Sociedad Argentina de Hematología

Revista Hematología

 

 

 

 

 

Revista Argentina de Hematología

Abstract

Volumen:    17    # Number : 1

Publication Date :    Enero - Abril    Year:    2013

   ARTÍCULO DE REVISIÓN

Authors: Ricardo Antonio Giuliani

Abstract: After the antigenic Challenge, the CD4+ T Cell follows the differentiation pathway that mark the microenvironmental Cytokine profile1. That profile is elaborated by Antigen Presenting Cells, particularly Dendritic Cells (DC), as innate reaction against surrounding pathogens2. Intracellular germs cause differentation to Th-1 phenotype and the extracelular to Th2, Th17 o Tfh. However these T Helper versions do not behave as terminal paterns of differentiation and may redirect its genetic programmes towards alternative phnotypes3. For example Th17 can be transformed into Th2 or Treg, according to the cytokines released by DC in order to control a specific microorganism. This provides better phenotypic plasticity to T Helper Cells and greatly amplifies its capacity against diverse pathogenic insults. But the regulators of such transformations may fail by genetic mutations or deletions, activating the development of autoreactivity. This paper reviews the adaptative transformations in the CD4+ T Helper system. See highlighted in bold some examples of autoreactivity related to deletion of Transcription Factors or Phenotypic Versions of T Helper Cells.

Key words: Helper plasticity, T cell phenotypes CD4+, autoimmunity, Th17, Th2, Tfh, Th1, Th22

Pages : 37-45

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