IL-24 intrinsically regulates Th17 cell pathogenicity in mice

Th17 cells restrain their own pathogenicity by producing IL-24, which induces IL-10 in a cell-intrinsic manner. IL-24 creates a STAT3 sink at the inner mitochondrial membrane and contributes in redirecting STAT3 from the nucleus to the mitochondrial compartment.


Introduction
T helper 17 (Th17) cells have been established as a distinct lineage of T helper cells, which orchestrate host defense at epithelial barriers, in particular against fungi and distinct extracellular bacteria (Korn et al., 2009). Because of the broad tissue response to cytokines produced by Th17 cells, the extent of immunopathology in Th17-mediated immune reactions can be dramatic, and they have been involved in the pathogenic cascade in a variety of autoimmune diseases including psoriasis (Lowes et al., 2008), rheumatoid arthritis (Sato et al., 2006), and multiple sclerosis (Brucklacher-Waldert et al., 2009). Adaptive immunopathology is tightly regulated, and effector T cell intrinsic expression of IL-10 has long been identified as an important means to autoregulate effector T cell responses (Mathisen et al., 1997). For instance, in Toxoplasma gondii infection and tuberculosis, expression of IL-10 by Th1 cells in a STAT4-dependent manner in response to sustained exposure to IL-12 is critical to restrict exaggerated immunopathology (Jankovic et al., 2010). Effector T cell intrinsic regulation has also been described for Th17 cells, which respond to IL-12 and IL-27 by upregulating IL-10 in a Blimp1-dependent manner (Heinemann et al., 2014). However, neither IL-12 nor IL-27 is produced by T cells themselves; they need to be provided by the inflammatory environment (primarily by myeloid cells) to induce downmodulatory pathways in T cells. In contrast, imprinting of IL-10 production in Th2 cells requires repetitive stimulation in the presence of IL-4 (an intrinsic product of Th2 cells) and is thus independent of exogenous factors, constituting a T cellautonomous regulatory loop (Lohning et al., 2003).
Here, we wondered whether similar pathways of effector T cell-intrinsic regulation of IL-10 also exist in the context of sustained Th17 cell responses. IL-24 has been identified in the transcriptional module of nonpathogenic Th17 cells (Gaublomme et al., 2015). IL-24 belongs to the IL-20 family of cytokines and is produced by T cells and monocytes, but also by nonhematopoietic cells such as melanocytes and endothelial cells (Rutz et al., 2014). IL-24 signals through a receptor complex composed of IL-20Rα and IL-20Rβ (Logsdon et al., 2012). The same receptor complex is also used by the close IL-24 relatives IL-19 and IL-20. Alternatively, IL-24 (like IL-20 but not  can signal through the IL-22Rα1/IL-20Rβ receptor complex (Logsdon et al., 2012). Genetic ablation of Il20rb indicated that IL-20Rβ signaling in T cells decreases the production of IL-2 and IFN-γ and increases IL-10 upon antigen-specific stimulation, identifying IL-24 as a rather downregulatory cytokine (Wahl et al., 2009). In addition, IL-24 lowered GM-CSF production in T cells in a SOCS3-dependent manner (Chong et al., 2020). Although Il20rb −/− mice did not show a phenotype in Citrobacter rodentium infection (Zheng et al., 2008), another strain of Il20rb −/− mice showed aggravated contact hypersensitivity reactions, supporting an immunomodulatory function of IL-20 family cytokines (Wahl et al., 2009). IL-20Rβ is also expressed in nonhematopoietic cells. For instance, in keratinocytes and astrocytes, IL-24 inhibits the production of IL-1β and IL-6, respectively (Burmeister et al., 2019;Myles et al., 2013). Therefore, IL-24 can drive an immunoregulatory feedback loop independent of adaptive immune cells. Notably, IL-19 and IL-20 but not IL-24 induce hyperkeratosis in response to IL-23 (Chan et al., 2006), suggesting that IL-24 does not appear to be associated with dysfunctional tissue responses. IL-24 is proapoptotic in tumor cells through downregulation of Bcl-xL and induction of p53 (Yacoub et al., 2004). Interestingly, a nonsecretable form of IL-24 had effects similar to those of the secreted full-length isoform of IL-24 , and therefore, an intracellular function of IL-24 independent of its membrane receptor has been proposed. In yeast two-hybrid-screens, IL-24 physically interacted with Grim19 (also called Ndufa13), a subunit of the NADH dehydrogenase 1 (complex I) of the electron transport chain located at the inner mitochondrial membrane (Hu et al., 2016). Grim19, in turn, was shown to also interact with STAT3 and target it into the inner mitochondrial membrane, where it modulates cellular respiration (Gough et al., 2009;Tammineni et al., 2013).
In this study, we reveal that IL-24 exerts a fundamental function in T cells independent of its surface receptor IL-20Rβ. By interacting with Grim19 and promoting the recruitment of STAT3 to mitochondria, intracellular IL-24 contributes to channeling STAT3 away from its regular nuclear signal transduction pathway. Therefore, as an integral part of the Th17 portfolio of cytokines, IL-24 establishes a Th17 cell-intrinsic negative regulatory loop. Targeting IL-24 in gain-and loss-offunction approaches may provide a therapeutic rheostat of ongoing Th17 responses.

IL-24 is expressed in nonpathogenic and pathogenic Th17 cells
Gene expression of Il24 has been reported to be increased in Th17 cells differentiated with TGF-β plus IL-6 compared with Th0 culture conditions (Yosef et al., 2013). While it has been argued that expression of Il24 is a feature of nonpathogenic Th17 cells (Gaublomme et al., 2015) as compared to pathogenic Th17 cells (Ghoreschi et al., 2010), the function of IL-24 in T cells has not been systematically investigated. When revisiting our own data from a previous study (Heinemann et al., 2014), we confirmed that IL-24 was expressed in Th17 cells differentiated from naive T cells with TGF-β plus IL-6, but not in Th1 cells (Fig. 1 a). To assess the expression of IL-24 in different Th cell subsets, we sorted naive T cells from murine spleen and differentiated them to Th1, Th2, induced T regulatory (iTreg), and Th17 cells using the indicated cytokine cocktails. Th17 cells were differentiated either with TGF-β plus IL-6 (nonpathogenic Th17 cells) in the presence or absence of IL-1β or with IL-6 plus IL-23 plus IL-1β (in the absence of TGF-β, pathogenic Th17 [Th17path] cells). Although Th1 cells did not express IL-24, Il24 mRNA and secreted protein were detected in Th2 and Th17 cells (Fig. 1, b and c). Th17path cells contained even higher amounts of IL-24 mRNA and secreted more IL-24 into the supernatant than nonpathogenic Th17 cells (Fig. 1, b and c), suggesting that IL-24 expression was not a discriminating feature between these Th17 cell subsets.
The expression of IL-24 in T cells is regulated in a transcriptional and posttranscriptional manner The induction of IL-24 in both nonpathogenic and pathogenic Th17 cells suggested that the STAT3 pathway might be involved in the induction of IL-24, since STAT3 activation is common in the developmental program of these T cell subsets (Hirahara et al., 2015) and is also required for the generation of Th2 cells (Stritesky et al., 2011), which, in contrast to Th1 cells, express high amounts of IL-24. STAT3 chromatin immunoprecipitation sequencing (ChIP-seq) indicated that STAT3 bound to Il24 to a similar extent as to a classic STAT3 target such as Ahr (Fig. 2 a), and a luciferase construct bearing the minimal promoter of Il24 transfected in EL4 cells responded to the stimulation with TGF-β plus IL-6, which induces STAT3, but not to stimulation conditions in Th0 cultures (Fig. 2 b). However, when we tested naive Stat3 +/− T cells or Stat3 −/− T cells, differentiated under Th17 conditions (TGF-β plus IL-6), we did not observe differences in Il24 mRNA or secreted IL-24 protein compared with wild-type T cells as long as TGF-β was present (Fig. 2, c and d), whereas STAT3 was absolutely necessary for the induction of Il24 in the absence of TGF-β, such as upon stimulation with IL-27 (Tr-1 condition) or in Th17path conditions (Fig. 2, c and d).
Th17path cells were more abundant in Il24 mRNA than nonpathogenic Th17 cells, yet Il24 promoter activity was not further enhanced by IL-1β compared with stimulation with TGFβ plus IL-6 ( Fig. 2 b). Therefore, we considered whether IL-1β could exert a posttranscriptional regulation of Il24 mRNA. IL-1β can control the stability of mRNAs by inducing and activating mRNA binding proteins (Cok et al., 2003). To test this possibility, we measured the kinetics of Il24 mRNA decay in EL4 cells under conditions of blockade of de novo gene transcription with actinomycin D. In the presence of IL-1β, the decay of Il24 mRNA was delayed, suggesting that IL-1β enhanced the stability of Il24 mRNA in EL4 cells cultured with TGF-β plus IL-6 ( Fig. 2  e). It is a common feature of RNA-stabilizing proteins to bind to AU-rich elements (AREs) in the 39 UTR of RNAs (Keene, 2007). Therefore, we nucleofected EL4 cells with a luciferase construct comprising either the intact 39 UTR of Il24 or a 39 UTR lacking AREs. When AREs were eliminated from the Il24 construct, the Il24 RNA-increasing effect of IL-1β was abolished (Fig. 2 f). Taken together, these data indicated that IL-1β increased the abundance of Il24 mRNA by increasing its stability.

