Blood coagulation factor XII drives adaptive immunity during neuroinflammation via CD87-mediated modulation of dendritic cells

Nat Commun. 2016 May 18:7:11626. doi: 10.1038/ncomms11626.

Abstract

Aberrant immune responses represent the underlying cause of central nervous system (CNS) autoimmunity, including multiple sclerosis (MS). Recent evidence implicated the crosstalk between coagulation and immunity in CNS autoimmunity. Here we identify coagulation factor XII (FXII), the initiator of the intrinsic coagulation cascade and the kallikrein-kinin system, as a specific immune cell modulator. High levels of FXII activity are present in the plasma of MS patients during relapse. Deficiency or pharmacologic blockade of FXII renders mice less susceptible to experimental autoimmune encephalomyelitis (a model of MS) and is accompanied by reduced numbers of interleukin-17A-producing T cells. Immune activation by FXII is mediated by dendritic cells in a CD87-dependent manner and involves alterations in intracellular cyclic AMP formation. Our study demonstrates that a member of the plasmatic coagulation cascade is a key mediator of autoimmunity. FXII inhibition may provide a strategy to combat MS and other immune-related disorders.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adaptive Immunity*
  • Adult
  • Aged
  • Animals
  • Cell Differentiation
  • Dendritic Cells / immunology*
  • Encephalomyelitis, Autoimmune, Experimental / immunology*
  • Factor XII / immunology*
  • Factor XII / metabolism
  • Female
  • Humans
  • Interleukin-17 / metabolism
  • Kallikreins / metabolism
  • Kinins / metabolism
  • Male
  • Mice, Inbred C57BL
  • Middle Aged
  • Multiple Sclerosis / blood
  • Multiple Sclerosis / immunology*
  • Receptors, Urokinase Plasminogen Activator / metabolism
  • T-Lymphocytes / metabolism
  • Young Adult

Substances

  • Il17a protein, mouse
  • Interleukin-17
  • Kinins
  • Plaur protein, mouse
  • Receptors, Urokinase Plasminogen Activator
  • Factor XII
  • Kallikreins