Dept. of Oral Biology and the Nebraska Center for Virology, University of Nebraska Medical Center, Lincoln, Nebraska 68583, USA.
Int Immunopharmacol. 2011 Mar;11(3):310-8. doi: 10.1016/j.intimp.2010.07.011. Epub 2010 Aug 12.
The immune system is balanced with cells that respond to microbes by developing into effector cells and cells that regulate the activity of effector cells. In many immune responses a subset of effector T cells termed Th17 are necessary for complete immunity because the cytokine IL-17 that they produce is critical to elimination of the pathogen. However, the activity of Th17 must be balance with development of regulatory T cells termed T(regs). Usually, when the activity of the effector cells is excessive and not balanced by regulatory cells of the immune system, there is the increased risk for development of autoimmune diseases. Therefore in many autoimmune diseases the activity of Th17 exceeds that of T(regs). Therapeutics for treatment of autoimmune diseases such as Multiple Sclerosis (MS) have focused upon immunosuppression, immunomodulation, or even immunoablation of effector cells such as Th17 followed by hematopoietic stem cell transplantation. Very few approaches have attempted to therapeutically increase immune regulatory cells such as T(regs) in the treatment of autoimmune disease. This review will focus upon the potential `or the use of resveratrol, a natural plant compound that has already been shown to be a potent anti-inflammatory compound, as a complementary therapeutic for MS that increases the activity of T(regs) even though it also increases development of Th17.
免疫系统通过发展效应细胞和调节效应细胞活性的细胞来平衡对微生物的反应。在许多免疫反应中,称为 Th17 的效应 T 细胞亚群对于完全免疫是必要的,因为它们产生的细胞因子 IL-17 对于消除病原体至关重要。然而,Th17 的活性必须与称为 T(regs)的调节性 T 细胞的发育相平衡。通常,当效应细胞的活性过高且不受免疫系统的调节细胞平衡时,就会增加自身免疫性疾病的发展风险。因此,在许多自身免疫性疾病中,Th17 的活性超过了 T(regs)。多发性硬化症 (MS) 等自身免疫性疾病的治疗方法侧重于免疫抑制、免疫调节,甚至是效应细胞(如 Th17)的免疫消融,随后进行造血干细胞移植。很少有方法试图通过治疗性地增加免疫调节细胞(如 T(regs))来治疗自身免疫性疾病。这篇综述将重点介绍白藜芦醇作为一种天然植物化合物的潜在用途,白藜芦醇已被证明是一种有效的抗炎化合物,可作为 MS 的补充治疗方法,增加 T(regs)的活性,尽管它也会增加 Th17 的发育。