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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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T cells are integral to our adaptive immune system, recognizing and effectively responding to foreign antigens. T cell activation and clonal selection are pivotal in orchestrating this immune response. This article elucidates these mechanisms, detailing the roles of cluster of differentiation (CD) markers, major histocompatibility complex (MHC) molecules, costimulatory signals, and the process of clonal selection.
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Enteropathy-Associated T-Cell Lymphoma.

Sarah Ondrejka1, Deepa Jagadeesh2

  • 1Pathology and Laboratory Medicine Institute, Cleveland Clinic, 9500 Euclid Ave, L-30, Cleveland, OH, 44195, USA.

Current Hematologic Malignancy Reports
|December 1, 2016
PubMed
Summary
This summary is machine-generated.

Enteropathy-associated T-cell lymphoma, a rare intestinal cancer linked to celiac disease, presents aggressively. Combination chemotherapy and stem cell transplant offer hope, but novel therapies are needed for better outcomes.

Keywords:
Celiac diseaseIntestinal T-cell lymphomaMonomorphic CD56+ intestinal T-cell lymphomaRefractory celiac disease, monomorphic epitheliotropic intestinal T-cell lymphomaType I enteropathy-associated T-cell lymphomaType II enteropathy-associated T-cell lymphoma

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Area of Science:

  • Gastroenterology
  • Oncology
  • Immunology

Background:

  • Enteropathy-associated T-cell lymphoma (EATL) is a rare intestinal neoplasm.
  • It is strongly associated with celiac disease and presents aggressively.
  • Clinical manifestations range from malabsorption to abdominal emergencies.

Purpose of the Study:

  • To review the clinicopathologic features of EATL.
  • To discuss current treatment strategies and outcomes.
  • To highlight the need for novel therapeutic approaches.

Main Methods:

  • Review of existing literature on EATL.
  • Analysis of epidemiological and clinicopathologic data.
  • Evaluation of treatment outcomes from collective experience.

Main Results:

  • EATL is characterized by aggressive behavior and association with celiac disease.
  • WHO classification historically divided EATL into types I and II, with ongoing debate on their separation.
  • Combination chemotherapy followed by autologous hematopoietic stem cell transplant shows favorable outcomes in select patients.

Conclusions:

  • Despite treatment advances, the prognosis for EATL remains poor.
  • Low incidence and patient variability hinder clinical trials and standard treatment development.
  • Further research is crucial to identify effective novel therapies for EATL.