Regulatory B and T lymphocytes in multiple sclerosis: friends or foes?

Q1 Medicine
Georgios K Vasileiadis, Efthymios Dardiotis, Athanasios Mavropoulos, Zisis Tsouris, Vana Tsimourtou, Dimitrios P Bogdanos, Lazaros I Sakkas, Georgios M Hadjigeorgiou
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引用次数: 4

Abstract

Current clinical experience with immunomodulatory agents and monoclonal antibodies in principle has established the benefit of depleting lymphocytic populations in relapsing-remitting multiple sclerosis (RRMS). B and T cells may exert multiple pro-inflammatory actions, but also possess regulatory functions making their role in RRMS pathogenesis much more complex. There is no clear correlation of Tregs and Bregs with clinical features of the disease. Herein, we discuss the emerging data on regulatory T and B cell subset distributions in MS and their roles in the pathophysiology of MS and its murine model, experimental autoimmune encephalomyelitis (EAE). In addition, we summarize the immunomodulatory properties of certain MS therapeutic agents through their effect on such regulatory cell subsets and their relevance to clinical outcomes.

Abstract Image

调节性B淋巴细胞和T淋巴细胞在多发性硬化中的作用:是敌是友?
目前免疫调节剂和单克隆抗体的临床经验原则上已经确定了消耗淋巴细胞群对复发-缓解型多发性硬化症(RRMS)的益处。B细胞和T细胞可能具有多种促炎作用,但也具有调节功能,这使得它们在RRMS发病机制中的作用更加复杂。Tregs和Bregs与该病的临床特征没有明确的相关性。在此,我们讨论了MS中调节性T和B细胞亚群分布的新数据及其在MS及其小鼠模型实验性自身免疫性脑脊髓炎(EAE)的病理生理中的作用。此外,我们通过某些MS治疗剂对这些调节细胞亚群的作用及其与临床结果的相关性来总结其免疫调节特性。
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