IL-24 is expressed in Th17 cells in vivo
Next, we wanted to test whether Th17 cells expressed IL-24 in vivo. Therefore, experimental autoimmune encephalomyelitis (EAE) was induced by immunization with myelin oligodendrocyte glycoprotein ) in a reporter mouse strain, in which IFN-γ-producing T cells are labeled by YFP (Reinhardt et al., 2009) and IL-17-producing T cells by hNGFR (Price et al., 2012). CD4 + T cells were isolated from the central nervous system (CNS) and sorted directly ex vivo according to their expression of IFN-γ and IL-17. Il24 mRNA was most abundant in IL-17 + T cells but absent in IFN-γ + singlepositive T cells (Fig. 3 a). IL-24 is a "late" cytokine in Th17 cells (Fig. S1 a). Therefore, we sorted T cells from the CNS 2 d after the peak of EAE. At that time point, the fraction of IL-17A/ IFN-γ double producers was already very low, potentially affecting the robustness of the Il24 measurement in the IL-17A/ IFN-γ double-producing compartment (Fig. 3 a). Notably, Il24 and Il10 were coexpressed in IL-17A single producers but not the IFN-γ single producers (Fig. 3 a). Because IL-24 production segregated with IL-10 production by Th17 cells in vitro (Fig. 3 b), we used IL-10 (GFP) reporter mice (Madan et al., 2009) to isolate IL-10 GFP + T cells from the CNS shortly after the peak of EAE and tested their potential to produce IL-24. Il24 mRNA was more prominently expressed in IL-10 GFP + than in IL-10 GFP − T cells (Fig. 3 c). Interestingly, even though fewer than in the IL-10 GFP − T cell fraction, IL-10 GFP + T cells comprised both IFN-γ producers and IL-17 producers (Fig. 3 c, right panels). These data suggested that IL-24 was expressed in Th17 cells in vivo and was associated with effector T cells that acquired the capacity to produce IL-10. Because Th1 cells do not express IL-24, but are present among IL-10 producers, alternative IL-10-supporting pathways independent of IL-24 are likely operational in Th1 cells.
IL-24 regulates IL-10 production in a T cell-intrinsic manner To elucidate whether IL-10 production was mechanistically linked with the capacity of T cells to produce IL-24, we assessed the cytokine profile of Th17 cells differentiated from wild-type or IL-24-deficient naive T cells in the presence of TGF-β plus IL-6. While the fraction of IL-17 producers was identical in wildtype and Il24 −/− Th17 cells, IL-10 + cells were significantly reduced in Il24 −/− Th17 cells compared with their wild-type counterparts. We noticed a gene dose effect, since Th17 cells derived from naive heterozygous Il24 +/− T cells produced half as much IL-10 as wild-type Th17 cells, while IL-24-deficient Th17 cells exhibited largely reduced IL-10 production (Fig. 4 a). The proliferation of IL-24-sufficient and -deficient Th17 cells was similar despite their differential production of IL-10 ( Fig. S1 b). However, both IL-24 and IL-10 were found to be late cytokines during T cell activation compared with IL-17 ( Fig. S1 a), and the increase in IL-24 production in Th17 cells coincided with the growing difference in IL-10 production between wild-type and IL-24-deficient Th17 cells.
We used sorted naive (CD4 + CD44 low CD62L high CD25 − ) T cells for our differentiation cultures. Yet it was possible that wildtype and Il24 −/− naive T cells had different transcriptional preimprintings. Therefore, we sought to investigate whether acute loss of IL-24 in mature T cells would also modulate their capacity to produce IL-10 during Th17 differentiation. Indeed, disruption of the Il24 locus by CRISPR/Cas9 in wild-type (Cas9 transgenic) T cells diminished their production of IL-10 upon Th17 Figure 1. IL-24 segregates with the Th17-associated portfolio of cytokines. (a) Naive T cells were differentiated into Th0, Th1, or Th17 cells (TGF-β plus IL-6). Their transcriptome was assessed by microarray analysis (Heinemann et al., 2014). (b and c) The indicated T cell subsets were differentiated for 3 d from naive T cells in vitro, followed by analysis of RNA and culture supernatants by RT-qPCR and ELISA, respectively. Both readouts show summarized data (mean ± SEM) from two independent experiments. Asterisks indicate significance level after one-way ANOVA followed by Sidak's multiple comparison test (multiplicity-adjusted P values: ****, P < 0.0001; ***, P < 0.001; **, P < 0.01), with asterisks on top relating to results from tests against Th0 and black lines indicating individual results from tests against Th17. (b) Results from RT-qPCR using TaqMan assays, showing Il24 normalized to Actb expression with log-transformed values relative to Th0. differentiation with TGF-β plus IL-6 compared with Cas9 transgenic T cells transduced with an irrelevant control singleguide RNA (gRNA; Fig. 4 b). In contrast, the capacity of CRISPR/ Cas9-engineered IL-24-deficient T cells to produce IL-17 or GM-CSF was not increased compared with control T cells (not depicted). The gene loci for Il24 and Il10 are both on chromosome 1 at a distance of ∼140 kB. To minimize the risk of disruption of gene regulatory elements on chromosome 1, we chose to silence IL-24 expression by transfection with Il24-specific siRNAs as an alternative method. Compared with the introduction of control siRNA, IL-24 knockdown by siRNA also resulted in reduced expression of IL-10 in Th17 cells (Fig. 4 c).  Durant et al., 2010) with the Ahr promoter (right) shown on the same scale for reference. (b) Il24 minimal promoter assay summarizing normalized data from seven independent experiments (mean ± SEM). EL4 murine thymoma cells were transfected with pXPG vector with or without the Il24 minimal promoter and costimulated with plate-bound anti-CD3 and soluble anti-CD28 for 48 h in the presence of cytokines to induce the indicated Th subsets. Cells were stimulated for 4 h with PMA/ionomycin and then lysed. Relative luminescence of luciferase activity normalized to renilla. Asterisks indicate significance level for selected tests against the Th0 subset as determined by Tukey's multiple comparison test after one-way ANOVA (****, P < 0.0001). (c and d) In the presence of TGF-β, the expression of Il24 is independent of STAT3. Naive T cells from Stat3 +/+ wildtype C57BL/6, Stat3 +/− , and Stat3 −/− mice were sorted and costimulated for 3 d under standard Th17 conditions (TGF-β plus IL-6), Th17path conditions (IL-1, IL-6, and IL-23), or Tr-1 conditions (TGF-β plus IL-27 or IL-27 alone). (c) RT-qPCR quantification of Il24 expression normalized to Actb and relative to the wild-type expression level for each condition. Summary of normalized data from five independent experiments (mean ± SEM). (d) Secretion of IL-24 into the supernatant as assessed by ELISA, summary of three independent experiments (mean ± SEM; log-transformed data). Asterisks indicate significance level of Dunnett's multiple comparison test after two-way ANOVA (****, P < 0.0001; ***, P < 0.001; **, P < 0.01). (e) IL-1β stabilizes Il24 mRNA. Decay of Il24 mRNA under actinomycin D treatment as measured by RT-qPCR in EL4 cells differentiated toward Th17 cells for 72 h and then followed for 16 h in the presence or absence of IL-1β. Half-life was calculated using nonlinear regression (one-phase decay). Data is representative of two independent experiments, with mean ± SEM of three biological replicates per group depicted. (f) Luciferase reporter activity in EL4 cells under various Th conditions after 48 h of culture, transfected with empty pMIR-GLO or vector containing Il24 39 UTR with and without AREs in the reporter construct. Relative luminescence of luciferase activity normalized to renilla. Summary of normalized data from four independent experiments (mean ± SEM). Asterisks indicate significance level as determined by Tukey's multiple comparison test after one-way ANOVA (****, P < 0.0001; ***, P < 0.001; **, P < 0.01). Smart × Great reporter mice, in which IL-17A is reported by hNGFR and IFN-γ by YFP, were immunized for EAE, and 2 d after the peak of disease, CD4 + T cells were isolated from the inflamed CNS and sorted for the indicated cytokine-producing subpopulations, and each of them was subjected to RT-qPCR analysis for relative expression of Il24, normalized to Actb. Summarized data from two independent experiments (mean ± SEM). For quantification of IL-10-producing fractions among the indicated IL-17A/IFN-γ populations, Smart × Great mice were crossed with IL-10 (GFP) reporter mice and subjected to EAE, followed by flow cytometric analysis of CNS infiltrates (10 biological replicates, mean ± SEM). Asterisks indicate significance level of Tukey's multiple comparison test (*, P < 0.05). (b and c) IL-24 is coexpressed with IL-17 and IL-10 in vitro and in vivo. (b) In vitro differentiation of naive CD4 + T cells from IL-17A (hNGFR) × IL-10 (GFP) reporter mice into Th17 cells for 3 d, sorted for the indicated cytokine-producing subpopulations, and subjected to RT-qPCR analysis of Il24, normalized to Actb. Summary of two independent experiments (mean ± SEM), with asterisks indicating significance level of Tukey's multiple comparison test (*, P < 0.05). (c) T cells from IL-10 (GFP) reporter EAE mice, 2 d after peak, were sorted according to IL-10 signal and subjected to RT-qPCR analysis of Il24 normalized to Actb. Summarized data from two independent experiments (mean ± SEM). For quantification of IFN-γ-and IL-17A-producing cells in the indicated IL-10 populations, IL-10 reporter mice were crossed to Smart × Great reporter mice and subjected to EAE and cytometry as outlined above (10 biological replicates, mean ± SEM). Asterisks indicate significance level of two-tailed t tests (****, P < 0.0001; ** P < 0.01). . The reduced IL-10 production in IL-24-deficient Th17 cells is a cell-intrinsic property. (a) Gene dose effect through titrating down the genetic availability of Il24 product directly impacts IL-10. Naive T cells from Il24 +/+ , Il24 +/− , and Il24 −/− mice were cultured for 3 d under Th17 conditions and then subjected to intracellular cytokine staining for IL-17 and IL-10. Representative flow cytometry plots (left) and quantification of relative fractions of cells that were either single-or double-positive for the indicated cytokines, normalized to Il24 +/+ levels for each population (right), summarizing 10 independent experiments (mean ± SEM). Relative fractions were derived by dividing the frequency of the indicated cytokine-expressing subset (among CD4 + cells) by the corresponding frequency of the Il24 +/+ (wild-type) genotype for each experiment. Therefore, for each subset, the relative fraction for Il24 +/+ itself was defined as 1, while a relative fraction lower than 1 indicates a decrease of that particular subset compared with the wild-type population in a given genotype and vice versa. Asterisks indicate significance level of Dunnett's multiple comparison test following two-way ANOVA (****, P < 0.0001). (b and c) Acute ablation of IL-24 reduces IL-10 expression in Th17 cells. (b) Naive Cas9 transgenic T cells were cultured in Th17 differentiation conditions. After retroviral transduction with gRNAs targeting Il24 or control (directed at the GFP transgene) on day 1, Th17 cells were analyzed for intracellular IL-10 on day 3. Representative FACS plots (left, pregated for viable and Thy1.1 + transduced CD4 + cells) and summary of four independent experiments (mean ± SEM) normalized to control (right). (c) Naive T cells from wild-type mice were cultured in Th17 differentiation conditions. Th17 cells were treated with siRNA targeting IL-24 or control siRNA (Ctrl) Because we used APC-free systems to differentiate Th17 cells, we hypothesized that T cell-derived IL-24 had an autocrine or paracrine effect to promote the production of IL-10 in effector T cells in a feedback loop. To test this possibility, we used Il20rb −/− T cells that cannot respond to extrinsic (soluble) IL-24. Notably, we found that Il20rb −/− Th17 cells were not impaired in their capacity to produce IL-10, and thus did not phenocopy the properties of Il24 −/− Th17 cells (Fig. 4, d and e), suggesting that IL-24 exerted an effect on Th17 cells independent of its plasma membrane receptor. Also, addition of exogenous IL-24 did not rescue the lack of IL-10 production in Il24 −/− T cells under Th17 culture conditions, and conversely, blockade of IL-24 with neutralizing antibodies did not reduce IL-10 production in wildtype Th17 cells ( Fig. 4 f), indicating that IL-24 subserved a robustly intrinsic effect on the regulation of IL-10 in Th17 cells that was independent of the surface expression of the IL-24 receptor on the plasma membrane.
To identify the failure of IL-24-deficient Th17 cells to produce IL-10 as an autonomous property of Il24 −/− T cells, we set up mixed cultures of IL-24-deficient and congenically marked wildtype T cells. Upon differentiation of naive sorted T cells into Th17 cells with TGF-β plus IL-6, Il24 −/− T cells always failed to express Il10, while their cocultured wild-type counterparts showed a robust amount of Il10 mRNA (Fig. 4 g). Even naive Il24 −/− T cells that matured in an IL-24-sufficient environment because they grew up in mixed bone marrow chimeric (MBMC) mice with congenically marked wild-type plus Il24 −/− bone marrow showed the same behavior, i.e., IL-24-deficient Th17 cells essentially lacked IL-10 production, while their cocultured wildtype bone marrow-derived companion T cells showed robust induction of IL-10 ( Fig. 4 g). Taken together, these data indicate that IL-24 acted by inducing IL-10 during Th17 differentiation in a cell-intrinsic manner.

