4.5 Review

CD40 and autoimmunity: The dark side of a great activator

Journal

SEMINARS IN IMMUNOLOGY
Volume 21, Issue 5, Pages 293-300

Publisher

ACADEMIC PRESS LTD- ELSEVIER SCIENCE LTD
DOI: 10.1016/j.smim.2009.05.012

Keywords

CD40; CD154; Autoimmune disease; Polymorphism; T lymphocyte; B lymphocyte

Categories

Funding

  1. NATIONAL CANCER INSTITUTE [R01CA099997] Funding Source: NIH RePORTER
  2. NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES [R01AI049993] Funding Source: NIH RePORTER
  3. NATIONAL INSTITUTE OF GENERAL MEDICAL SCIENCES [T32GM007337] Funding Source: NIH RePORTER
  4. NCI NIH HHS [R01 CA099997-06A2, R01 CA099997] Funding Source: Medline
  5. NIAID NIH HHS [R01 AI049993, R01 AI049993-03] Funding Source: Medline
  6. NIGMS NIH HHS [T32 GM007337] Funding Source: Medline

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CD40 is a tumor necrosis factor receptor superfamily member expressed by immune and non-immune cells. CD40:CD154 interactions mediate T-dependent B cell responses and efficient T cell priming. Thus, CD40 is a likely candidate to play roles in autoimmune diseases in which activated T and B cells cause pathology. Diseases in which CD40 plays a pathogenic role include autoimmune thyroiditis, type 1 diabetes, inflammatory bowel disease, psoriasis, multiple sclerosis, rheumatoid arthritis, and systemic lupus erythematosus. This review discusses the role of CD40:CD154 interaction in human and mouse autoimmunity, human polymorphisms associated with disease incidence, and disrupting CD40: CD154 interactions as an autoimmune therapy. (C) 2009 Elsevier Ltd. All rights reserved.

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