Liu Wenbin, Fan Meiyang, Lu Wen, Zhu Wenhua, Meng Liesu, Lu Shemin
Institute of Molecular and Translational Medicine, and Department of Biochemistry and Molecular Biology, School of Basic Medical Sciences, Xi'an Jiaotong University Health Science Center, Xi'an, China.
Department of Neurosurgery, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Front Immunol. 2022 Jun 30;13:872167. doi: 10.3389/fimmu.2022.872167. eCollection 2022.
CD4 T cells, also known as T helper (Th) cells, contribute to the adaptive immunity both in the periphery and in the central nervous system (CNS). At least seven subsets of Th cells along with their signature cytokines have been identified nowadays. Neuroinflammation denotes the brain's immune response to inflammatory conditions. In recent years, various CNS disorders have been related to the dysregulation of adaptive immunity, especially the process concerning Th cells and their cytokines. However, as the functions of Th cells are being discovered, it's also found that their roles in different neuroinflammatory conditions, or even the participation of a specific Th subset in one CNS disorder may differ, and sometimes contrast. Based on those recent and contradictory evidence, the conflicting roles of Th cells in multiple sclerosis, Alzheimer's disease, Parkinson's disease, epilepsy, traumatic brain injury as well as some typical mental disorders will be reviewed herein. Research progress, limitations and novel approaches concerning different neuroinflammatory conditions will also be mentioned and compared.
CD4 T细胞,也被称为辅助性T(Th)细胞,在外周和中枢神经系统(CNS)中都对适应性免疫有贡献。如今已鉴定出至少七个Th细胞亚群及其标志性细胞因子。神经炎症是指大脑对炎症状态的免疫反应。近年来,各种中枢神经系统疾病都与适应性免疫失调有关,尤其是与Th细胞及其细胞因子相关的过程。然而,随着Th细胞功能的不断发现,人们也发现它们在不同神经炎症状态下的作用,甚至特定Th亚群在一种中枢神经系统疾病中的参与情况可能有所不同,有时甚至相互矛盾。基于这些最新的矛盾证据,本文将综述Th细胞在多发性硬化症、阿尔茨海默病、帕金森病、癫痫、创伤性脑损伤以及一些典型精神障碍中的矛盾作用。还将提及并比较不同神经炎症状态下的研究进展、局限性和新方法。