IL-24 maintains IL-10 production in Th17 cells in vivo
To test a potential T cell-autonomous effect of IL-24 in vivo, we used two complementary approaches. First, we immunized MBMC mice (wild-type plus Il24 −/− bone marrow) for EAE and found that IL-10 was reduced in the IL-24-deficient T cell compartment, while IL-10 was robustly induced in wild-type T cells in the spleen and also in the CNS of diseased mice around the peak of EAE (Fig. 5, a and b; and Fig. S2 a). Second, we performed a "mixed" adoptive transfer EAE. We cotransferred genetically labeled wild-type MOG T cell receptor transgenic (2D2) Th17 cells with IL-24-deficient 2D2 Th17 cells into recipient Rag1 −/− mice. Before transfer, IL-24-deficient 2D2 Th17 cells produced markedly less IL-10, as expected ( Fig. S2 b). After re-isolation of the transferred T cells at the peak of EAE, IL-24-deficient 2D2 T cells maintained their dramatically decreased expression of IL-10, in particular in the spleen. In the CNS, this was less pronounced. Conversely, the GM-CSF expression in IL-24-deficient 2D2 T cells isolated from the CNS was significantly higher than in CNS-residing wild-type 2D2 T cells, consistent with prior reports (Chong et al., 2020;Fig. 5, c and d;and Fig. S2 c). In summary, these data lent credit to the idea that IL-24 promoted the induction and maintenance of IL-10 in Th17 cells in a cell-autonomous manner-a process that appeared universal but might be subject to a certain degree of compartment-specific modulation in vivo.
An intracellular mode of action of IL-24 is sufficient to modulate IL-10 expression IL-24 can act back on T cells via its surface receptor to modulate GM-CSF expression (Chong et al., 2020). However, IL-24 has also been linked with an intracellular function in previous studies . To test this possibility during Th17 differentiation, we reconstituted Il24 −/− T cells with either wildtype IL-24 or a truncated version of IL-24 that could not be secreted and analyzed IL-10 production in T cells transduced with the different constructs after Th17 differentiation. Whereas Il24 −/− Th17 cells transduced with empty vector (GFP) failed to produce IL-10 as before, the expression of the nonsecretable version of IL-24 rescued their IL-10 production, and expression of secretable IL-24 resulted in a partial rescue of IL-10 in transduced Th17 cells (Fig. 6 a), demonstrating that intracellular IL-24 was sufficient to support IL-10 production in Th17 cells. Together, these data were consistent with the idea that a posttranscriptional, merely intracellular, function of IL-24 was sufficient to maintain the full capacity of Th17 cells to produce IL-10.
IL-24 facilitates the relocation of STAT3 to mitochondria Interestingly, IL-24 was reported to physically interact with Grim19 (Hu et al., 2016). Grim19 is an integral membrane protein on day 1 and analyzed for intracellular IL-10 on day 3. Representative FACS plots (left, pregated for viable CD4 + cells) and summary (mean ± SEM) of four independent experiments (right). (b and c) Relative fraction indicates IL-10 + frequency (among CD4 + cells) for the respective treatment group divided by the corresponding IL-10 + frequency of the control group (gfp guide and control siRNA, respectively). Asterisks indicate significance level of two-tailed t tests (****, P < 0.0001; **, P < 0.01). (d and e) Absence of IL-24 receptors does not impact IL-10. Naive T cells from wild-type, Il20rb −/− , and Il24 −/− mice were cultured for 3 d under Th17 conditions and then subjected to (d) intracellular cytokine staining for IL-17 and IL-10 with representative cytometry plots (left, pregated for viable CD4 + T cells) and summary (mean ± SEM) of five independent experiments (right, indicated as relative fractions for each subset normalized to wild-type, as described above), as well as (e) RT-qPCR analysis for Il10 expression, summarized from seven independent experiments with data normalized to wild-type expression levels (mean ± SEM). Asterisks indicate significance level (****, P < 0.0001; *, P < 0.05) of Sidak's multiple comparison test (d) and Tukey's multiple comparison test (e). (f) Il10 expression is impervious to external IL-24. Naive T cells from Il24 +/+ and Il24 −/− mice were cultured for 3 d under Th17 conditions in the presence or absence of exogenous murine or human recombinant IL-24, or anti-IL-24 antibodies from rat or goat or their respective isotype controls, followed by RT-qPCR for Il10. Summary of two independent experiments (mean ± SEM). (g) Availability of natively secreted IL-24 does not impact Il10 expression in coculture. Naive T cells from congenically marked Il24 +/+ and Il24 −/− as well as from mixed bone marrow chimeric mice with 1:1 ratio of the two compartments were cocultured for 3 d under Th17 conditions and then sorted apart for individual RT-qPCR analysis of Il10 expression. Summary of seven independent experiments (mean ± SEM). In panels f and g, asterisks indicate significance levels of Sidak's multiple comparison test (****, P < 0.0001; ***, P < 0.001).
Figure 5. IL-24 regulates IL-10 in Th17 cells in a cell-autonomous manner in vivo. (a and b) MBMC mice were generated with a 1:1 chimerism of congenically marked CD45.1 wild-type (green gates) and Il24 −/− CD45.2 (red gates) bone marrow. (a) After induction of EAE, T cells were isolated at peak disease from the spleen (representative FACS plots, pregated for viable CD4 + cells) and the CNS (Fig. S2 a) and assessed for the production of cytokines by intracellular cytokine staining after ex vivo PMA/ionomycin stimulation. (b) Ratios of cytokine-positive fractions in IL-24-deficient vs. IL-24-sufficient T cells, summarized (mean ± SEM) from two independent experiments. (c and d) Mixed adoptive transfer EAE. Th17 cells were generated from naive wild-type 2D2 T cells (that were genetically labeled with mitoDendra2, a green fluorescent protein) or unlabeled naive IL-24-deficient 2D2 T cells. For cytokine production of Sie et al.
Journal of Experimental Medicine located in the inner mitochondrial membrane and part of complex I of the respiratory chain (Fearnley et al., 2001). We hypothesized that intracellular IL-24 would also locate to the inner mitochondrial membrane. Therefore, a Flag-tagged construct of IL-24 was nucleofected into Il24 −/− T cells and assessed for its localization by confocal microscopy under Th17 conditions. A punctate cytosolic distribution of IL-24 was observed colocalizing with mitochondria as visualized by Mitotracker dye (Fig. 6 b). Grim19 has also been shown to interact with STAT3 and sequester STAT3 to the inner mitochondrial membrane (Tammineni et al., 2013). We hypothesized that the interaction between Grim19 and STAT3 was facilitated by IL-24. Therefore, we measured the amount of STAT3 channeled into the inner mitochondrial membrane in Th17 cells in the presence or absence of IL-24. Il24 −/− Th17 cells had less mitochondrial STAT3 than wild-type Th17 cells (Fig. 6 c), and STAT3 was indeed pulled by anti-Grim19 in wild-type but not in Il24 −/− Th17 cells ( Fig. 6 d), suggesting that IL-24 mediated the Grim19-driven recruitment of STAT3 to the inner mitochondrial membrane in Th17 cells. To assess whether the different mitochondrial STAT3 pool sizes had an impact on the availability of nuclear STAT3 in wild-type vs. Il24 −/− Th17 cells, we analyzed the "decay" kinetics of nuclear STAT3 in Th17 cells after switching to IL-2 maintenance medium. Within 24 h, the decline of nuclear STAT3 was faster in Il24 −/− Th17 cells than in wild-type Th17 cells (Fig. 6 e). These data indicated that IL-24 indirectly affected STAT3 kinetics in the nucleus. To test whether STAT3 target genes were dysregulated on a genome-wide level in Il24 −/− Th17 cells, we performed RNA-seq experiments in wild-type and IL-24 deficient Th17 cells differentiated with TGF-β plus IL-6. Overall, the transcriptomes of wild-type and Il24 −/− Th17 cells were very similar, and only few genes were differentially expressed, including Il10, Fcmr, Rab4a, and Wdfy1 (Fig. 7, a and b). Classic STAT3 target genes including Socs3 were not regulated in response to genetic ablation of Il24, suggesting that the faster redistribution of STAT3 from the nuclear compartment in Il24 −/− Th17 cells was not associated with a global STAT3 phenotype. However, when we tested the loading of the Il10 locus with STAT3 by ChIP-PCR, we found decreased amounts of STAT3 at the Il10 locus of Il24 −/− Th17 cells compared with wild-type Th17 cells (Fig. 7 c). These data suggested that a certain degree of STAT3 dysregulation might still occur in Il24 −/− Th17 cells. Therefore, we interrogated the transcriptomes of wild-type vs. IL-24-deficient Th17 cells for STAT3 and STAT1 targets upon IL-6 stimulation, the balance of which has been considered as a determinant of the cytokine phenotype of Th17 cells (including IL-10 expression; Hirahara et al., 2015). We found that both STAT3 targets but also STAT1 targets were relatively enriched in wild-type vs. Il24 −/− Th17 cells (Fig. 7, d and e).
Altogether, the reduced surge of STAT3 and instead a persistent, less deflected presence of STAT3 in the nucleus in wild-type Th17 cells, in which IL-24 confers a STAT3 rheostat function to the inner mitochondrial membrane, may in addition increase the availability of STAT1 to be loaded on bona fide STAT1 target sites in the nucleus, a scenario that remains to be determined by biochemical analyses.

