Impact of interleukin-6 on T cells in kidney transplant recipients

被引:12
作者
Chandran, Sindhu [1 ]
Tang, Qizhi [2 ]
机构
[1] Univ Calif San Francisco, Dept Med, San Francisco, CA 94143 USA
[2] Univ Calif San Francisco, Gladstone UCSF Inst Genome Immunol, Diabet Ctr, Dept Surg, San Francisco, CA USA
关键词
clinical research; practice; cytokines; cytokine receptors; immunobiology; immunosuppression; immune modulation; immunosuppressant-fusion proteins and monoclonal antibodies; T cell specific; kidney transplantation; nephrology; lymphocyte biology; differentiation; maturation; rejection; T cell mediated (TCMR); tolerance; clinical; translational research; science; ANTIBODY-MEDIATED REJECTION; HUMAN RENAL-ALLOGRAFTS; GROWTH-FACTOR-BETA; TGF-BETA; RHEUMATOID-ARTHRITIS; RECEPTOR BLOCKADE; EPITHELIAL-CELLS; MIXED CHIMERISM; HELPER-CELLS; TH17; CELLS;
D O I
10.1111/ajt.17209
中图分类号
R61 [外科手术学];
学科分类号
摘要
Interleukin-6 (IL-6), a multifunctional proinflammatory cytokine, plays a key role in T cell activation, survival, and differentiation. Acting as a switch that induces the differentiation of naive T cells into Th17 cells and inhibits their development into regulatory T cells, IL-6 promotes rejection and abrogates tolerance. Therapies that target IL-6 signaling include antibodies to IL-6 and the IL-6 receptor and inhibitors of janus kinases; several of these therapeutics have demonstrated robust clinical efficacy in autoimmune and inflammatory diseases. Clinical trials of IL-6 inhibition in kidney transplantation have focused primarily on its effects on B cells, plasma cells, and HLA antibodies. In this review, we summarize the impact of IL-6 on T cells in experimental models of transplant and describe the effects of IL-6 inhibition on the T cell compartment in kidney transplant recipients.
引用
收藏
页码:18 / 27
页数:10
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