The role of Th17 immunity in chronic ocular surface disorders.

The role of Th17 immunity in chronic ocular surface disorders.
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DOI:
10.1016/j.jtos.2020.05.009
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发表时间:
2021-01
期刊:
The ocular surface
影响因子:
--
通讯作者:
Dana R
Dana R
中科院分区:
其他
文献类型:
--
作者:
Fan NW;Dohlman TH;Foulsham W;McSoley M;Singh RB;Chen Y;Dana R

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Th17 细胞与多种炎症和自身免疫性疾病的发病机制有关。在眼表,Th17 细胞已被确定为慢性眼表疾病的关键效应细胞。来自小鼠研究的证据表明,分化和扩增后,Th17 细胞从淋巴组织迁移到眼睛,在那里释放炎症细胞因子,包括但不限于其标志性细胞因子 IL-17A。随着急性期的消退,长期记忆的 Th17 细胞群会持续存在,这使宿主容易出现慢性炎症和疾病严重恶化;令人非常感兴趣的是在慢性疾病急性加重过程中分泌 IL-17A 和 IFN-γ 的一小部分 Th17/1 细胞。在过去的十年中,在破译 Th17 细胞如何与介导慢性眼表疾病的免疫和神经免疫途径相互作用方面取得了实质性进展。在这里,我们回顾了(i)慢性眼表疾病中 Th17 免疫的证据,(ii)限制 Th17 免疫反应的调节机制,以及(iii)针对 Th17 细胞的新治疗策略。
Th17 cells have been implicated in the pathogenesis of numerous inflammatory and autoimmune conditions. At the ocular surface, Th17 cells have been identified as key effector cells in chronic ocular surface disease. Evidence from murine studies indicates that following differentiation and expansion, Th17 cells migrate from the lymphoid tissues to the eye, where they release inflammatory cytokines including, but not limited to, their hallmark cytokine IL-17A. As the acute phase subsides, a population of long-lived memory Th17 cells persist, which predispose hosts both to chronic inflammation and severe exacerbations of disease; of great interest is the small subset of Th17/1 cells that secrete both IL-17A and IFN-γ in acute-on-chronic disease exacerbation. Over the past decade, substantial progress has been made in deciphering how Th17 cells interact with the immune and neuroimmune pathways that mediate chronic ocular surface disease. Here, we review (i) the evidence for Th17 immunity in chronic ocular surface disease, (ii) regulatory mechanisms that constrain the Th17 immune response, and (iii) novel therapeutic strategies targeting Th17 cells.
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