IL-24 expression in T cells controls immunopathology in CNS autoimmunity
Eventually, we wondered whether IL-24-dependent intrinsic regulation of IL-10 in Th17 cells produced a clinical phenotype. First, we induced EAE in wild-type control and Il24 −/− mice by immunization with MOG(35-55). Although disease onset was identical between groups, IL-24-deficient mice developed a more severe disease course (Fig. 8 a) that was reflected in a more intense inflammatory infiltrate in Il24 −/− mice compared with wild-type littermates (Fig. 8 b). Notably, genetic ablation of Il19, a cytokine closely related to Il24 that also uses the same receptor complex, did not result in enhanced EAE severity (Fig. 8 c). Moreover, Il20rb −/− mice did not show altered severity of EAE (Fig. 8 d), again suggesting that engagement of the key receptor for IL-20 family cytokines was irrelevant for the modulation of disease severity by IL-24. In addition, we performed an EAE experiment in wild-type mice that were either control-treated with IgG2a or with a monoclonal antibody to IL-24 as of day 8 after immunization. While we observed a slightly increased EAE incidence in the anti-IL-24-treated mice, the disease severity was similar in the control-treated and anti-IL-24-treated groups (Fig. S3 a). Also, the fraction and absolute number of IL-10-producing T cells in the spleen and CNS of both treatment groups was similar (Fig. S3, b and c), corroborating that the IL-10 phenotype of IL-24-expressing T cells may be a cellautonomous feature that is not dependent on secreted IL-24.
Finally, since IL-24 is also produced by cells of ectodermal origin (Chen et al., 2018), we wanted to confirm that the clinical phenotype that we observed is due to lack of IL-24 in T cells. Therefore, we performed an adoptive transfer experiment where we primed encephalitogenic (MOG-specific) T cells in vivo in either wild-type or IL-24-deficient donor mice and-after restimulation in vitro-transferred equal numbers of activated CD4 + T cells into secondary wild-type hosts. While wild-type T cells induced a moderate disease in recipient mice (according to the titrated number of transferred T cells), the same number of Il24 −/− T cells generated a significantly more severe disease in secondary host mice (Fig. 8 e), supporting the immunomodulatory function of IL-24 in vivo in a model of Th17 cell-dependent immunopathology.

