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Related Concept Videos

T Cell Types and Functions01:24

T Cell Types and Functions

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When T cells with CD4 markers are activated, they give rise to two types of effector cells: helper T cells and regulatory T cells. Meanwhile, T cells with CD8 markers differentiate into effector cytotoxic T cells. The differentiation of CD4 T cells into helper T cell subsets, such as Th1, Th2, and Th17 cells, is dependent on the antigen type, antigen-presenting cell, and regulatory cytokines.
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Leprosy Reactions Show Increased Th17 Cell Activity and Reduced FOXP3+ Tregs with Concomitant Decrease in TGF-β and

Chaman Saini1, Anisuddin Siddiqui2, Venkatesh Ramesh3

  • 1National Institute of Pathology (ICMR) Safdarjung Hospital Campus, New Delhi, India.

Plos Neglected Tropical Diseases
|April 2, 2016
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Summary
This summary is machine-generated.

Leprosy reactions involve an imbalance between Th17 cells and regulatory T cells (Tregs). Reduced Treg activity and increased Th17 activity contribute to inflammation and nerve damage in leprosy patients.

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Area of Science:

  • Immunology
  • Dermatology
  • Infectious Diseases

Background:

  • Leprosy reactions, including Type 1 (reversal reactions) and Type 2 (Erythema Nodosum Leprosum), affect 50% of patients, causing significant morbidity and nerve damage.
  • CD4+ Th17 cells and CD25+FOXP3+ regulatory T cells (Tregs) are implicated in leprosy immunopathology and stable disease.
  • Understanding the role of these T cell subsets in leprosy reactions is crucial for managing the disease.

Purpose of the Study:

  • To investigate the role of Th17 cells and regulatory T cells (Tregs) in the immunopathology of leprosy reactions.
  • To compare the immune profiles of patients with stable leprosy versus those experiencing Type 1 (RR) and Type 2 (ENL) reactions.

Main Methods:

  • Quantitative reverse transcribed PCR (qPCR) for gene expression analysis.
  • Flow cytometry for cell phenotype characterization.
  • ELISA for measuring cytokine levels in peripheral blood mononuclear cell (PBMC) cultures stimulated with antigens.

Main Results:

  • Leprosy reactions showed a significant increase in Th17 cells and associated cytokines (IL-17A, IL-17F, IL-21, IL-23) and chemokines (CCL20, CCL22) compared to stable leprosy.
  • Patients in reaction phases exhibited reduced FOXP3+ Treg cells, decreased TGF-β, and increased IL-6.
  • Reversal reactions (RR) displayed higher expression of T cell markers, cytokines, and chemokines compared to Erythema Nodosum Leprosum (ENL) reactions.

Conclusions:

  • Leprosy reactions are characterized by an imbalance between Th17 and Treg populations, with reduced Treg suppressor activity correlating with heightened Th17 cell activity.
  • The interplay of reduced TGF-β and increased IL-6, IL-21 cytokines influences the Th17/Treg balance in leprosy reactions, mirroring findings in murine models and autoimmune diseases.
  • Elevated Th17 cell-associated cytokines likely contribute to lesional inflammation in leprosy reactions.