Kim Hang-Rae, Hwang Kyung-A, Park Sung-Hwan, Kang Insoo
Section of Rheumatology, Department of Internal Medicine, Yale University School of Medicine, New Haven, CT 06520 USA.
Crit Rev Immunol. 2008;28(4):325-39. doi: 10.1615/critrevimmunol.v28.i4.40.
Cytokines IL-7 and IL-15 are essentially involved in T-cell homeostasis. IL-7 is required for developing mature T cells in the thymus, whereas in the periphery, it promotes the survival of naïve and memory T cells by upregulating the antiapoptotic molecule Bcl-2. IL-15 potently induces the proliferation of memory CD8+ T cells independently of antigen and augments their effector function. Although IL-7 and IL-15 may help to defend the host against microorganisms and tumors by promoting T-cell immunity, dysregulated production of IL-7 and IL-15 can be harmful. In fact, increased levels of IL-15 in the circulation and inflamed tissues have been reported in various autoimmune diseases, including rheumatoid arthritis (RA), possibly contributing to the pathogenesis. In addition, IL-7, which may induce the production of inflammatory cytokines from T cells and monocytes, are found to be elevated in the joints of patients with RA. Here, we review what is currently known about the roles of these cytokines in T-cell immunity, in general, as well as in RA, in particular, focusing on recent discoveries.
细胞因子白细胞介素-7(IL-7)和白细胞介素-15(IL-15)在T细胞稳态中起着至关重要的作用。IL-7是胸腺中成熟T细胞发育所必需的,而在外周,它通过上调抗凋亡分子Bcl-2来促进幼稚T细胞和记忆T细胞的存活。IL-15能有效诱导记忆性CD8⁺T细胞独立于抗原进行增殖,并增强其效应功能。虽然IL-7和IL-15可能通过促进T细胞免疫来帮助宿主抵御微生物和肿瘤,但IL-7和IL-15的产生失调可能是有害的。事实上,在包括类风湿关节炎(RA)在内的各种自身免疫性疾病中,循环系统和炎症组织中IL-15水平升高的情况已有报道,这可能与发病机制有关。此外,IL-7可能诱导T细胞和单核细胞产生炎性细胞因子,在RA患者的关节中发现其水平升高。在此,我们综述目前已知的这些细胞因子在一般T细胞免疫以及特别是在RA中的作用,重点关注近期的发现。