Discussion
In this study, we provide evidence that IL-24 serves as a cellintrinsic negative feedback regulator of Th17 cells. IL-24 is these Th17 cells before transfer, see Fig. S2 b. (c) After cotransfer of wild-type (green gates) and IL-24-deficient 2D2 Th17 cells (red gates) into Rag1 −/− mice, T cells were reisolated from the spleen (pregated on viable CD4 + cells) and the CNS (Fig. S2 c) at the peak of EAE and subjected to intracellular cytokine staining. (d) Ratios of cytokine-positive fractions in IL-24-deficient vs. IL-24-sufficient 2D2 Th17 cells (seven biological replicates, mean ± SEM) after reisolation from host mice. In panels b and d, asterisks indicate significance level of one-sample t tests against a value of 1 (i.e., significantly different from an equal production of the respective cytokine in both compartments; ***, P < 0.001; *, P < 0.05). Figure 6. Intracellular IL-24 localizes to the inner mitochondrial membrane and is necessary and sufficient for IL-10 production by Th17 cells. (a) Naive T cells from Il24 +/+ wild-type or Il24 −/− mice were cultured in Th17 differentiation conditions for 3 d. Th17 cells were nucleofected with pIRES-eGFP, pIRES-eGFP-IL-24, or pIRES-eGFP-IL-24t on day 1 and analyzed for intracellular IL-10 on day 3 with representative FACS plots (left, pregated for viable CD4 + GFP + cells) and summary of four independent experiments (mean ± SEM) normalized to wild type (right). Relative fraction indicates IL-10 + frequency (among CD4 + cells) for the respective nucleofection, divided by the corresponding IL-10 + frequency of the Il24 +/+ pIRES-eGFP nucleofected (control) cells for each experiment. Asterisks indicate significance level of Dunnett's multiple comparison test after one-way ANOVA (*, P < 0.05). (b) Naive T cells from wild-type mice were cultured in Th17 differentiation conditions. On day 2 of differentiation, cells were nucleofected with mRuby2-N1-IL-24t (top row) or mRuby2-N1-IFN-γt (bottom row) and analyzed for intracellular cytokine distribution by confocal microscopy. Mitochondria were marked with Mitotracker. Representative microphotographs; scale bar, 2 μm (left). Quantification of the cytokine signal in the mitochondrial compartment (right) from three independent experiments (mean ± SEM). Asterisk indicates statistical significance of a two-tailed t test. (c) Naive wild-type or Il24 −/− T cells mice were differentiated into Th17 cells. On day 3, mitochondrial (Mito.) and nuclear (Nucl.) fractions were isolated and probed for STAT3. Lamin B1 and NDUFA9 were used as loading controls for nuclear and mitochondrial fractions, respectively (left). Densitometric quantification (right) of three independent experiments (mean ± SEM). Asterisk indicates Sie et al.
Journal of Experimental Medicine produced by Th17 cells independently of STAT3 activation but promotes the expression of IL-10 in Th17 cells at least in part through a STAT3-dependent mechanism. The IL-24-mediated induction of IL-10 in Th17 cells is independent of the cell surface receptor of IL-24. Instead, cytosolic IL-24 is shuttled to the mitochondria and facilitates the recruitment of STAT3 to the inner mitochondrial membrane. This creates a sink for STAT3 and results in a dampened (but sustained) availability of STAT3 in the nuclear compartment of Th17 cells. Therefore, we propose that Th17 cell-intrinsic IL-24 builds a rheostat for the nuclear translocation of STAT3, promoting its prolonged availability in the nucleus at the expense of surge-like STAT3 nuclear translocation events.
Effector cell-intrinsic autoregulation is a long-known theme in Th cell responses (Jankovic et al., 2010;Sher et al., 1991). This has perhaps been best worked out for Th1 cells, which start producing IL-10 upon sustained stimulation with IL-12 or in response to IL-27 (Saraiva et al., 2009;Stumhofer et al., 2007). In Th1 cell responses, the Th1-intrinsic production of IL-10 is an essential mechanism to prevent exaggerated immunopathology and cannot be compensated by Treg cells (Jankovic et al., 2007). We have reported that Th1/Th17 cells also respond to IL-12 and IL-27 with the production of IL-10 (Heinemann et al., 2014), but no similar feedback control loop has yet been described for bona fide Th17 cells. Here, we observed that IL-24, which is produced by Th17 cells, was associated with the capacity of Th17 cells to secrete IL-10. The induction of IL-24 in T cells either was dependent on TGF-β plus an additional signal (mediated by STAT3 or STAT1) or-in the absence of TGF-β such as in a Th17path differentiation scenario-depended entirely on STAT3 signal transduction, while STAT4 (induced by IL-12) was unable to drive IL-24 expression in T cells.
Recently, it has been suggested that IL-17 produced by Th17 cells might act back on Th17 cells to induce IL-24 in an NF-κB-dependent manner (Chong et al., 2020). IL-24, in turn, would bind its surface receptor on Th17 cells and-through induction of SOCS3-reduce the production of proinflammatory effector cytokines (including GM-CSF) by Th17 cells (Chong et al., 2020). Therefore, while STAT3 is required for the induction of IL-24, STAT3 is also downstream of the IL-24 receptor complex. However, we did not observe the IL-10-inducing effect of IL-24 in Th17 cells to be dependent on the expression of IL-20Rβ. Neither did we detect a consistent suppressive effect of IL-24 on the expression of IL-17 and GM-CSF (encoded by Csf2) in vitro. In fact, the regulation of Il17 and Csf2 are distinct, and IL-17 and GM-CSF are hardly coexpressed. Yet IL-24-deficient T cells tended to produce more GM-CSF in the CNS in vivo. Therefore, a directly suppressive effect of IL-24 on proinflammatory cytokines is possible (Chong et al., 2020). The effect of intracellular IL-24 on the regulation of Il10 was specific and extremely robust both in vitro and in vivo. Interestingly, IL-1β, which has been associated with a "pathogenic" phenotype of Th17 cells (Ghoreschi et al., 2010), increased the amount of IL-24 in Th17 cells by stabilizing its mRNA. The stabilization of Il24 mRNA is dependent on p38 (Otkjaer et al., 2010), and the stabilization of a variety of other mRNAs by IL-1β and IL-1α has been described (Dhamija et al., 2010;Sun and Ding, 2006). Therefore, similar to IL-12 for the induction of IL-10 in Th1 cells, IL-1β (even though it has been reported to suppress IL-10 transcription in Th17 cells; Zielinski et al., 2012) might eventually promote IL-10 secretion of Th17 cells through stabilizing IL-24. Because IL-1β is not produced by Th17 cells, this negative feedback loop is-just as for Th1 cells-dictated by T cell-extrinsic stimuli to allow for productive Th17 responses but limit exaggerated immunopathology.
An intracellular function of IL-24 has previously been suggested, since a nonsecretable version of IL-24 (also known as Mda-7) was found to be as efficient to induce apoptosis in a carcinoma cell line as wild-type IL-24 . While the mode of action of intracellular IL-24 has not been investigated, IL-24 was found to bind to the NADH dehydrogenase (ubiquinone) 1 α subcomplex subunit 13 (Ndufa13, also known as Grim-19), which is a constituent of complex I of the respiratory chain in the inner mitochondrial membrane (Hu et al., 2016). Notably, Grim-19 is a chaperone to facilitate the import of STAT3 into the inner mitochondrial membrane and its integration into complex I (Tammineni et al., 2013). While the transcriptional effects of STAT3 are dependent on tyrosine phosphorylation and dimerization, the recruitment of STAT3 to the inner mitochondrial membrane requires serine phosphorylation (Reich, 2009). Our data suggest that IL-24 licenses Grim-19 for more efficient recruitment of STAT3 to the inner mitochondrial membrane. Due to the current model of a distinct function of mitochondrial STAT3 in enhancing oxidative phosphorylation , it is tempting to speculate that IL-24-deficient Th17 cells might exhibit reduced flux through the respiratory chain.
While Grim-19 produces a gain-of-function effect of STAT3 at the inner mitochondrial membrane, it dampens the transcriptional activity of STAT3 (Lufei et al., 2003;Zhang et al., 2003). Consistent with this concept, wild-type Th17 cells showed sustainedly reduced (but not abolished) amounts of STAT3 in the nucleus compared with Il24 −/− Th17 cells. STAT3 has a plethora of transcriptional targets in T cells (Hirahara et al., 2015), and the understanding how differential regulation of these targets is possible is limited (Murray, 2007). After removal of IL-6 as a statistical significance of a two-tailed t test. (d) Grim19 interacts with STAT3 in an IL-24-dependent manner. Naive T cells from wild-type or Il24 −/− mice were differentiated into Th17 cells. On day 3, cells were transferred into medium containing IL-2 (2 ng/ml). After 24 h, mitochondrial fractions were isolated, solubilized, immunoprecipitated with anti-Grim19 monoclonal antibody (Grim19 IP ), and probed for the amount of pulled STAT3 by Western blot. Solubilized mitochondrial fraction (input) was used as a control for coimmunoprecipitation. Representative Western blots from three independent experiments. (e) Loss of STAT3 from nuclear compartment. Naive T cells from wild-type or Il24 −/− mice were cultured in Th17 differentiation conditions for 3 d. After 3 d, cells were transferred into IL-2 medium (2 ng/ml) and analyzed for STAT3 in the nuclear compartment at baseline and after 6, 12, and 24 h. Representative Western blots (left) with normalized densitometry data (right) quantified from three to six independent experiments (mean ± SEM). Asterisks indicate significance level of Sidak's multiple comparison test following two-way ANOVA (*, P < 0.05). Source data are available for this figure: SourceData F6.

