Journal
TOXICOLOGY AND INDUSTRIAL HEALTH
Volume 33, Issue 11, Pages 876-883Publisher
SAGE PUBLICATIONS INC
DOI: 10.1177/0748233717731213
Keywords
Trichloroethylene; immune; toxicology; cellular immunity; humoral immunity
Funding
- National Natural Science Foundation of China [81502791, 81371730, 81673141]
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Trichloroethylene (TCE) has been used for a variety of industrial and consumer cleaning purposes because of its ability to dissolve organic substances. The multisystem injuries include those of skin, liver, and kidney, which are defined as TCE hypersensitivity syndrome (THS). THS is a serious occupational health issue. However, the mechanism of immune dysfunction leading to organ injury is poorly understood. Many studies reveal that skin lesions and organ injury caused by TCE are consistent with type IV hypersensitivity, also called delayed hypersensitivity, mediated by T cells. However, many researchers found T cell-mediated type IV hypersensitivity could not account for the pathogenesis of THS fully. Humoral immunity, including immunoglobulins and complement activation, may also play a possible role in THS pathogenesis. This review will describe the history, current understanding, and future research directions of the mechanism of THS.
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