D'Elios Mario Milco, Benagiano Marisa, Della Bella Chiara, Amedei Amedeo
Department of Internal Medicine, University of Florence and Department of Biomedicine, Policlinico AOU Careggi Florence, Italy.
J Infect Dev Ctries. 2011 Sep 14;5(9):640-5. doi: 10.3855/jidc.2019.
T-cell responses are crucial for the outcome of any infection. The type of effector T-cell reaction is determined by a complex interaction of antigen-presenting cells with naive T cells and involves genetic and environmental factors, including the type of antigen, cytokines, chemokines, co-stimulatory molecules, and signalling cascades. The decision for the immune response to go in a certain direction is based not on one signal alone, but rather on many different elements acting both synergistically and antagonistically, and through feedback loops leading to activation or inhibition of T cells. In the course of evolution different types of T cells have developed, such as T helper 1 (Th1) cells, which protect against intracellular bacteria; Th2 cells, which play a role against parasites; and Th17 cells, which face extracellular bacteria and fungi.
T细胞反应对于任何感染的结果都至关重要。效应T细胞反应的类型由抗原呈递细胞与初始T细胞的复杂相互作用决定,涉及遗传和环境因素,包括抗原类型、细胞因子、趋化因子、共刺激分子和信号级联反应。免疫反应朝着特定方向发展的决定并非仅基于一个信号,而是基于许多不同元素协同和拮抗作用,并通过反馈回路导致T细胞的激活或抑制。在进化过程中,已发展出不同类型的T细胞,如针对细胞内细菌的辅助性T细胞1(Th1)、对抗寄生虫起作用的Th2细胞以及应对细胞外细菌和真菌的Th17细胞。