Sie et al. Journal of Experimental Medicine
STAT3-activating factor, we observed more sustained presence of STAT3 in the nucleus of wild-type than of IL-24-deficient T cells, and this behavior of STAT3 was associated with higher expression of IL-10 under Th17 differentiation conditions. It remains to be determined how this kinetics of STAT3 is linked to the regulation of IL-24 target genes, which are very selective compared with the large group of STAT3 target genes. In fact, although IL-24 recruits STAT3 to a "mitochondrial sink," it appears that IL-24 is not a universal controller of STAT3dependent genes. Heatmap with DESeq2-determined differentially expressed genes from five parallel cultures of wildtype or Il24 −/− Th17 cells subjected to bulk RNA-seq analysis. Naive T cells (CD3e + CD4 + CD44 − CD62L + CD25 − ) were isolated from splenocytes and lymph nodes using FACS and cultured for 3 d under Th17 skewing conditions (2 ng/ml TGFβ, 50 ng/ml IL-6, with 2 µg/ml soluble αCD28 and 4 µg/ml plate-bound αCD3).
(b) Validation of RNA-seq candidate genes and Il17 in RT-qPCR using TaqMan probes. Expression in Il24 −/− Th17 cells relative to wild-type Th17 cells (normalized to 1). Pooled relative quantification from n = 6-9 independent experiments (geometric mean ± geometric SD). Geometric mean values with at least 50% differential expression were tested using one-sample t tests against a value of 1. Asterisks indicate significance level (****, P < 0.0001; **, P < 0.01). (c) Results of ChIP-PCR. Naive T cells from Il24 +/+ and Il24 −/− mice were cultured for 3 d under Th17 conditions, fixed, lysed, and chromatin fragmented for chromosome immunoprecipitation with anti-Histon H3 (positive control), anti-Stat3, or IgG control, followed by analysis of recovered DNA fragments by qPCR. For the positive control, a region in the Rpl30 gene was amplified; for Stat3 pulling, either a region close to the intronic Stat-responsive element of the Il10 gene or an unrelated gene desert on chromosome 14 were amplified (negative control). Asterisks indicate statistical significance of Sidak's multiple comparison test (****, P < 0.0001) for three technical replicates (mean ± SD). (d and e) GSEA in Il24 −/− Th17 cells vs. wild-type Th17 cells. The transcriptomes of Il24 −/− Th17 cells vs. wild-type Th17 cells were probed for the enrichment of the IL-6-dependent STAT3 target gene set (Hirahara et al., 2015; and the IL-6-dependent STAT1 target gene set (Hirahara et al., 2015;. NES, normalized enrichment score. (d) Representative EAE disease course of actively immunized Il20rb +/+ and Il20rb −/− mice with ≥14 biological replicates (mean ± SEM) per group. (e) Representative adoptive transfer EAE disease course of wild-type mice (right) after intravenous transfer of 7 × 10 6 in vitro reactivated and Th17-skewed T cells from previously MOG/CFA-immunized Il24 +/+ and Il24 −/− donor mice, according to the depicted procedure (left) with four biological replicates (mean ± SEM) per group. In panels a and c-e, asterisks indicate significance level from comparing slopes of origin-constrained linear regressions through the indicated disease courses using two-tailed unpaired t tests (****, P < 0.0001). Il24 belongs to the Il10 family of cytokines and is located in relative proximity to the Il10 locus on chromosome 1. We consider it unlikely that the gene disruption strategy of Il24 may have affected regulatory elements of Il10 to result in reduced expression of IL-10. First, Il19-another gene of the Il10 cluster with even closer proximity to Il24-was not affected in Il24 −/− mice. Second, acute editing of the Il24 locus reproduced the phenotype of Il24 −/− T cells. Third, silencing of IL-24 by siRNA, which leaves the genomic Il10 cluster unaffected, also reduced IL-10 expression in Th17 cells.

Sie et al. Journal of Experimental Medicine
In summary, the IL-10 family cytokine IL-24, which serves an important role in physiologic and pathophysiologic responses of epithelia, may have been coopted by Th17 cells (key adaptive mediators of host defense at epithelial tissues) to control exaggerated Th17-mediated immunopathology in this anatomic niche. Further studies will have to test whether IL-24 can be exploited to control Th17-driven immunopathology in autoimmunity and perhaps cancer development induced by chronic inflammation. All mouse strains were on C57BL/6J background. Animals were kept in a specific pathogen-free facility at the Technical University of Munich with a dark/light cycle of 12 h, temperature of 20-24°C, and humidity of 45-60%. All experimental protocols were approved by the standing committee for experimentation with laboratory animals of the Bavarian state authorities and were carried out in accordance with the corresponding guidelines (ROB-55.2-2532.Vet_03-18-53 andROB-55.2-2532.Vet_02-17-234). 8-12-wk-old age-and sex-matched mice were used for all experiments.

Materials and methods
Generation of mixed bone marrow chimeras Recipient mice were irradiated at a dose of 11 Gy. A total of 10-20 × 10 6 donor bone marrow cells mixed 1:1 from CD45.1 wild-type donors and Il24 −/− mice, depleted of CD90.2 + cells using Miltenyi , were injected i.v. into recipients within 16-20 h after irradiation. The reconstituted mice were maintained on antibiotic water (0.1 mg/ml, enrofloxacin; Bayer) for 3 wk after transplantation. The reconstitution of the hematopoietic compartment was assessed 5-6 wk after cell transfer in peripheral blood.
Induction of EAE EAE was induced by subcutaneous immunization in the base of tail with 200 μg of MOG(35-55) peptide (MEVG-WYRSPFSRVVHLYRNGK; Auspep) in CFA containing 500 μg Mycobacterium tuberculosis H37Ra (231141; BD Biosciences) per mouse plus i.v. or i.p. injection of 200 ng pertussis toxin (PTx, P7208-50UG; Sigma-Aldrich) on days 0 and 2 after immunization. Disease progression and severity were assessed as described before (Korn et al., 2007). The onset of disease was typically 11-13 d, and the peak of disease was typically 15-20 d after immunization. For the anti-IL-24 treatment EAE, wildtype mice were immunized as described above and injected i.p. every other day, starting on day 8, with 100 µg of rat IgG2a (BE0089; BioXcell) or anti-IL-24 (MAB2786; R&D Systems) dissolved in PBS.

