Department of Rheumatology, Chongqing Hospital of Traditional Chinese Medicine, Chongqing, China.
Scand J Immunol. 2019 Dec;90(6):e12822. doi: 10.1111/sji.12822. Epub 2019 Oct 3.
Breaking the balance between effector T cells, including Th17 (T helper cell 17) cells, and regulatory T cells (Tregs) is a key link in the pathogenesis of rheumatic immune diseases, which lead to a new concept of regulating immune balance in the treatment of rheumatic immune diseases. Interleukin (IL)-2 can effectively regulate the differentiation, development and functional activity of regulatory T cells, thus restoring the immune balance between regulatory T cells and effector T cells. Therefore, low-dose IL-2 has been used in the treatment of rheumatic immune diseases, and it has become a promising new choice to achieve therapeutic purpose by regulating the immune balance of T cell. Here, we discuss the role of T cells immune imbalance in the pathogenesis of rheumatic immune diseases and the mechanism of IL-2 in the treatment of rheumatic immune diseases by regulating T cells immune balance and summarize the relevant clinical trials.
打破效应 T 细胞(包括 Th17 细胞)与调节性 T 细胞(Tregs)之间的平衡是风湿免疫性疾病发病机制中的一个关键环节,这导致了在风湿免疫性疾病治疗中调节免疫平衡的新概念。白细胞介素(IL)-2 可有效调节调节性 T 细胞的分化、发育和功能活性,从而恢复调节性 T 细胞与效应 T 细胞之间的免疫平衡。因此,低剂量 IL-2 已被用于风湿免疫性疾病的治疗,通过调节 T 细胞的免疫平衡来达到治疗目的已成为一种有前途的新选择。在这里,我们讨论了 T 细胞免疫失衡在风湿免疫性疾病发病机制中的作用,以及 IL-2 通过调节 T 细胞免疫平衡治疗风湿免疫性疾病的机制,并总结了相关的临床试验。