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[[Image:TH1-2.jpg|thumb|right|200px|TH1 and 2 selection is influenced by infection - B. Catchpole, RVC 2008]]
 
[[Image:TH1-2.jpg|thumb|right|200px|TH1 and 2 selection is influenced by infection - B. Catchpole, RVC 2008]]
 
==Introduction==
 
==Introduction==
 
[[T cells|T cells]] are long lived and are involved in '''cell mediated immunity'''. Functionally they are divided by the expression of CD4<sup>+</sup> or CD8<sup>+</sup> markers. CD4<sup>+</sup> T helper cells recognise antigens bound to MHC II complexes and are involved with the control of intracellular and extracellular pathogens; they can interact with CD8<sup>+</sup>, NK and dendritic cells or with B cells. Cytotoxic CD8<sup>+</sup> T cells recognise the MHC I complex and destroy infected or neoplastic cells.  
 
[[T cells|T cells]] are long lived and are involved in '''cell mediated immunity'''. Functionally they are divided by the expression of CD4<sup>+</sup> or CD8<sup>+</sup> markers. CD4<sup>+</sup> T helper cells recognise antigens bound to MHC II complexes and are involved with the control of intracellular and extracellular pathogens; they can interact with CD8<sup>+</sup>, NK and dendritic cells or with B cells. Cytotoxic CD8<sup>+</sup> T cells recognise the MHC I complex and destroy infected or neoplastic cells.  
 
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Within the blood and lymphoid organs the majority of T cells are antigen-naive T cells; only a small proportion are memory T cells. Naive T cells have yet to encounter antigen and can only be activated by antigen that is presented by dendritic cells. After initial antigenic activation, naïve T-cells develop into an intermediate stage cell called the TH<sub>0</sub> cell which can then be activated by any antigen-presenting cell, e.g. Dendritic cells, [[Macrophages|macrophages]] or [[B cells]].  
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Within the blood and lymphoid organs the majority of T cells are antigen-naive T cells; only a small proportion are memory T cells. Naive T cells have yet to encounter antigen and can only be activated by antigen that is presented by dendritic cells. After initial antigenic activation, naïve T-cells develop into an intermediate stage cell called the T<sub>H</sub>0 cell which can then be activated by any antigen-presenting cell, e.g. Dendritic cells, [[Macrophages|macrophages]] or [[B cells]].  
The T<sub>H</sub>0 cells have the capacity to differentiate into T<sub>H</sub>1, T<sub>H</sub>2 cells and a very recently described subtype T<sub>H</sub>17 cells. The type of cell that develops depends on the antigen presenting cell type. [[Macrophages|Macrophages]] cause the T<sub>H</sub>0 cell to develop into a T<sub>H</sub>1 cell induced by IL-12 production following macrophage-antigen interaction. B cells cause the T<sub>H</sub>0 cell to develop into a T<sub>H</sub>2 cell induced by IL-10 production following B cell-antigen interaction. On antigenic stimulation the T<sub>H</sub>1 or T<sub>H</sub>2 cells become activated, undergo clonal expansion and secrete a range of different cytokines. The third most recently described subset, T<sub>H</sub>17, form in the presence of IL-6 and TGF-β which are produced in the prescence of infection, and by either of the Antigen Presenting Cells (APCs).
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The T<sub>H</sub>0 cells have the capacity to differentiate into T<sub>H</sub>1, T<sub>H</sub>2 cells and a very recently described subtype T<sub>H</sub>17 cells. The type of cell that develops depends on the antigen presenting cell type. [[Macrophages|Macrophages]] cause the T<sub>H</sub>0 cell to develop into a T<sub>H</sub>1 cell induced by IL-12 production following macrophage-antigen interaction. B cells cause the T<sub>H</sub>0 cell to develop into a T<sub>H</sub>2 cell induced by IL-10 production following B cell-antigen interaction. On antigenic stimulation the T<sub>H</sub>1 or T<sub>H</sub>2 cells become activated, undergo clonal expansion and secrete a range of different cytokines. The third most recently described subset, T<sub>H</sub>17, form in the presence of IL-6 and TGF-β which are produced in the prescence of infection, and by either of the Antigen Presenting Cells (APCs). The importance of CD4<sup>+</sup> T<sub>H</sub> cells is very clear in immunity. An example of a disease that targets CD4<sup>+</sup> T cells is the Human Immunodeficieny Viruses (HIV) and Simian Immunodeficieny Viruses (SIV) which, when the CD4<sup>+</sup> T cells are overwhelmed, causes Advanced Immunodeficiency Syndrome (AIDS).  
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For any one cell the cytokine-secreting activation state is short-lived, lasting between 4 - 40 hours. After this time these cells either die or mature into the long-lived memory cells. The proliferation of [[T cells]] continues until the presentation of antigen ceases.
 
