higher than of wtGr1 low monocytes and similar to what was observed in Gr1 high monocytes of either genotype ( figure 7C). This can account for the higher initial proportion of blood BrdU + among Gr1 low Il17ra -/than wt monocytes and indicates a larger proportion of recent cell divisions in this group.
These data suggest that Gr1 high to Gr1 low monocyte conversion is altered in the absence of Il17ra.

IL-17ra -/macrophage generation in peritonitis
Monocyte subtypes are differentially recruited to sites of inflammation. We studied peritonitis as a model of preferential Gr1 high monocyte accumulation and acute inflammatory macrophage accumulation. Consistently, after 10 h of inflammation, neither the proportion of Il17ra -/-PMN nor of Il17ra -/monocytes in the peritoneal cavity was lower than in peripheral blood at the start of the experiment ( figure 8A,B). Il17ra -/monocytes were even overrepresented in the peritoneal infiltrate (figure 8B). After three days of inflammation, the proportion of wt and Il17ra -/-CD11b + macrophages in the peritoneum was not different from peripheral blood before induction of inflammation, while blood Il17ra -/monocytes were depleted (figure 8C). While Gr1 high and Gr1 low monocytes were no longer distinguishable in peritoneal inflammation, we further analyzed CD11c that is expressed on Gr1 low monocytes and on some macrophage subtypes such as pulmonary and vascular macrophages [1][2][3]29]. Compared to wt cells from the same mouse, CD11c expression was significantly lower on Il17ra -/cells ( figure 8D), similarly to what was previously observed in complete Il17ra -/mice [21].

Role of myeloid IL-17ra -/in renal macrophage accumulation and fibrosis
To test whether the decrease in Gr1 low monocytes was functionally relevant, we investigated kidney injury induced by unilateral ureteral obstruction (UUO) that induces macrophage accumulation and renal fibrosis [30,31]. To assess the IL-17 effect on individual myeloid cells, renal cell infiltration was investigated in mixed chimeric wt/Il17ra -/mice seven days after obstruction surgery (figure 9). UUO significantly enhanced renal CD11b + leukocyte accumulation ( figure 9A). Similar to other organs (figure 4), the proportion of CD11b + Il17ra -/cells was already lower than wt in the unobstructed contralateral kidney. This was significantly enhanced in obstructive inflammation (figure 9B). Differential recruitment was mainly due to monocytes and not neutrophils, which were 39615% Il17ra -/-(p = 0.13, n = 6, 2 (C) Dividing cells in mixed bone marrow chimeric wt/Il17ra -/mice labeled with a single BrdU injection and peripheral blood monocytes were analyzed for BrdU incorporation at the indicated timepoints. In every animal, the proportion of labeled cells among Gr1 high and Gr1 low monocytes of either genotype was assessed over time (n = 4, * indicates sign. differences between wt and Il17ra -/-Gr1 low monocytes at the indicated timepoints, # indicates a sign. change over time within wt (black bars) or Il17ra -/-(white bars) Gr1 low monocytes, analysis with Bonferroni after ANOVA). (D) Proliferation of bone marrow Gr1 high and Gr1 low monocytes of both genotypes was assessed 20 h after BrdU injection (n = 7 from 2 independent transplantations, Bonferroni after ANOVA). doi:10.1371/journal.pone.0085461.g007 Figure 8. In peritonitis, Il17ra -/monocyte recruitment is sustained, but macrophage phenotype changed. (A,B) Peritonitis was induced in mixed bone marrow chimeric wt/Il17ra -/mice. Peripheral blood (at start and end of the experiment) and peritoneal neutrophils (PMN, CD11b + CD115 2 Gr1 high , A) and monocytes (CD11b + CD115 + , B) were analyzed by flow cytometry after 10 h (n = 4, Bonferroni after ANOVA). (C) At day 3, intraperitoneal myeloid CD11b + cells were analyzed and compared to peripheral blood monocytes at start and end of the experiment (n = 4-6, 2 independent transplantations, Bonferroni after ANOVA). (D) CD11c expression on wt and Il17ra -/myeloid (CD11b + ) cells was compared in lung, spleen, resting and inflamed peritoneal cavity of mixed bone marrow chimeric wt/Il17ra -/mice (n = 4-8, paired t-tests). doi:10.1371/journal.pone.0085461.g008 IL-17 Receptor Regulates Monocyte Homeostasis PLOS ONE | www.plosone.org independent transplantations). Obstruction also increased CD11c and F4/80 expression on myeloid cells at day 7 ( figure 9C). This phenotype was significantly less pronounced in the cells deficient in IL-17 signaling. A pro-fibrotic profile has been described for Gr1 high -derived Gr1 low monocytes/macrophages in renal fibrosis [32]. Among Il17ra -/cells, the proportion of these Gr1 low cells was significantly lower than in wt cells in the same environment ( figure 9D). UUO markedly increased proliferation of renal leukocytes ( figure 9E). This was significantly dampened in the absence of Il17ra.
