Emerging Complexity in CD4+T Lineage Programming and Its Implications in Colorectal Cancer

The intestinal immune system has the difficult task of protecting a large environmentally exposed single layer of epithelium from pathogens without allowing inappropriate inflammatory responses. Unmitigated inflammation drives multiple pathologies, including the development of colorectal cancer. CD4...

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Main Authors: Daniel DiToro, Rajatava Basu
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-08-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2021.694833/full
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author Daniel DiToro
Daniel DiToro
Daniel DiToro
Rajatava Basu
author_facet Daniel DiToro
Daniel DiToro
Daniel DiToro
Rajatava Basu
author_sort Daniel DiToro
collection DOAJ
description The intestinal immune system has the difficult task of protecting a large environmentally exposed single layer of epithelium from pathogens without allowing inappropriate inflammatory responses. Unmitigated inflammation drives multiple pathologies, including the development of colorectal cancer. CD4+T cells mediate both the suppression and promotion of intestinal inflammation. They comprise an array of phenotypically and functionally distinct subsets tailored to a specific inflammatory context. This diversity of form and function is relevant to a broad array of pathologic and physiologic processes. The heterogeneity underlying both effector and regulatory T helper cell responses to colorectal cancer, and its impact on disease progression, is reviewed herein. Importantly, T cell responses are dynamic; they exhibit both quantitative and qualitative changes as the inflammatory context shifts. Recent evidence outlines the role of CD4+T cells in colorectal cancer responses and suggests possible mechanisms driving qualitative alterations in anti-cancer immune responses. The heterogeneity of T cells in colorectal cancer, as well as the manner and mechanism by which they change, offer an abundance of opportunities for more specific, and likely effective, interventional strategies.
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spelling doaj.art-7764ea7d8c5d4b42b10c17bb7c07d8d72022-12-21T18:36:58ZengFrontiers Media S.A.Frontiers in Immunology1664-32242021-08-011210.3389/fimmu.2021.694833694833Emerging Complexity in CD4+T Lineage Programming and Its Implications in Colorectal CancerDaniel DiToro0Daniel DiToro1Daniel DiToro2Rajatava Basu3Brigham and Women’s Hospital, Boston, MA, United StatesHarvard Medical School, Boston, MA, United StatesRagon Institute of MGH MIT and Harvard, Cambridge, MA, United StatesDivision of Molecular and Cellular Pathology, Department of Pathology, University of Alabama at Birmingham (UAB), Birmingham, AL, United StatesThe intestinal immune system has the difficult task of protecting a large environmentally exposed single layer of epithelium from pathogens without allowing inappropriate inflammatory responses. Unmitigated inflammation drives multiple pathologies, including the development of colorectal cancer. CD4+T cells mediate both the suppression and promotion of intestinal inflammation. They comprise an array of phenotypically and functionally distinct subsets tailored to a specific inflammatory context. This diversity of form and function is relevant to a broad array of pathologic and physiologic processes. The heterogeneity underlying both effector and regulatory T helper cell responses to colorectal cancer, and its impact on disease progression, is reviewed herein. Importantly, T cell responses are dynamic; they exhibit both quantitative and qualitative changes as the inflammatory context shifts. Recent evidence outlines the role of CD4+T cells in colorectal cancer responses and suggests possible mechanisms driving qualitative alterations in anti-cancer immune responses. The heterogeneity of T cells in colorectal cancer, as well as the manner and mechanism by which they change, offer an abundance of opportunities for more specific, and likely effective, interventional strategies.https://www.frontiersin.org/articles/10.3389/fimmu.2021.694833/fullCD4+T celleffector T cellregulatory T cell (Treg)T follicular helper cell (Tfh)T follicular regulatory cell (Tfr)lineage programming, plasticity
spellingShingle Daniel DiToro
Daniel DiToro
Daniel DiToro
Rajatava Basu
Emerging Complexity in CD4+T Lineage Programming and Its Implications in Colorectal Cancer
Frontiers in Immunology
CD4+T cell
effector T cell
regulatory T cell (Treg)
T follicular helper cell (Tfh)
T follicular regulatory cell (Tfr)
lineage programming, plasticity
title Emerging Complexity in CD4+T Lineage Programming and Its Implications in Colorectal Cancer
title_full Emerging Complexity in CD4+T Lineage Programming and Its Implications in Colorectal Cancer
title_fullStr Emerging Complexity in CD4+T Lineage Programming and Its Implications in Colorectal Cancer
title_full_unstemmed Emerging Complexity in CD4+T Lineage Programming and Its Implications in Colorectal Cancer
title_short Emerging Complexity in CD4+T Lineage Programming and Its Implications in Colorectal Cancer
title_sort emerging complexity in cd4 t lineage programming and its implications in colorectal cancer
topic CD4+T cell
effector T cell
regulatory T cell (Treg)
T follicular helper cell (Tfh)
T follicular regulatory cell (Tfr)
lineage programming, plasticity
url https://www.frontiersin.org/articles/10.3389/fimmu.2021.694833/full
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