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Wie T-Lymphozyten rheumatische Entzündung koordinieren

How T lymphocytes coordinate rheumatic inflammation

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Zusammenfassung

T‑Helfer(TH)-Lymphozyten spielen eine entscheidende Rolle bei der Auslösung und Aufrechterhaltung chronischer rheumatischer Entzündungen. Über die Ausschüttung von entzündungsfördernden Botenstoffen und die Expression kostimulatorischer Oberflächenmoleküle koordinieren sie die Rekrutierung und Aktivierung von Effektorzellen, die letztendlich die Immunpathologie und Gewebezerstörung auslösen. Allerdings waren Therapieansätze, die auf die Eliminierung von TH-Zellen abzielten, aufgrund ihrer mangelnden Selektivität nicht erfolgreich. Am Deutschen Rheuma-Forschungszentrum (DRFZ) wollen wir deshalb TH-Zellen , die an chronischen Entzündungsreaktionen beteiligt sind, besser verstehen. Unser Ziel ist es, basierend darauf neue therapeutische Strategien zu entwickeln, die pathogene TH-Zellen bei rheumatischen Entzündungen gezielt und selektiv bekämpfen. Die Erkenntnisse des DRFZ zu diesem Thema fasst der vorliegende Beitrag zusammen.

Abstract

Helper T (Th) cells play a decisive role in triggering and maintaining chronic rheumatic inflammation. Via secretion of proinflammatory cytokines and expression of costimulatory cell surface molecules, Th lymphocytes coordinate the recruitment and activation of effector cells, which are ultimately responsible for the immunopathology and tissue destruction. However, therapeutic approaches aimed at eliminating Th cells were unsuccessful due to their lack of selectivity. At the German Rheumatism Research Center (Deutsches Rheuma-Forschungszentrum, DRFZ), we are working to improve the understanding of the Th cells involved in chronic inflammatory reactions. Based on this understanding, our aim is to develop novel treatment strategies that selectively target the pathogenic Th lymphocytes causing rheumatic inflammation. The current article summarizes the DRFZʼs research activities on this subject.

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Literatur

  1. Albrecht I, Niesner U, Janke M et al (2010) Persistence of effector memory Th1 cells is regulated by Hopx. Eur J Immunol 40:2993–3006

    Article  CAS  Google Scholar 

  2. Albrecht I, Niesner U, Janke M et al (2008) The pro-inflammatory immunological memory : twist1 as a marker for chronically activated T lymphocytes. Z Rheumatol 67:684–688

    Article  CAS  Google Scholar 

  3. Breitfeld D, Ohl L, Kremmer E et al (2000) Follicular B helper T cells express CXC chemokine receptor 5, localize to B cell follicles, and support immunoglobulin production. J Exp Med 192:1545–1552

    Article  CAS  Google Scholar 

  4. Burmester GR, Daser A, Kamradt T et al (1995) Immunology of reactive arthritides. Annu Rev Immunol 13:229–250

    Article  CAS  Google Scholar 

  5. Chang HD, Kamradt T, Schulze-Koops H (2011) Th1, Th17 and Th1+17 cells. Z Rheumatol 70:862–865

    Article  CAS  Google Scholar 

  6. Cosmi L, Maggi L, Santarlasci V et al (2010) Identification of a novel subset of human circulating memory CD4(+) T cells that produce both IL-17A and IL‑4. J Allergy Clin Immunol 125:222–230.e1‑4

    Article  CAS  Google Scholar 

  7. Drutskaya MS, Nosenko MA, Gorshkova EA et al (2020) Effects of myeloid cell-restricted TNF inhibitors in vitro and in vivo. J Leukoc Biol 107:933–939

    Article  CAS  Google Scholar 

  8. Ettinger R, Sims GP, Fairhurst AM et al (2005) IL-21 induces differentiation of human naive and memory B cells into antibody-secreting plasma cells. J Immunol 175:7867–7879

    Article  CAS  Google Scholar 

  9. Gryzik S, Hoang Y, Lischke T et al (2020) Identification of a super-functional Tfh-like subpopulation in murine lupus by pattern perception. Elife. https://doi.org/10.7554/eLife.53226

    Article  PubMed  PubMed Central  Google Scholar 

  10. Haftmann C, Stittrich AB, Zimmermann J et al (2015) miR-148a is upregulated by Twist1 and T‑bet and promotes Th1-cell survival by regulating the proapoptotic gene Bim. Eur J Immunol 45:1192–1205

