2017
DOI: 10.1159/000484907
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Increased Th1/Th17 Responses Contribute to Low-Grade Inflammation in Age-Related Macular Degeneration

Abstract: Background/Aims: Age-related macular degeneration (AMD) is the primary cause of senior blindness in developed countries. Mechanisms underlying initiation and development of AMD remained known. Methods: We examined the CD4 + T cell compartments and their functions in AMD patients. Results: AMD patients presented significantly higher frequencies of interferon (IFN)-γ-expressing and interleukin (IL)-17-expressing CD4 + T cells than healthy controls. The levels of IFN-γ and IL-17 expression by CD4 + T cells were s… Show more

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Cited by 28 publications
(19 citation statements)
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“…The finding on Th1 cells is supported by Chen et al who showed increased levels of IFN-γ and IL-17-expressing CD4 + T cells in the circulation of wet AMD patients when compared to control subjects (64). Th1 and Th17 cells isolated from patients also shifted monocytes toward a pro-inflammatory M1 macrophage phenotype that has been associated with retinal damage (64). In addition to data implying systemic activation of adaptive immunity, in an experimental model of AMD, cytotoxic CD8 + T cells directly facilitated RPE degeneration following the immunization of mice with carboxyethylpyrrole (CEP)-modified albumin in complete Freund's adjuvant (65).…”
Section: Adaptive Immunity In Amd Patientsmentioning
confidence: 57%
See 1 more Smart Citation
“…The finding on Th1 cells is supported by Chen et al who showed increased levels of IFN-γ and IL-17-expressing CD4 + T cells in the circulation of wet AMD patients when compared to control subjects (64). Th1 and Th17 cells isolated from patients also shifted monocytes toward a pro-inflammatory M1 macrophage phenotype that has been associated with retinal damage (64). In addition to data implying systemic activation of adaptive immunity, in an experimental model of AMD, cytotoxic CD8 + T cells directly facilitated RPE degeneration following the immunization of mice with carboxyethylpyrrole (CEP)-modified albumin in complete Freund's adjuvant (65).…”
Section: Adaptive Immunity In Amd Patientsmentioning
confidence: 57%
“…In a small study by Yu et al, higher levels of IFN-γ and IL-4 were measured from PHAstimulated PBMC cultures of wet AMD patients in comparison to control subjects, suggesting reactivity of Th1 and Th2 cells in patients (63). The finding on Th1 cells is supported by Chen et al who showed increased levels of IFN-γ and IL-17-expressing CD4 + T cells in the circulation of wet AMD patients when compared to control subjects (64). Th1 and Th17 cells isolated from patients also shifted monocytes toward a pro-inflammatory M1 macrophage phenotype that has been associated with retinal damage (64).…”
Section: Adaptive Immunity In Amd Patientsmentioning
confidence: 87%
“…The wet (neovascular) form is less frequent but is responsible for 90% of acute blindness due to AMD, which is characterized by choroidal neovascularization (CNV) with intraretinal or subretinal leakage, hemorrhage, and RPE detachments (Velez-Montoya et al 2013). Recent studies provided supporting evidence that inflammatory components and pathways might play crucial roles in the etiology of AMD (Ding et al 2009;Chan and Ardeljan 2014;Chen et al 2017).…”
Section: Age-related Macular Degenerationmentioning
confidence: 99%
“…Besides, significantly higher levels of IFN-γ and IL-17 expression by CD4+ T cells were detected in the patients of AMD. A possible mechanism is that the Th17 cells promoted monocytes toward M1 macrophage polar-ization, which was associated with retinal damage (Chen et al 2017).…”
Section: Age-related Macular Degenerationmentioning
confidence: 99%
“…Furthermore, it has been shown that tolerized T cells can inhibit further antigen presentation events and suppress the proliferation of other T cells in an antigenspecific fashion [21,22]. Conversely, effector T cells (particularly Th1 and Th17 cells) can activate APCs (including microglia) to a pro-inflammatory state [23][24][25][26]. Therefore, an IL-10 cascade in the axotomized FMNuc could reflect a mechanism regulating autoimmune responses to neuronal self-antigen released after FNA.…”
Section: Introductionmentioning
confidence: 99%