The E3 ligases Itch and WWP2 regulate autoimmune neuroinflammation by controlling T<sub>H</sub>2 to T<sub>H</sub>17 cell conversion via interleukin-4-STAT5 axis in mice.

Zhao, Mei; Zhang, Chao; Zhang, Xin; Mu, Qingdian; Li, Qian; Liu, Yun-Cai · Nat Commun · 2026

basic_science · Level V

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Abstract

Multiple sclerosis (MS) is a neurodegenerative autoimmune disease primarily mediated by T helper 17 (T<sub>H</sub>17) cells. We previously showed that Itch/WWP2 double knockout (DKO) T cells produce high levels of type 2 cytokines, driving spontaneous autoinflammation. Here, we report that DKO T<sub>H</sub>2-high carrying autoantigen-specific TCR (2D2) develop atypical spontaneous experimental autoimmune encephalomyelitis (EAE), with CD4<sup>+</sup> T cells simultaneously producing IL-4 and GM-CSF, directly causing neuroinflammation. Unexpectedly, IL-4 deletion in DKO T<sub>H</sub>2-high 2D2 mice exacerbates T<sub>H</sub>17-driven classical EAE, indicating a T<sub>H</sub>2 to T<sub>H</sub>17 conversion. Furthermore, we show that the JAK3/STAT5 signaling pathway is critical for maintaining T<sub>H</sub>2 lineage stability by modulating Blimp1 and c-Maf thereby suppressing T<sub>H</sub>17 differentiation. Importantly, we find that this phenomenon can also be observed in dupilumab-treated patients with atopic dermatitis who develop psoriasis. Thus, our findings uncover the molecular antagonism and plasticity in the T<sub>H</sub>2 and T<sub>H</sub>17 cell programs and identify potential therapeutic targets for modulating T<sub>H</sub>2 and T<sub>H</sub>17 cell responses in autoimmune diseases.

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