Pathogenic CD8(+) T cells in multiple sclerosis.

Traditionally, autoimmune pathogeneses have been attributed to CD4(+) T lymphocytes, as in multiple sclerosis (MS), rheumatoid arthritis, type 1 diabetes mellitus, and/or to B lymphocytes, as in myasthenia gravis and systemic lupus erythematosus. That is because their primary genetic associations ar...

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Main Authors: Friese, M, Fugger, L
Format: Journal article
Language:English
Published: 2009
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author Friese, M
Fugger, L
author_facet Friese, M
Fugger, L
author_sort Friese, M
collection OXFORD
description Traditionally, autoimmune pathogeneses have been attributed to CD4(+) T lymphocytes, as in multiple sclerosis (MS), rheumatoid arthritis, type 1 diabetes mellitus, and/or to B lymphocytes, as in myasthenia gravis and systemic lupus erythematosus. That is because their primary genetic associations are mostly with certain human leukocyte antigen class II alleles, whose gene products present antigens to CD4(+) T cells. Because few autoimmune diseases show stronger associations with major histocompatibility complex class I alleles (ankylosing spondylitis, Behçet's disease, and psoriasis), CD8(+) T cells, which interact with major histocompatibility complex class I molecules, have been largely ignored in autoimmunity research. However, a variety of findings has recently revived interest in this population, particularly in MS. First, it shows associations with major histocompatibility complex class I alleles. Second, its lesions show a predominance of CD8(+) T cells. Third, these represent effectors that can directly damage central nervous system target cells. Furthermore, several clinical trials of monoclonal antibodies specifically against CD4(+) T cells, or the polarizing cytokines on which they depend, have failed to show any therapeutic benefit in MS, unlike broader-spectrum antibodies that deplete all T cells. Here, we review the evidence that CD8(+) T cells play a role in MS pathogenesis.
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spelling oxford-uuid:e9ceba3c-b003-48bd-8b15-ea963824dcf62022-03-27T10:57:02ZPathogenic CD8(+) T cells in multiple sclerosis.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:e9ceba3c-b003-48bd-8b15-ea963824dcf6EnglishSymplectic Elements at Oxford2009Friese, MFugger, LTraditionally, autoimmune pathogeneses have been attributed to CD4(+) T lymphocytes, as in multiple sclerosis (MS), rheumatoid arthritis, type 1 diabetes mellitus, and/or to B lymphocytes, as in myasthenia gravis and systemic lupus erythematosus. That is because their primary genetic associations are mostly with certain human leukocyte antigen class II alleles, whose gene products present antigens to CD4(+) T cells. Because few autoimmune diseases show stronger associations with major histocompatibility complex class I alleles (ankylosing spondylitis, Behçet's disease, and psoriasis), CD8(+) T cells, which interact with major histocompatibility complex class I molecules, have been largely ignored in autoimmunity research. However, a variety of findings has recently revived interest in this population, particularly in MS. First, it shows associations with major histocompatibility complex class I alleles. Second, its lesions show a predominance of CD8(+) T cells. Third, these represent effectors that can directly damage central nervous system target cells. Furthermore, several clinical trials of monoclonal antibodies specifically against CD4(+) T cells, or the polarizing cytokines on which they depend, have failed to show any therapeutic benefit in MS, unlike broader-spectrum antibodies that deplete all T cells. Here, we review the evidence that CD8(+) T cells play a role in MS pathogenesis.
spellingShingle Friese, M
Fugger, L
Pathogenic CD8(+) T cells in multiple sclerosis.
title Pathogenic CD8(+) T cells in multiple sclerosis.
title_full Pathogenic CD8(+) T cells in multiple sclerosis.
title_fullStr Pathogenic CD8(+) T cells in multiple sclerosis.
title_full_unstemmed Pathogenic CD8(+) T cells in multiple sclerosis.
title_short Pathogenic CD8(+) T cells in multiple sclerosis.
title_sort pathogenic cd8 t cells in multiple sclerosis
work_keys_str_mv AT friesem pathogeniccd8tcellsinmultiplesclerosis
AT fuggerl pathogeniccd8tcellsinmultiplesclerosis