Adoptive transfer of T cells
For adoptive transfer EAE experiments into wild-type recipients, C57BL/6 wild-type donor mice were immunized with MOG(35-55) peptide in CFA and PTx according to the regimen for active induction of EAE. On day 7, draining lymph nodes and spleens were prepared, pooled, and restimulated ex vivo for 3 d with 35 µg/ml MOG(35-55) in the presence of TGF-β (0.25 ng/ ml), IL-6 (5 ng/ml), IL-23 (6.5 ng/ml), and anti-IFN-γ (10 µg/ml) to skew antigen-specific T cells into Th17 cells. After isolation of CD4 + T cells from the recall culture using Miltenyi untouched CD4 + T cell purification beads, 7 × 10 6 CD4 + T cells were transferred i.v. into recipient wild-type mice, concomitantly with i.p. injection of 200 ng PTx on days 0 and 2 after adoptive transfer. For mixed adoptive transfer EAE into Rag1 −/− recipients, naive T cells from 2D2 × DendraGreen reporter mice and 2D2 × Il24 −/− mice were isolated, polyclonally stimulated on anti-CD3-coated plates in Th17 conditions as outlined in the T cell cultures section, retrieved after 3 d, and then injected i.v. into Rag1 −/− mice, alongside i.p. injection of PTx on days 0 and 2 after adoptive transfer.
Preparation of mononuclear cells from the CNS Mice were perfused through the left cardiac ventricle with icecold PBS. The brain was dissected, and the spinal cord was flushed out with PBS by hydrostatic pressure. CNS tissue was cut into pieces and digested with 1 mg/ml collagenase D (11088866001; Roche Diagnostics) and 40 μg/ml DNase I (04716728001; Roche Diagnostics) at 37°C for 30 min, passed through a 100-μm cell strainer (542000; Greiner Bio-One), and pelleted by gravity centrifugation (400 g, 4°C, 10 min), followed by a Percoll gradient (70%/37%, 17-0891-01; GE Healthcare) centrifugation (640 g, 20°C, 22 min). Mononuclear cells were isolated from the interphase, washed, and resuspended in FACS buffer (PBS with 2% FCS) for further analysis.
For proliferation assays, naive T cells were labeled with CellTrace Violet Proliferation Dye (Thermo Fisher Scientific) according to the manufacturer's instructions. Dilution of proliferation dye was assessed after 3 d by flow cytometry, alongside cytokine staining. Proliferation index was calculated with R v3.6.3 (R Core Team, 2019) using the package flowFit v1.24.0.
ELISA Secretion of IL-24 was detected by standard sandwich ELISA (DuoSet; R&D Systems). Standard curves and sample concentrations were calculated based on the mean of triplicates for each dilution or sample.
The Il24 minimal promoter sequence (Sahoo et al., 2011) used for luciferase assays was 59-TCATCTCACCTGAGGGACTGATTT CTGCCCCCACCCCCCTGTCTAAGAGCAAAGGGTGACTAGGTG ATGAAGTATTTCTCCAGGGAAGCATGACCAATTTCCCTTCCT CCACATTCCCCTCCTCTGCCCCTCCCTGCCAGACCCCTTATA TACAGTTCTCCCAGCCTTGCTTACCCTCAGTCTTTCACTTTT GAAATCATTTCCACAGCTGAGAAGGAGCTTCCCACCCAGCAG AAGATCCTCTACCAATGA-39. This minimal promoter was subcloned in the multiple cloning site of the pXPG plasmid (71248; Addgene) by introducing SacI and HindIII binding sites during PCR amplification using modified primers.

Subcellular fractionation, immunoprecipitation, and Western blotting
Th17 cells (5-20 × 10 6 ) were harvested and washed with ice-cold PBS. The mitochondrial or nuclear factions were isolated using a mitochondria isolation kit (89874; Thermo Fisher Scientific) according to the manufacturer's protocol. For immunoprecipitation, the mitochondrial fraction was solubilized using non-denaturing lysis buffer (20 mM Tris HCl, 137 mM NaCl, 1% NP-40, and 2 mM EDTA, pH 8.0) containing 2% n-dodecyl-β-D-maltoside (89902; Thermo Fisher Scientific) at 4°C. Mitochondrial fractions (50-100 µg in 100 µl) were incubated with anti-Grim19 (5 μg) for 12 h at 4°C. The reaction mixture was incubated with 50 µl of protein-A/G Sepharose beads (Ab193262; Abcam) for 1 h at 4°C on a rotator. Subsequently, protein-A/G beads were washed, and immunoprecipitated proteins were eluted using SDS sample buffer. The samples were resolved on 10% NuPAGE gel (NP0302BOX; Thermo Fisher Scientific) and transferred onto PVDF membrane using the iBlot system (Thermo Fisher Scientific). The membranes were incubated with Super Block (37581; Thermo Fisher Scientific) for 1 h at room temperature to block nonspecific binding. Membranes were incubated with primary antibodies (diluted in Super Block) overnight at 4°C. After washing with PBST (PBS with 0.05% Tween 20), antibody binding was detected with HRPconjugated secondary antibodies and SuperSignal west femto maximum sensitivity substrate (34095; Thermo Fisher Scientific).

ChIP-PCR
Wild-type or Il24 −/− Th17 cells were cultured for 3 d and then fixed at 1 × 10 6 cells/ml for 10 min using 1% formaldehyde (Thermo Fisher Scientific) at 21°C. Chromatin-protein crosslinking was stopped with 0.125 mol/liter glycine (Merck). Cell lysis and chromatin digestion were performed using SimpleChIP Enzymatic Chromatin IP Kit (Cell Signaling) according to the manufacturer's instructions. Briefly, 5 × 10 6 fixed cells per preparation were lysed for 10 min on ice using proprietary detergent buffer containing dithiothreitol and protease inhibitors. Chromatin was digested by incubation with Micrococcal nuclease (1:200; Cell Signaling) for 15 min at 37°C, and nuclear membrane was further dissolved by brief sonication over three cycles (30 s on, 30 s off) in a 4°C cooled Bioruptor Pico (Diagenode). Quality of digested chromatin fragmentation to ∼150 bp in size was determined using a 2100 Bioanalyzer (Agilent) on a high-sensitivity DNA chip. For ChIP, samples were incubated overnight at 4°C with antibodies raised against Histone H3 (clone D2B12, 2.7 µg/IP; Cell Signaling), Stat3 (clone D3Z2G, 0.5 µg/IP; Cell Signaling), or normal rabbit IgG (1 µg/IP; Cell Signaling), followed by 2 h of protein G incubation at 4°C and ascending salinity washes according to the manufacturer's protocol. Finally, chromatin was eluted at 65°C for 30 min, followed by de-crosslinking of eluted samples and input controls with proteinase K (1:75; Cell Signaling) at 65°C overnight. De-crosslinked chromatin was purified using AM-Pure XP beads (Beckman Coulter) according to the manufacturer's instructions. Purified, de-crosslinked chromatin was then subjected to qPCR analysis using SYBR Green (Thermo Fisher Scientific) with proprietary primers for murine RPL30 (Cell Signaling) as a positive control for histone H3 pulling, and published primers for Il10 (forward 59-AACCCTAGTTCCCAGAAGCCA-39, reverse 39-CAGGTGTCT CTGCCTAGCCC-59; Wei et al., 2010) and a gene desert region as negative control (forward 59-CAATGCATGGGTCCAGATTT-39, reverse 39-ATTGGCACGGAAGTAGTGCT-59; Giaimo et al., 2017) for Stat3 pulling.

