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CD4<sup>+</sup> T-cell plasticity in non-infectious retinal inflammatory disease

Chen, YH; Lightman, S; Calder, VL; (2021) CD4<sup>+</sup> T-cell plasticity in non-infectious retinal inflammatory disease. International Journal of Molecular Sciences , 22 (17) , Article 9584. 10.3390/ijms22179584. Green open access

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Abstract

Non-infectious uveitis (NIU) is a potentially sight-threatening disease. Effector CD4+ T cells, especially interferon-γ-(IFNγ) producing Th1 cells and interleukin-17-(IL-17) producing Th17 cells, are the major immunopathogenic cells, as demonstrated by adoptive transfer of disease in a model of experimental autoimmune uveitis (EAU). CD4+FoxP3+CD25+ regulatory T cells (Tregs) were known to suppress function of effector CD4+ T cells and contribute to resolution of disease. It has been recently reported that some CD4+ T-cell subsets demonstrate shared phenotypes with another CD4+ T-cell subset, offering the potential for dual function. For example, Th17/Th1 (co-expressing IFNγ and IL-17) cells and Th17/Treg (co-expressing IL-17 and FoxP3) cells have been identified in NIU and EAU. In this review, we have investigated the evidence as to whether these ‘plastic CD4+ T cells’ are functionally active in uveitis. We conclude that Th17/Th1 cells are generated locally, are resistant to the immunosuppressive effects of steroids, and contribute to early development of EAU. Th17/Treg cells produce IL-17, not IL-10, and act similar to Th17 cells. These cells were considered pathogenic in uveitis. Future studies are needed to better clarify their function, and in the future, these cell subsets may in need to be taken into consideration for designing treatment strategies for disease.

Type: Article
Title: CD4<sup>+</sup> T-cell plasticity in non-infectious retinal inflammatory disease
Open access status: An open access version is available from UCL Discovery
DOI: 10.3390/ijms22179584
Publisher version: https://doi.org/10.3390/ijms22179584
Language: English
Additional information: This work is licensed under a Creative Commons Attribution 4.0 International License. The images or other third party material in this article are included in the Creative Commons license, unless indicated otherwise in the credit line; if the material is not included under the Creative Commons license, users will need to obtain permission from the license holder to reproduce the material. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/
Keywords: Th17/Th1 (CD4+IFNγ+IL-17+) cells; Th17/Treg (CD4+IL-17+FoxP3+) cells; regulatory (Treg) T cells; Th1 cells; Th17 cells; experimental autoimmune uveitis; uveitis; CD4+ T cell plasticity
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Institute of Ophthalmology
URI: https://discovery.ucl.ac.uk/id/eprint/10134374
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