New developments implicating IL-21 in autoimmune disease

被引:58
作者
Ren, Heather M. [1 ,2 ]
Lukacher, Aron E. [2 ]
Rahman, Ziaur S. M. [2 ]
Olsen, Nancy J. [3 ]
机构
[1] Penn State Coll Med, MD PhD Med Scientist Training Program, Hershey, PA 17033 USA
[2] Penn State Coll Med, Dept Microbiol & Immunol, Hershey, PA 17033 USA
[3] Penn State MS Hershey Med Ctr, Dept Med, Devis Rheumatol, Hershey, PA 17033 USA
关键词
Autoimmunity; Interleukin (IL)-21; CD4 T cells; CD8 T cells; Resident memory; CD8(+) T-CELLS; ANTI-IL-21; MONOCLONAL-ANTIBODY; SYSTEMIC-LUPUS-ERYTHEMATOSUS; FIBROBLAST-LIKE SYNOVIOCYTES; CENTRAL-NERVOUS-SYSTEM; COMPLEX CLASS-I; RHEUMATOID-ARTHRITIS; INTERLEUKIN-21; RECEPTOR; PEMPHIGUS-VULGARIS; SJOGRENS-SYNDROME;
D O I
10.1016/j.jaut.2021.102689
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Elevated interleukin (IL)-21 is a common finding in the tissues and/or sera of patients with autoimmune disease. CD4 T cells are the primary producers of IL-21; often the IL-21 producing CD4 T cells will express molecules associated with follicular helper cells (TFH). Recent work has shown that the CD4 T cell-derived IL-21 is able to promote effector functions and memory differentiation of CD8 T cells in chronic infections and cancer. Autoimmunity has similarities to chronic infections and cancer. However, CD4 T cell-derived IL-21:IL21R signaling in CD8 T cells has not been fully appreciated in the context of autoimmunity. In this review, we assess the current knowledge regarding CD4 T cell-derived IL-21 and IL21R signaling within CD8 T cells and evaluate what implications it has within several autoimmune diseases including systemic lupus erythematous, rheumatoid arthritis, juvenile idiopathic arthritis, type 1 diabetes mellitus, psoriasis, Sjo center dot gren's syndrome, vitiligo, antiphospholipid syndrome, pemphigus, and giant cell arteritis.
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页数:12
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