TY - JOUR
T1 - Autoimmune effector memory T cells
T2 - The bad and the good
AU - Devarajan, Priyadharshini
AU - Chen, Zhibin
N1 - Funding Information:
Acknowledgments This work described in the Chen laboratory was supported by grants from the National Institute of Health (Grant #DP3DK085696) and the Bankhead-Coley Cancer Research Program, DOH, Florida (Grant #09BN-05). The content is solely the responsibility of the authors and does not necessarily represent the official views of the funding institutions. We thank Jen Bon Lui and Jason Miska for their time and effort in reading the manuscript and providing critical feedback.
PY - 2013/12
Y1 - 2013/12
N2 - Immunological memory is a hallmark of adaptive immunity, a defense mechanism endowed to vertebrates during evolution. However, an autoimmune pathogenic role of memory lymphocytes is also emerging with accumulating evidence, despite reasonable skepticism on their existence in a chronic setting of autoimmune damage. It is conceivable that autoimmune memory would be particularly harmful since memory cells would constantly "remember" and attack the body's healthy tissues. It is even more detrimental given the resistance of memory T cells to immunomodulatory therapies. In this review, we focus on self-antigen-reactive CD4+ effector memory T (T EM) cells, surveying the evidence for the role of the TEM compartment in autoimmune pathogenesis. We will also discuss the role of T EM cells in chronic and acute infectious disease settings and how they compare to their counterparts in autoimmune diseases. With their long-lasting potency, the autoimmune TEM cells could also play a critical role in anti-tumor immunity, which may be largely based on their reactivity to self-antigens therefore, although autoimmune TEM cells are "bad" due to their role in relentless perpetration of tissue damage in autoimmune disease settings, they are unlikely a by-product of industrial development along the modern surge of autoimmune disease prevalence. Rather, they may be a product of evolution for their "good" in clearing damaged host cells in chronic infections and malignant cells in cancer settings.
AB - Immunological memory is a hallmark of adaptive immunity, a defense mechanism endowed to vertebrates during evolution. However, an autoimmune pathogenic role of memory lymphocytes is also emerging with accumulating evidence, despite reasonable skepticism on their existence in a chronic setting of autoimmune damage. It is conceivable that autoimmune memory would be particularly harmful since memory cells would constantly "remember" and attack the body's healthy tissues. It is even more detrimental given the resistance of memory T cells to immunomodulatory therapies. In this review, we focus on self-antigen-reactive CD4+ effector memory T (T EM) cells, surveying the evidence for the role of the TEM compartment in autoimmune pathogenesis. We will also discuss the role of T EM cells in chronic and acute infectious disease settings and how they compare to their counterparts in autoimmune diseases. With their long-lasting potency, the autoimmune TEM cells could also play a critical role in anti-tumor immunity, which may be largely based on their reactivity to self-antigens therefore, although autoimmune TEM cells are "bad" due to their role in relentless perpetration of tissue damage in autoimmune disease settings, they are unlikely a by-product of industrial development along the modern surge of autoimmune disease prevalence. Rather, they may be a product of evolution for their "good" in clearing damaged host cells in chronic infections and malignant cells in cancer settings.
KW - Autoimmunity
KW - CTLA4
KW - Genomic
KW - Memory
KW - T cells
KW - Tumor
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U2 - 10.1007/s12026-013-8448-1
DO - 10.1007/s12026-013-8448-1
M3 - Article
C2 - 24203440
AN - SCOPUS:84891493325
VL - 57
SP - 12
EP - 22
JO - Immunologic Research
JF - Immunologic Research
SN - 0257-277X
IS - 1-3
ER -