IL-17C is a cytokine involved in epithelial immunity and inflammation. Antibodies targeting IL-17C are under investigation for inflammatory diseases such as atopic dermatitis (AD) and autoimmune conditions.
Efficacy: The antibody demonstrated insufficient efficacy in Phase 2 trials for moderate-severe AD, leading to study termination .
Pharmacokinetics:
Safety: Well-tolerated, with a safety profile comparable to approved AD biologics .
Signaling Pathways: IL-17C signals via NF-κB and MAPK pathways to induce antibacterial peptides (e.g., S100A8/9, REG3A/G) and pro-inflammatory molecules .
Synergy: Acts with IL-22, TNF, and IL-1β to amplify epithelial responses .
IL-17C: Detected in rare EST sequences (e.g., adult prostate, fetal kidney) .
Tissue Distribution: Observed in lymphocytes of Crohn’s intestine and PC-3 prostate cancer cells .
Autoimmune Diseases: Enhanced IL-17C signaling may exacerbate conditions like psoriasis or inflammatory bowel disease .
Infectious Diseases: Role in epithelial defense against bacterial pathogens (e.g., intestinal pathogens) .
IL-17C is a member of the IL-17 superfamily that primarily functions as a cytokine playing crucial roles in innate immunity of the epithelium. Unlike other members of the IL-17 family that are primarily secreted by T cells, IL-17C is produced by a wide spectrum of cells including macrophages. It stimulates the production of antibacterial peptides and pro-inflammatory molecules for host defense by signaling through the NF-kappa-B and MAPK pathways. IL-17C acts synergistically with IL-22 in inducing the expression of antibacterial peptides, including S100A8, S100A9, REG3A, and REG3G. Similar synergy is observed with TNF and IL1B in inducing DEFB2 from keratinocytes . The cytokine can exhibit both protective and pathogenic properties depending on the type of insult, either by maintaining epithelial homeostasis following inflammatory challenge or by promoting inflammatory phenotypes .
IL-17C differs from other IL-17 family members primarily in its cellular origin and target cells. While most IL-17 family cytokines are produced by T cells, IL-17C is secreted by a wider spectrum of cells including macrophages, rather than T cells . Research has demonstrated that IL-17C is expressed in CD11b+ MHC class II macrophages, CD11c+MHC class II dendritic cells, and various tissues under inflammatory conditions . Furthermore, normal human tissues barely express IL-17C under physiological conditions, but its expression becomes significant in inflammatory conditions characterized by macrophage infiltration . This distinctive expression pattern suggests specialized functions in tissue-specific inflammatory responses compared to other IL-17 family members.
The primary cellular sources of IL-17C in experimental systems include:
Macrophages (CD68+ cells) - In aseptic loosening samples, approximately 55.32% ± 10.11% of CD68+ macrophages were found to colocalize with IL-17C
Synovial fluid mononuclear cells in rheumatoid arthritis patients
Human keratinocytes, particularly when stimulated with TNF-alpha
These diverse cellular sources make IL-17C distinct from other IL-17 family members and suggest complex roles in different physiological and pathological contexts.
For detecting IL-17C expression in tissue samples, immunofluorescence analysis has been demonstrated to be an effective approach. A validated protocol includes:
Preparation of paraffin sections (4-μm thick), followed by deparaffinization and rehydration using routine methods
Antigen retrieval performed by maintaining sections at a moderate boil in citric acid buffer solution (pH 6.0)
Blocking non-specific binding sites with 10% normal rabbit serum for 40 minutes
Application of primary antibodies (e.g., goat anti-human IL-17C at 20 μg/ml) with overnight incubation at 4°C
Washing five times with PBS (5 minutes each)
Application of appropriate secondary antibodies (e.g., rabbit anti-goat CY3-labeled)
For co-localization studies to identify cellular sources, double immunofluorescence staining with cell-specific markers (e.g., CD68 for macrophages) can be employed. Semi-quantitative analysis of immunofluorescence can be conducted by measuring mean optical density of staining .