Renal histology was assessed in mice reconstituted with either wt or Il17ra -/bone marrow (figure 10). The proportion of fibrotic tissue area assessed with Sirius red staining and anti-aSMA staining was significantly lower in the absence of bone marrow Il17ra (figure 10A-C). mRNA expression of the pro-fibrotic molecules collagen I, fibronectin and CTGF was also significantly decreased ( figure 10D). Leukocyte infiltration is difficult to compare in kidney at different stages of fibrosis, however, there was a tendency towards less absolute CD45 + and CD11b + leukocyte infiltration in the absence of myeloid Il17ra in complete bone marrow chimeric mice (data not shown). These data suggest that lack of IL-17 receptor A on the myeloid cell level significantly alters inflammation and diminishes fibrosis in renal obstruction.

Discussion
Our data demonstrate a role for IL-17 receptor in maintenance of the Gr1 low monocyte population and macrophages in vivo.
Most markedly in mixed chimeric mice, where cell-specific effects can be tested, Il17ra -/-Gr1 low monocyte numbers were decreased. Different from the monocyte phenotype observed in M-CSF receptor CD115 blockade or M-CSF scavenging [7,8] or deficiency in nuclear receptor NUR77 [9] we did not observe significant differences in monocyte cell death between the genotypes. Also, bone marrow progenitors and initial recovery after monocyte depletion was unaltered.
Our data might suggest a different mechanism how IL-17 modulates monocyte counts; Gr1 high to Gr1 low monocyte passage was altered and appeared defective in Il17ra -/monocytes. While a Figure 9. Reduced renal macrophage generation in response to urethral obstruction in the absence of IL-17 receptor. Renal fibrosis was induced by unilateral ureteral obstruction (UUO) in mixed wt/Il17ra -/bone marrow chimeric mice. Myeloid cell accumulation in the obstructed kidney was assessed for wt and Il17ra -/cells in identical environments (A,B) Total CD11b + myeloid cell infiltration to the kidney (A, ctrl = contralateral kidney, UUO = obstructed kidney) and their genotype (B, #indicates significance level against expected 50% wt ratio, *between UUO and ctrl) was determined. (C,D) For assessment of differentiation, renal myeloid cell CD11c, F4/80 (C) and Gr1 (D) surface marker expression was tested (n = 6 from specific genetic marker that could indicate the passage from Gr1 high to Gr1 low is not currently available, we made efforts to study this phenomenon as directly as possible with two independent methods, BrdU pulse-labeling and injection of latex beads [13] with very similar results. Consistent with this interpretation of the data, bone marrow Il17ra -/-Gr1 low monocytes had more recently proliferated than wtGr1 low cells which would be expected in the absence of or at strongly reduced rates of cells converted from Gr1 high cells. Interestingly, initial Il17ra -/-Gr1 low monocyte recovery after monocyte depletion was normal. This is consistent with the hypothesis that some Gr1 low monocytes may be different from the large proportion of Gr1 low monocytes that is observed in wt cells under resting conditions regarding their requirement of the Il17ra signal. Genetic labeling techniques will be required to further test this proposition.
