The essential role of t cells in multiple sclerosis: A reappraisal

Multiple sclerosis is an inflammatory demyelinating disease of the central nervous system in which destruction of myelin and nerve axons has been shown to be mediated by immune mechanisms. Although the focus of research has been traditionally on T cells as key mediators of the immunopathology, more...

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Main Authors: Cris S Constantinescu, Bruno Gran
Format: Article
Language:English
Published: Elsevier 2014-04-01
Series:Biomedical Journal
Subjects:
Online Access:http://www.biomedj.org/article.asp?issn=2319-4170;year=2014;volume=37;issue=2;spage=34;epage=40;aulast=Constantinescu
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author Cris S Constantinescu
Bruno Gran
author_facet Cris S Constantinescu
Bruno Gran
author_sort Cris S Constantinescu
collection DOAJ
description Multiple sclerosis is an inflammatory demyelinating disease of the central nervous system in which destruction of myelin and nerve axons has been shown to be mediated by immune mechanisms. Although the focus of research has been traditionally on T cells as key mediators of the immunopathology, more recent efforts at understanding this complex disorder have been directed increasingly at other cellular and humoral elements of the immune response. This review is a reappraisal of the crucial role of T cells, in particular the CD4+ helper T-cell subset, in multiple sclerosis. Recent evidence is discussed underlining the predominant contribution of T-cell-associated genes to the genome-wide association study results of multiple sclerosis susceptibility, the loss of T-cell quiescence in the conversion from clinically isolated syndrome to clinically definite multiple sclerosis, and the fact that T cells represent the main target of effective immunomodulatory and immunosuppressive treatments in multiple sclerosis.
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spelling doaj.art-0093575a29f04ab18d05a61e6559ec212022-12-22T02:17:35ZengElsevierBiomedical Journal2319-41702320-28902014-04-01372344010.4103/2319-4170.128746The essential role of t cells in multiple sclerosis: A reappraisalCris S Constantinescu0Bruno Gran1Clinical Neurology Research Group, Division of Clinical Neuroscience, University of Nottingham School of Medicine, Queen's Medical Centre, Nottingham, United KingdomClinical Neurology Research Group, Division of Clinical Neuroscience, University of Nottingham School of Medicine, Queen's Medical Centre, Nottingham, United KingdomMultiple sclerosis is an inflammatory demyelinating disease of the central nervous system in which destruction of myelin and nerve axons has been shown to be mediated by immune mechanisms. Although the focus of research has been traditionally on T cells as key mediators of the immunopathology, more recent efforts at understanding this complex disorder have been directed increasingly at other cellular and humoral elements of the immune response. This review is a reappraisal of the crucial role of T cells, in particular the CD4+ helper T-cell subset, in multiple sclerosis. Recent evidence is discussed underlining the predominant contribution of T-cell-associated genes to the genome-wide association study results of multiple sclerosis susceptibility, the loss of T-cell quiescence in the conversion from clinically isolated syndrome to clinically definite multiple sclerosis, and the fact that T cells represent the main target of effective immunomodulatory and immunosuppressive treatments in multiple sclerosis.http://www.biomedj.org/article.asp?issn=2319-4170;year=2014;volume=37;issue=2;spage=34;epage=40;aulast=Constantinescuexperimental autoimmune encephalomyelitishookwormmultiple sclerosisTh17Th1 Tregtreatment
spellingShingle Cris S Constantinescu
Bruno Gran
The essential role of t cells in multiple sclerosis: A reappraisal
Biomedical Journal
experimental autoimmune encephalomyelitis
hookworm
multiple sclerosis
Th17
Th1 Treg
treatment
title The essential role of t cells in multiple sclerosis: A reappraisal
title_full The essential role of t cells in multiple sclerosis: A reappraisal
title_fullStr The essential role of t cells in multiple sclerosis: A reappraisal
title_full_unstemmed The essential role of t cells in multiple sclerosis: A reappraisal
title_short The essential role of t cells in multiple sclerosis: A reappraisal
title_sort essential role of t cells in multiple sclerosis a reappraisal
topic experimental autoimmune encephalomyelitis
hookworm
multiple sclerosis
Th17
Th1 Treg
treatment
url http://www.biomedj.org/article.asp?issn=2319-4170;year=2014;volume=37;issue=2;spage=34;epage=40;aulast=Constantinescu
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