CD4 T-cell subsets in malaria: TH1/TH2 revisited.

CD4 T-cell subsets in malaria: TH1/TH2 revisited.
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DOI:
10.3389/fimmu.2014.00671
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发表时间:
2014
影响因子:
7.3
通讯作者:
Langhorne J
Langhorne J
中科院分区:
医学2区
文献类型:
--
作者:
Perez-Mazliah D;Langhorne J

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CD4+ t细胞已被证明在疟原虫感染的免疫控制中发挥核心作用。在感染的红细胞阶段,CD4+ t细胞和帮助b细胞应答的CD4+ t细胞产生IFN-γ是控制和消除感染红细胞所必需的。CD4+ t细胞通过激活寄生虫特异性CD8+ t细胞对控制疟原虫红细胞前阶段也很重要。然而,过度的炎症反应引发的感染已被证明驱动病理。早期的经典实验证明了小鼠红细胞阶段的双相CD4+ T细胞反应,其中辅助性T细胞(Th)1和抗体辅助性CD4+ T细胞在原发性感染期间依次出现。虽然产生IFN-γ的Th1细胞确实在控制急性感染中发挥作用,并且它们有助于急性红细胞期病理,但很明显,在感染的慢性期,产生IL-4的经典Th2反应并不是CD4+ t细胞反应的关键特征。相反,在缺乏IL-4的情况下,有效的CD4+ t细胞对b细胞的帮助是控制慢性寄生虫病所必需的。在人类和实验模型中,IL-10对平衡炎症很重要,并与预防炎症介导的严重疟疾有关,最初被认为是在感染期间由CD4+ Th2细胞产生的。我们回顾了疟原虫感染期间CD4+ T细胞反应的解释,根据最近的进展,包括鉴定多功能T细胞,如Th1细胞共表达IFN-γ和IL-10,鉴定滤泡辅助性T细胞(Tfh)作为b细胞的主要CD4+ T辅助性亚群,以及识别不同CD4+ T细胞命运的固有可塑性。
CD4+ T-cells have been shown to play a central role in immune control of infection with Plasmodium parasites. At the erythrocytic stage of infection, IFN-γ production by CD4+ T-cells and CD4+ T-cell help for the B-cell response are required for control and elimination of infected red blood cells. CD4+ T-cells are also important for controlling Plasmodium pre-erythrocytic stages through the activation of parasite-specific CD8+ T-cells. However, excessive inflammatory responses triggered by the infection have been shown to drive pathology. Early classical experiments demonstrated a biphasic CD4+ T-cell response against erythrocytic stages in mice, in which T helper (Th)1 and antibody-helper CD4+ T-cells appear sequentially during a primary infection. While IFN-γ-producing Th1 cells do play a role in controlling acute infections, and they contribute to acute erythrocytic-stage pathology, it became apparent that a classical Th2 response producing IL-4 is not a critical feature of the CD4+ T-cell response during the chronic phase of infection. Rather, effective CD4+ T-cell help for B-cells, which can occur in the absence of IL-4, is required to control chronic parasitemia. IL-10, important to counterbalance inflammation and associated with protection from inflammatory-mediated severe malaria in both humans and experimental models, was originally considered be produced by CD4+ Th2 cells during infection. We review the interpretations of CD4+ T-cell responses during Plasmodium infection, proposed under the original Th1/Th2 paradigm, in light of more recent advances, including the identification of multifunctional T-cells such as Th1 cells co-expressing IFN-γ and IL-10, the identification of follicular helper T-cells (Tfh) as the predominant CD4+ T helper subset for B-cells, and the recognition of inherent plasticity in the fates of different CD4+ T-cells.
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