Gr1 low monocytes are precursors of pulmonary resident macrophages [12,15]. Indeed, we found that the proportion of Il17ra -/cells was decreased among resident pulmonary and also splenic and peritoneal macrophages. Some resident macrophages may be slow-replicating and even not radiosensitive [12], however with our transplantation strategy, residual wt cells would by grouped together with the Il17ra -/cells and thereby obscure and not increase a Il17ra -/specific phenotype. In many forms of acute monocytic inflammation, mostly Gr1 high monocytes are recruited [5]. Consistently, in our experiments in peritonitis in mixed chimeric wt/Il17ra -/mice, peritoneal CD115 + cell numbers were equal for both genotypes. This difference from complete Il17ra -/and Il17a -/mice, where total cell numbers were reduced [21], may be due to lack of IL-17 induced second messengers such as chemokines from e.g. epithelial cells [18]. In contrast, CD11c, which is expressed on Gr1 low monocytes [1][2][3], was decreased on peritoneal Il17ra -/-CD11b + myeloid cells in both, fully gene deficient mice and mixed chimeras. Similar results were found in UUO. This suggests that myeloid CD11c expression modulation by IL-17 is cell intrinsic.
Il17ra is required for at least IL-17A, IL-17F, IL-17C and IL-17E signal [19]. Further work on mice deficient in one or more the Il17ra binding cytokines is required to elucidate whether all of them are required or they can substitute for another at baseline and/or specific inflammatory conditions.
Monocytes and monocyte-derived macrophages are also important for host response to infections [1][2][3]. Peritoneal listeriosis is an infection that induces Gr1 low before Gr1 high monocyte infiltration [17]. Our finding that Il17ra promotes Gr1 low monocyte counts may provide a mechanism for the fact that IL-17 mediates immunity against this pathogen and IL-17 enhances antigen presenting cell function [33]. Our data showing that Il17ra enhances myeloid CD11c expression, a marker of dendritic cells in mice, is consistent with a direct IL-17 effect.
Not only beneficial inflammation, but also tissue destruction in fibrosis is associated with macrophage accumulation. We investigated the effect of Il17ra on myeloid cells in renal fibrosis and found a decrease in Il17ra -/macrophages in direct comparison of wt and Il17ra -/cells in mixed chimeric mice. This is reminiscent of anti-M-CSF receptor therapy that inhibits macrophage accumulation in renal inflammation in ureteral obstruction [34], lupus nephritis, [35] and diabetic nephropathy [36]. In addition to reduced numbers, their phenotype was altered. In UUO, Gr1 highderived Gr1 low monocytes/macrophages have been shown to express pro-fibrotic mediators [32]. Our results show that this group was significantly decreased in the absence of Il17ra. Our study prompts further investigation of functional differences between wt and Il17ra -/monocytes and macrophages. This will also have to take into account possible compensatory mechanisms in the complete absence of Il17ra. Blood monocyte TNFa production in response to LPS was very similar in wt and Il17ra -/in the same environment (data not shown) and phagocytosis of latex beads was very similar (figure 7), however, this may be altered for different substrates and during macrophage differentiation.
Recent reports propose IL-17A as an important mediator in non-renal fibrosis, bleomycin induced pulmonary fibrosis [37,38] and hepatic fibrosis induced by either cholestasis or hepatotoxic agents [39]. Interestingly, the decrease in hepatic fibrosis was completely mediated by Il17ra deficiency on hematopoietic cells [39]. Also in the kidney, our experiments show a highly significant decrease in fibrosis in mice deficient only in bone-marrow Il17ra. Our finding that Il17ra modulates myeloid cell infiltration and phenotype in renal fibrosis may therefore represent a mechanism also for the hepatic disease. As IL-17 receptor ligands are soluble serum factors, blockade should be investigated as a therapeutic targets in the treatment of pro-inflammatory disease processes in tissue fibrosis.
In summary, our data demonstrate Il17ra a novel regulator of monocyte homeostasis and macrophage development during fibrosis in vivo.