Fig. 5From: Prostaglandin receptor EP4 expression by Th17 cells is associated with high disease activity in ankylosing spondylitisModel of EP4 involvement in the generation of pathogenic Th17 cells in AS. PGE2 binds to the EP4 receptor and inhibits FoxO1 expression in Th17 cells. As a result, the IL-23 receptor (IL-23R) is upregulated. Activation of IL-23 receptor leads to Th17 cell accumulation and to an upregulation of EP4 in a positive feedback loop. The figure was adapted from Rundhaug et al. [45]Back to article page