The balance of Th1/Th2 cytokines in rheumatoid arthritis

被引:241
作者
Schulze-Koops, H
Kalden, JK
机构
[1] Nikolaus Fiebiger Ctr Mol Med, Clin Res Grp 3, D-91054 Erlangen, Germany
[2] Nikolaus Fiebiger Ctr Mol Med, Dept Internal Med 3, D-91054 Erlangen, Germany
[3] Nikolaus Fiebiger Ctr Mol Med, Inst Clin Immunol, D-91054 Erlangen, Germany
来源
BEST PRACTICE & RESEARCH IN CLINICAL RHEUMATOLOGY | 2001年 / 15卷 / 05期
关键词
rheumatoid arthritis; Th1/Th2; autoimmunity; cytokines; pathogenesis; treatment;
D O I
10.1053/berh.2001.0187
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
It has been suggested that rheumatoid inflammation is mediated by activated pro-inflammatory T helper type 1 cells. In contrast, immunomodulatory T helper type 2 cells and their cytokines, in particular interleukin-4, are rarely found. This chapter reviews the concept of the Th1/Th2 dichotomy and summarizes the functions of the signature cytokines of the T helper subsets. We discuss current knowledge of the immunopathogenesis of rheumatoid arthritis and its related animal model, collagen induced arthritis, with regard to the Th1/Th2 paradigm. The accumulating evidence for a T helper type 1 driven inflammation and the implications for future therapy are delineated.
引用
收藏
页码:677 / 691
页数:15
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