When designing experiments to assess IL-17C's role in inflammatory conditions, researchers should consider:
Model selection: Choose appropriate disease models where IL-17C may play a role. Studies have successfully used:
Experimental approaches:
Immunofluorescence or immunohistochemistry to detect and localize IL-17C in tissues
Co-localization studies with cell-specific markers to identify cellular sources
Functional studies using anti-IL-17C antibodies to block IL-17C signaling
Comparison between diseased tissues and appropriate controls
Controls and validation:
When designing antibody-based therapies targeting IL-17C, researchers should consider:
Target validation: Confirm the role of IL-17C in the specific disease pathology through preclinical models and human tissue studies
Antibody characteristics:
Specificity: Ensure antibodies specifically target IL-17C without cross-reactivity with other IL-17 family members
Affinity: Develop antibodies with optimal binding affinity for IL-17C
Format: Consider different antibody formats (e.g., monoclonal, recombinant) based on application
Administration routes:
Pharmacokinetic considerations:
Safety monitoring:
When faced with conflicting results regarding IL-17C efficacy across different disease models, researchers should:
Contextual analysis:
Methodological considerations:
Analyze differences in experimental methodologies that could explain discrepancies
Assess variations in antibody specificity, dosing regimens, and routes of administration
Review the timing of interventions relative to disease stage
Translational gaps:
Statistical power and study design:
Mechanistic investigations:
Conduct additional mechanistic studies to understand why IL-17C targeting may succeed in some contexts but fail in others
Consider potential compensatory mechanisms that might limit efficacy in certain disease states
Common technical challenges in IL-17C antibody production and validation include:
Specificity issues:
Ensuring antibodies specifically recognize IL-17C without cross-reactivity with other IL-17 family members
Validating specificity through multiple approaches (Western blot, ELISA, immunoprecipitation)
Sensitivity challenges:
Detecting IL-17C in tissues with low expression levels
Optimizing signal-to-noise ratio in detection methods
Validation across applications:
Ensuring antibodies work consistently across different applications (immunohistochemistry, flow cytometry, functional blocking)
Validating antibodies for use in different species when conducting translational research
Reproducibility concerns:
Batch-to-batch variation in antibody production
Standardizing validation protocols across laboratories
Functional validation:
To determine optimal dosing regimens for anti-IL-17C antibodies in experimental studies, researchers should:
Conduct dose-response studies:
Consider administration frequency:
Monitor pharmacokinetic parameters:
Assess target engagement:
Determine whether the antibody effectively binds to IL-17C at the chosen dose
Measure downstream effects on IL-17C signaling pathways
Balance efficacy and safety:
IL-17C signaling demonstrates complex interactions with multiple inflammatory pathways:
Synergistic effects with other cytokines:
NF-κB and MAPK pathway activation:
Autocrine feedback mechanisms:
Dual roles in tissue homeostasis:
Interplay with innate immune mechanisms:
Emerging hypotheses regarding IL-17C's role in non-canonical disease processes include:
Aseptic loosening of implants:
Epithelial homeostasis regulation:
Macrophage-driven inflammation:
Autocrine inflammatory regulation:
To determine the therapeutic potential of IL-17C neutralization in novel disease targets, researchers should employ:
Comprehensive tissue expression profiling:
Mechanistic studies in relevant models:
Develop appropriate disease models that recapitulate key pathological features
Test IL-17C neutralization at different disease stages
Assess impact on disease-specific endpoints and inflammatory markers
Translational approach from preclinical to clinical studies:
Pharmacodynamic biomarker development:
Identify and validate biomarkers that respond to IL-17C neutralization
Use these to monitor target engagement in clinical studies
Correlate biomarker changes with clinical outcomes
Futility analysis framework:
Implement interim analyses to assess probability of achieving primary endpoints
This approach can prevent unnecessary continuation of studies unlikely to demonstrate efficacy
Example: The MOR106 studies were terminated after futility analysis indicated low probability of achieving primary efficacy endpoints in atopic dermatitis