Regulatory T Cells in Autoimmune and Viral Chronic Hepatitis

In both autoimmune liver disease and chronic viral hepatitis, the injury results from an immune-mediated cytotoxic T cell response to liver cells. As such, it is not surprising that CD4+ regulatory T cells, a key regulatory population of T cells able to curb immune responses, could be involved in bo...

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Main Authors: Pascal Lapierre, Alain Lamarre
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Journal of Immunology Research
Online Access:http://dx.doi.org/10.1155/2015/479703
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author Pascal Lapierre
Alain Lamarre
author_facet Pascal Lapierre
Alain Lamarre
author_sort Pascal Lapierre
collection DOAJ
description In both autoimmune liver disease and chronic viral hepatitis, the injury results from an immune-mediated cytotoxic T cell response to liver cells. As such, it is not surprising that CD4+ regulatory T cells, a key regulatory population of T cells able to curb immune responses, could be involved in both autoimmune hepatitis and chronic viral hepatitis. The liver can induce the conversion of naïve CD4+ T cells to CD4+ regulatory T cells and induce tolerance to locally expressed antigens. This tolerance mechanism is carefully regulated in physiological conditions but any imbalance could be pathological. An overly tolerant immune response can lead to chronic infections while an overreactive and unbridled immune response can lead to autoimmune hepatitis. With the recent advent of monoclonal antibodies able to target regulatory T cells (daclizumab) and improve immune responses and several ongoing clinical trials analysing the impact of regulatory T cell infusion on autoimmune liver disease or liver transplant tolerance, modulation of immunological tolerance through CD4+ regulatory T cells could be a key element of future immunotherapies for several liver diseases allowing restoring the balance between proper immune responses and tolerance.
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spelling doaj-art-a566dc95e598441b93aa0e7f4f5495382025-02-03T01:10:21ZengWileyJournal of Immunology Research2314-88612314-71562015-01-01201510.1155/2015/479703479703Regulatory T Cells in Autoimmune and Viral Chronic HepatitisPascal Lapierre0Alain Lamarre1Laboratoire d’Immunovirologie, Institut National de la Recherche Scientifique, INRS-Institut Armand-Frappier, Laval, QC, H7V 1B7, CanadaLaboratoire d’Immunovirologie, Institut National de la Recherche Scientifique, INRS-Institut Armand-Frappier, Laval, QC, H7V 1B7, CanadaIn both autoimmune liver disease and chronic viral hepatitis, the injury results from an immune-mediated cytotoxic T cell response to liver cells. As such, it is not surprising that CD4+ regulatory T cells, a key regulatory population of T cells able to curb immune responses, could be involved in both autoimmune hepatitis and chronic viral hepatitis. The liver can induce the conversion of naïve CD4+ T cells to CD4+ regulatory T cells and induce tolerance to locally expressed antigens. This tolerance mechanism is carefully regulated in physiological conditions but any imbalance could be pathological. An overly tolerant immune response can lead to chronic infections while an overreactive and unbridled immune response can lead to autoimmune hepatitis. With the recent advent of monoclonal antibodies able to target regulatory T cells (daclizumab) and improve immune responses and several ongoing clinical trials analysing the impact of regulatory T cell infusion on autoimmune liver disease or liver transplant tolerance, modulation of immunological tolerance through CD4+ regulatory T cells could be a key element of future immunotherapies for several liver diseases allowing restoring the balance between proper immune responses and tolerance.http://dx.doi.org/10.1155/2015/479703
spellingShingle Pascal Lapierre
Alain Lamarre
Regulatory T Cells in Autoimmune and Viral Chronic Hepatitis
Journal of Immunology Research
title Regulatory T Cells in Autoimmune and Viral Chronic Hepatitis
title_full Regulatory T Cells in Autoimmune and Viral Chronic Hepatitis
title_fullStr Regulatory T Cells in Autoimmune and Viral Chronic Hepatitis
title_full_unstemmed Regulatory T Cells in Autoimmune and Viral Chronic Hepatitis
title_short Regulatory T Cells in Autoimmune and Viral Chronic Hepatitis
title_sort regulatory t cells in autoimmune and viral chronic hepatitis
url http://dx.doi.org/10.1155/2015/479703
work_keys_str_mv AT pascallapierre regulatorytcellsinautoimmuneandviralchronichepatitis
AT alainlamarre regulatorytcellsinautoimmuneandviralchronichepatitis