Type 1 T helper and type 2 T helper cells: Functions, regulation and role in protection and disease

Summary

Two very distinct cytokine secretion patterns have been defined amoung murine CD4⁺ T cells. Type 1 helper (T_H1), but not type 2 helper (T_H2), cells produce interleukin (IL)-2, gamma-interferon (IFN-γ) and tumour necrosis factor-β, whereas T_H2, but not T_H1, cells express IL-4, IL-5, IL-6 and IL-10. The different cytokine patterns lead to different functions of the two types of T cell. In general, T_H2 cells are excellent helpers for B-cell antibody secretion, particularly IgE responses. On the other hand T_H1 cells induce delayed-type hypersensitivity reactions. There is general agreement that the different functional subsets of T_H cells arise post-thymically from a common pool of precursors and as a consequence of activation of antigen. However, the factors affecting differentiation of T_H precursors into the T_H1 or T_H2 subsets are still unclear. Mutual cross-regulation between T_H1 (via IFN-γ) and T_H2 (via IL-10) has also been reported. Recently, human T cell clones similar to murine T_H1 and T_H2 cells have been demonstrated. Most allergen- or helminthic antigen-specific CD4⁺ human T cell clones have a T_H2 phenotype, whereas the majority of T-cell clones specific for mycobacterial antigens or antigens responsible for type IV hypersensitivity exhibit a T_H1 phenotype. Human T_H2 clones provide B-cell help for IgE synthesis, whereas most T_H1 clones are cytolytic for antigen-presenting cells, including B lymphocytes. It is highly probable that the selective or preferential activation of CD4⁺ T-cell subsets secreting defined patterns of cytokines is of major importance in determining the class of immune effector function, thus influencing both protection and immunopathology.