Microarray
Total RNA was isolated from five independent samples of in vitro-differentiated Th0, Th17, and Th1 cells (d3) using RNeasy Mini Kit (Qiagen). RNA quality was tested on a Bioanalyzer. Using the Ambion WT expression kit, two cycles of cDNA synthesis were performed. Single-stranded cDNA was fragmented and labeled with biotin allonamide triphosphate using the GeneChip WT terminal labeling kit. 5 μg of fragmented and labeled cDNA was hybridized to the GeneChip Mouse Gene 1.0 ST Array. For detailed sample description, see our previously published manuscript (Heinemann et al., 2014). Data analysis was performed using GenePattern open source software (http:// genepattern.broadinstitute.org).
Bulk RNA-seq Total RNA was isolated from wild-type or Il24 −/− Th17 cells using the RNAeasy Plus micro kit (74034; Qiagen). Quality and integrity of total RNA was controlled on a Bioanalyzer 2100 (Agilent Technologies). Library preparation for bulk-sequencing of poly(A)-RNA was done as described previously (Parekh et al., 2016). Briefly, barcoded cDNA of each sample was generated with a Maxima RT polymerase (EP0742; Thermo Fisher Scientific) using oligo-dT primer-containing barcodes, unique molecular identifiers (UMIs), and an adaptor. Ends of the cDNAs were extended by a template switch oligo (TSO), and full-length cDNA was amplified with primers binding to the TSO site and the adaptor. NEB UltraII FS kit was used to fragment cDNA. After end repair and A-tailing, a TruSeq adapter was ligated, and 39end fragments were amplified using primers with Illumina P5 and P7 overhangs. In comparison to previous descriptions (Parekh et al., 2016), the P5 and P7 sites were exchanged to allow sequencing of the cDNA in read1 and barcodes and UMIs in read2 to achieve better cluster recognition. The library was sequenced on a NextSeq 500 (Illumina) with 67 cycles for the cDNA in read1 and 16 cycles for the barcodes and UMIs in read2. Data were processed using the published Drop-seq pipeline (v1.0) to generate sample-and gene-wise UMI tables (Macosko et al., 2015). Reference genome (GRCm38) was used for alignment. Transcript and gene definitions were used according to GENCODE vM25. Differential gene expression was calculated in R (v4.1.1) using the DESeq2 package (v1.32.0; Love et al., 2014). We focused on genes with <5% probability to be false positive (adjusted P value <0.05).
Il24 RNA stability assay The murine thymoma cell line EL4 was cultured in complete DMEM (Hiltensperger et al., 2021). EL4 cells were costimulated under Th17-skewing conditions for 72 h. Cells were then exposed to PBS or IL-1β (25 ng/ml; Miltenyi) in the presence of actinomycin D (2 µg/ml; Tocris Bioscience) for another 16 h of culture.

Luciferase assays
For Il24 promoter assays, unstimulated EL4 cells were transfected using a 4D-Nucleofector unit (kit V4XC-2024, protocol CM-120; Lonza) according to the manufacturer's instructions. For each nucleofection, 2 µg of pXPG plasmid (Addgene) with or without the Il24 minimal promoter was cotransfected into 1 × 10 6 EL4 cells alongside 200 ng of Renilla Luciferase Control Reporter Vector pRL-TK (Promega) for normalization. Cells were then costimulated for 48 h with various cytokines to induce specific Th subsets, followed by 4 h of stimulation with PMA (50 ng/ml) and ionomycin (1,000 ng/ml). Cells were lysed and subjected to luciferase analysis using the Dual Luciferase Reporter Assay System (Promega) according to the manufacturer's instructions. For addressing the regulation of Il24 mRNA stability through the 39 UTR, 1 × 10 6 unstimulated EL4 cells were nucleofected with 2 µg of either pMIR-GLO empty vector (Promega, containing both luciferase and renilla) or vector containing the Il24 UTR with or without AU-rich regions. Cells were then costimulated for 48 h in the presence of Th-skewing cytokines, lysed, and analyzed using the Dual Luciferase Reporter Assay. All luciferase samples were acquired on a Mithras LB 940 plate reader (Berthold Technologies).

Quantification and statistical analysis
Statistical evaluations of cell frequency measurements, cell numbers, mRNA amounts, and protein levels were performed with the unpaired Student's t test when two populations were compared. Two-tailed P values <0.05 were considered significant. Multiple comparisons were performed with one-way ANOVA followed by post hoc multiple comparisons tests as indicated in the legends to the figures. EAE curves between groups were analyzed using origin-constrained linear regression as indicated, with difference in slopes tested using two-tailed unpaired t test. Calculations and the generation of graphs were performed using Prism v9 (GraphPad software).
Online supplemental material Fig. S1 shows that IL-24 is a late cytokine and has no effect on the proliferation of Th17 cells. Fig. S2 shows that IL-24 acts on T cells in a cell-autonomous manner. Fig. S3 shows that neutralization of IL-24 by monoclonal antibody fails to reduce IL-10 expression in T cells in vivo.

Data availability
Microarray data has been published before (Heinemann et al., 2014) and is available in the Gene Expression Omnibus database under accession no. GSE56021. Th17 STAT3 ChIP-Seq from Durant et al. (2010) was accessed at the Gene Expression Omnibus database under accession no. GSE21669. Data from bulk RNA-seq of Il24 +/+ vs. Il24 −/− Th17 cells has been made available on the European Nucleotide Archive with accession no. PRJEB48619. Figure S1. IL-24 is a late cytokine and has no effect on the proliferation of Th17 cells. (a) Kinetics of cytokine expression in Th17 cells. Naive Il24 +/+ wildtype (solid lines; filled bars and circles) and Il24 −/− (dashed lines; empty circles) T cells were isolated and cultured in Th17 conditions for the indicated periods with three technical replicates per time point (mean ± SD), followed by RT-qPCR for Il10 (black), Il17 (red), and Il24 (blue). (b) Naive IL-24-sufficient or -deficient T cells were differentiated into Th17 cells and tested for cytokine production and proliferation by dye dilution on day 3 of the differentiation culture. Representative flow cytometry plots (left) with CellTrace Dye of labeled, proliferated cells (filled histograms) compared with labeled, unstimulated cells after the same time of culture (dotted lines). Absence of statistical significance as indicated was tested using a two-tailed t test on the proliferation index (right) summarized from two independent experiments (mean ± SEM).

Sie et al.
Journal of Experimental Medicine S1 IL-24 regulates Th17 cells https://doi.org/10.1084/jem.20212443 Figure S2. IL-24 acts on T cells in a cell-autonomous manner. (a) Cytokine production in congenically marked wild-type (CD45.1, green gates) or Il24 −/− (CD45.2, red gates) T cells (pregated on viable CD4 + cells) isolated from the CNS of mixed bone marrow chimeras at the peak of actively induced EAE; representative plots (upper panel) and quantification (lower panel, mean ± SEM of three mice) from two independent experiments. Asterisks indicate significance level (*, P < 0.05) of Holm-Sidak's multiple comparison test after two-way ANOVA. (b and c) Cytokine staining in 2D2 Th17 cells used in the mixed adoptive transfer EAE model. Naive 2D2 T cells from wild-type mice (mitoDendra2 + , green gates) and naive IL-24-deficient 2D2 T cells (red gates) were differentiated into Th17 cells. Intracellular cytokine staining in wild-type 2D2 Th17 cells (mitoDendra2 + ) and IL-24-deficient 2D2 Th17 cells before mixing and transfer into Rag1 −/− host mice; representative plots, pregated on viable CD4 + cells (b). Intracellular staining (likewise pregated on viable CD4 + cells) of wildtype 2D2 Th17 cells (mitoDendra2 + , green gates) and IL-24-deficient 2D2 Th17 cells (red gates) after reisolation from the CNS of host mice at the peak of EAE (c); representative plots (upper panel) and quantification (lower panel, symbols depict individual mice). Asterisks indicate significance level (**, P < 0.01) of Holm-Sidak's multiple comparison test after two-way ANOVA. Figure S3. Neutralization of IL-24 by monoclonal antibody fails to reduce IL-10 expression in T cells in vivo. EAE was induced in wild-type C57BL/6 mice that were then treated with 100 µg i.p. of either control antibody (IgG2a) or anti-IL-24 every other day as of day 8 after immunization. (a) Characterization of the disease features with the results of statistical tests annotated (*, P < 0.05 in a log-rank test comparing incidence curves; two-tailed t tests for day of onset, day of peak and maximum score; ns, nonsignificant). (b and c) Fraction (left) and absolute number (right) of cytokine expressing CD4 + T cells in the spleen (b) and the CNS (c) at day 20 after immunization, with at least six biological replicates per group (mean ± SEM). Absence of statistical significance for all bars tested using two-way ANOVA followed by Sidak's multiple comparison test.