    Article  CAS  Google Scholar 

  11. Hegazy AN, Peine M, Helmstetter C et al (2010) Interferons direct Th2 cell reprogramming to generate a stable GATA-3(+)T-bet(+) cell subset with combined Th2 and Th1 cell functions. Immunity 32:116–128

    Article  CAS  Google Scholar 

  12. Hradilkova K, Maschmeyer P, Westendorf K et al (2019) Regulation of fatty acid oxidation by twist 1 in the metabolic adaptation of T helper lymphocytes to chronic inflammation. Arthritis Rheumatol 71:1756–1765

    Article  CAS  Google Scholar 

  13. Hutloff A (2016) T and B cell immune reactions in inflamed tissue. Z Rheumatol 75:899–902

    Article  CAS  Google Scholar 

  14. Kruglov A, Drutskaya M, Schlienz D et al (2020) Contrasting contributions of TNF from distinct cellular sources in arthritis. Ann Rheum Dis 79:1453–1459

    Article  CAS  Google Scholar 

  15. Leipe J, Chang HD (2015) Effector T cells. Z Rheumatol 74:14–19

    Article  CAS  Google Scholar 

  16. Lexberg MH, Taubner A, Albrecht I et al (2010) IFN-gamma and IL-12 synergize to convert in vivo generated Th17 into Th1/Th17 cells. Eur J Immunol 40:3017–3027

    Article  CAS  Google Scholar 

  17. Maschmeyer P, Heinz GA, Skopnik CM et al (2021) Antigen-driven PD-1(+) TOX(+) BHLHE40(+) and PD-1(+) TOX(+) EOMES(+) T lymphocytes regulate juvenile idiopathic arthritis in situ. Eur J Immunol 51:915–929

    Article  CAS  Google Scholar 

  18. Maschmeyer P, Mashreghi MF (2018) Depletion of pro-inflammatory T helper type 1 cells by antagomir-mediated inhibition of the microRNA-148a. Z Rheumatol 77:508–510

    Article  CAS  Google Scholar 

  19. Maschmeyer P, Petkau G, Siracusa F et al (2018) Selective targeting of pro-inflammatory Th1 cells by microRNA-148a-specific antagomirs in vivo. J Autoimmun 89:41–52

    Article  CAS  Google Scholar 

  20. Mazzoni A, Santarlasci V, Maggi L et al (2015) Demethylation of the RORC2 and IL17A in human CD4+ T lymphocytes defines Th17 origin of nonclassic Th1 cells. J Immunol 194:3116–3126

    Article  CAS  Google Scholar 

  21. Neurath MF, Weigmann B, Finotto S et al (2002) The transcription factor T‑bet regulates mucosal T cell activation in experimental colitis and Crohn’s disease. J Exp Med 195:1129–1143

    Article  CAS  Google Scholar 

  22. Rao DA, Gurish MF, Marshall JL et al (2017) Pathologically expanded peripheral T helper cell subset drives B cells in rheumatoid arthritis. Nature 542:110–114

    Article  CAS  Google Scholar 

  23. Simon AK, Seipelt E, Sieper J (1994) Divergent T‑cell cytokine patterns in inflammatory arthritis. Proc Natl Acad Sci U S A 91:8562–8566

    Article  CAS  Google Scholar 

  24. Van Vu D, Beier KC, Pietzke LJ et al (2016) Local T/B cooperation in inflamed tissues is supported by T follicular helper-like cells. Nat Commun 7:10875

    Article  Google Scholar 

  25. Zimmermann J, Durek P, Kuhl AA et al (2018) The intestinal microbiota determines the colitis-inducing potential of T‑bet-deficient Th cells in mice. Eur J Immunol 48:161–167

    Article  CAS  Google Scholar 

  26. Zimmermann J, Kuhl AA, Weber M et al (2016) T‑bet expression by Th cells promotes type 1 inflammation but is dispensable for colitis. Mucosal Immunol 9:1487–1499

    Article  CAS  Google Scholar 

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Correspondence to Hyun-Dong Chang.

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H.-D. Chang, A. Radbruch, T. Kallinich, M.-F. Mashreghi, A.N. Hegazy, A. Kruglov, S. Nedospasov und R. Baumgrass geben an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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Andreas Radbruch, Berlin

Reinhold E. Schmidt, Hannover

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Chang, HD., Radbruch, A., Kallinich, T. et al. Wie T-Lymphozyten rheumatische Entzündung koordinieren. Z Rheumatol 81, 635–641 (2022). https://doi.org/10.1007/s00393-022-01186-5

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