期刊
JOURNAL OF IMMUNOLOGY
卷 183, 期 7, 页码 4432-4439出版社
AMER ASSOC IMMUNOLOGISTS
DOI: 10.4049/jimmunol.0900576
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资金
- U.S. National Institutes of Health [P01 AI045757, U19 AI046130, U19 AI070352, P01 A1039671, F32 AI651003, F32 NS059205]
- Juvenile Diabetes Research Foundation International
- National Institute of Neurological Disorders and Stroke [NS2427]
Autoimmune diseases including type 1 diabetes (T1D) are thought to have a Th1/Th17 bias. The underlying mechanisms driving the activation and differentiation of these proinflammatory T cells are unknown. We examined the monocytes isolated directly from the blood of T1D patients and found they spontaneously secreted the proinflammatory cytokines IL-1 beta and IL-6, which are known to induce and expand Th17 cells. Moreover, these in vivo-activated monocytes from T1D subjects induced more IL-17-secreting cells from memory T cells compared with monocytes from healthy control subjects. The induction of IL-17-secreting T cells by monocytes from T1D subjects was reduced in vitro with a combination of an IL-6-blocking Ab and IL-1R antagonist. In this study, we report a significant although modest increase in the frequency of IL-17-secreting cells in lymphocytes from long-term patients with T1D compared with healthy controls. These data suggest that the innate immune system in T1D may drive the adaptive immune system by expanding the Th17 population of effector T cells. The Journal of Immunology, 2009,183: 4432-4439.
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