2016
DOI: 10.1155/2016/5314541
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Th17 Cells Pathways in Multiple Sclerosis and Neuromyelitis Optica Spectrum Disorders: Pathophysiological and Therapeutic Implications

Abstract: Several animal and human studies have implicated CD4+ T helper 17 (Th17) cells and their downstream pathways in the pathogenesis of central nervous system (CNS) autoimmunity in multiple sclerosis (MS) and neuromyelitis optica spectrum disorders (NMOSD), challenging the traditional Th1-Th2 paradigm. Th17 cells can efficiently cross the blood-brain barrier using alternate ways from Th1 cells, promote its disruption, and induce the activation of other inflammatory cells in the CNS. A number of environmental facto… Show more

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Cited by 96 publications
(73 citation statements)
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“…The Th17-Treg balance is impaired in PBC (Fenoglio et al 2012). Th17 cells mainly secrete IL-17, IL-6, and IL-23 and have been associated with the pathologies of several autoimmune diseases, including multiple sclerosis, rheumatoid arthritis (RA), and inflammatory bowel disease (Miao et al 2014;Alunno et al 2015;Ueno et al 2015;Dos Passos et al 2016). Patients with PBC have greater numbers of IL-17+ cells than healthy controls, and immune dysregulation in PBC is related to preferential activation of Th17 cells (Lan (Kleinewietfeld and Hafler 2013).…”
Section: Discussionmentioning
confidence: 99%
“…The Th17-Treg balance is impaired in PBC (Fenoglio et al 2012). Th17 cells mainly secrete IL-17, IL-6, and IL-23 and have been associated with the pathologies of several autoimmune diseases, including multiple sclerosis, rheumatoid arthritis (RA), and inflammatory bowel disease (Miao et al 2014;Alunno et al 2015;Ueno et al 2015;Dos Passos et al 2016). Patients with PBC have greater numbers of IL-17+ cells than healthy controls, and immune dysregulation in PBC is related to preferential activation of Th17 cells (Lan (Kleinewietfeld and Hafler 2013).…”
Section: Discussionmentioning
confidence: 99%
“…Together, monocytes, Th1 and Th17 cells orchestrate a chronic pro-inflammatory and pro-fibrotic response to cardiovascular risk factors, leading to pathological cardiac hypertrophy, myocardial fibrosis and diastolic impairment. Thus, HFpEF is associated with hallmarks of Th1/Th17-cell mediated autoimmune diseases, such as multiple sclerosis [22,23] and type I diabetes mellitus [24,25]. This overarching theory reconciles the epidemiological associations between systemic inflammation and aging and provides a genetic basis that explains why not all aging, hypertensive patients develop HFpEF.…”
Section: Introductionmentioning
confidence: 99%
“…Th17 cells can efficiently cross the blood-brain barrier using alternate ways from Th1 cells, promote its disruption, and induce the activation of other inflammatory cells in the CNS [18].…”
Section: Relationship Withth1th2 and Tregmentioning
confidence: 99%