Aberrant T cell signaling and subsets in systemic lupus erythematosus

Takayuki Katsuyama, George C. Tsokos, Vaishali R. Moulton

Research output: Contribution to journalReview article

33 Citations (Scopus)

Abstract

Systemic lupus erythematosus (SLE) is a chronic multi-organ debilitating autoimmune disease, which mainly afflicts women in the reproductive years. A complex interaction of genetics, environmental factors and hormones result in the breakdown of immune tolerance to "self" leading to damage and destruction of multiple organs, such as the skin, joints, kidneys, heart and brain. Both innate and adaptive immune systems are critically involved in the misguided immune response against self-antigens. Dendritic cells, neutrophils, and innate lymphoid cells are important in initiating antigen presentation and propagating inflammation at lymphoid and peripheral tissue sites. Autoantibodies produced by B lymphocytes and immune complex deposition in vital organs contribute to tissue damage. T lymphocytes are increasingly being recognized as key contributors to disease pathogenesis. CD4 T follicular helper cells enable autoantibody production, inflammatory Th17 subsets promote inflammation, while defects in regulatory T cells lead to unchecked immune responses. A better understanding of the molecular defects including signaling events and gene regulation underlying the dysfunctional T cells in SLE is necessary to pave the path for better management, therapy, and perhaps prevention of this complex disease. In this review, we focus on the aberrations in T cell signaling in SLE and highlight therapeutic advances in this field.

Original languageEnglish
Article number1088
JournalFrontiers in immunology
Volume9
Issue numberMAY
DOIs
Publication statusPublished - May 17 2018
Externally publishedYes

Keywords

  • Autoimmune disease
  • Autoimmunity
  • Signaling
  • SLE
  • T cells

ASJC Scopus subject areas

  • Immunology and Allergy
  • Immunology

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