For any one cell the cytokine-secreting activation state is short-lived, lasting between 4 - 40 hours. After this time these cells either die or mature into the long-lived memory cells. The proliferation of [[T cells]] continues until the presentation of antigen ceases.
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**Helminths (SEA, ES 62)
 
**Helminths (SEA, ES 62)
 
*Endogenous
 
*Endogenous
**Inflammatory mediators (IL-1/TNF-a, hsp, FcR)  
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**Inflammatory mediators (IL-1/TNF&alpha;, hsp, FcR)  
 
**Immune cells (CD40L, CD47, FasL)
 
**Immune cells (CD40L, CD47, FasL)
 
[[Image:Maturation of Dendritic Cells.jpg|thumb|right|300px|Maturation of Dendritic Cells - Copyright Prof Dirk Werling DrMedVet PhD MRCVS]]
 
[[Image:Maturation of Dendritic Cells.jpg|thumb|right|300px|Maturation of Dendritic Cells - Copyright Prof Dirk Werling DrMedVet PhD MRCVS]]
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T<sub>H</sub>1 cells secrete a range of cytokines, including:
 
T<sub>H</sub>1 cells secrete a range of cytokines, including:
* '''IL-2''', which induces proliferation of both [[Helper_CD4%2B#Helper_CD4.2B|CD4<sup>+</sup>]] and [[Cytotoxic_CD8%2B#Cytotoxic_CD8.2B|CD8<sup>+</sup> T-cells]]. This stimulation of T cell proliferation is the main function of the TH<sub>1</sub> cell.
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* '''IL-2''', which induces proliferation of both [[Helper_CD4%2B#Helper_CD4.2B|CD4<sup>+</sup>]] and [[Cytotoxic_CD8%2B#Cytotoxic_CD8.2B|CD8<sup>+</sup> T-cells]]. This stimulation of T cell proliferation is the main function of the T<sub>H</sub>1 cell.
 
* '''Interferon gamma''' ('''IFN&gamma;''') which activates tissue macrophages and is the principal effector mechanism in the defence against intracellular bacteria and parasites such as  Mycobacteria, Brucella, Rickettsia Leishmania, Coccidia, and Babesia. IFN&gamma; activates macrophages and stimulates them to produce enzymes triggering intracellular killing mechanisms - specifically:
 
* '''Interferon gamma''' ('''IFN&gamma;''') which activates tissue macrophages and is the principal effector mechanism in the defence against intracellular bacteria and parasites such as  Mycobacteria, Brucella, Rickettsia Leishmania, Coccidia, and Babesia. IFN&gamma; activates macrophages and stimulates them to produce enzymes triggering intracellular killing mechanisms - specifically:
 
#Superoxide dismutase and myeloperoxidase that produce H<sub>2</sub>O<sub>2</sub> and trigger the "superoxide burst".
 
#Superoxide dismutase and myeloperoxidase that produce H<sub>2</sub>O<sub>2</sub> and trigger the "superoxide burst".
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''Still under investigation''
 
''Still under investigation''
 
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The T<sub>H</sub>17 cells which form when T<sub>H</sub>0 cells are challenged with IL-6 and TGF-β produce a number of cytokines that enhance the innate immune response. The [[Cytokines|cytokines]] produced enhance the extravasation and chemotaxis of [[Neutrophils|neutrophils]] to the site of infection, in the aim of combating extracellular bacteria. These cytokines include:
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The T<sub>H</sub>17 cells form when T<sub>H</sub>0 cells are challenged with IL-6 and TGF-β to produce a number of cytokines that enhance the innate immune response <ref>{{citation|initiallast = Korn|initialfirst = T|2last = Bettelli|2first = E|3last = Oukka|3first = M|finallast = Kuchroo|finalfirst = V.K|year = 2009|jtitle = IL-17 and Th17 Cells|jor = Annual Reviews of Immunology|vol = 27|range = 485-517}}</ref>. The [[Cytokines|cytokines]] produced enhance the extravasation and chemotaxis of [[Neutrophils|neutrophils]] to the site of infection, in the aim of combating extracellular bacteria. These cytokines include:
 
*IL-17
 
*IL-17
 
*IL-17F
 
*IL-17F
 
*IL-6
 
*IL-6
*TNF-
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*TNFα
 
*IL-21
 
*IL-21
 
*IL-22
 
*IL-22
 
*IL-23
 
*IL-23
 
Importantly they do not produce:
 
Importantly they do not produce:
IFN normally associated with T<sub>H</sub>1 cells
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*IFNγ normally associated with T<sub>H</sub>1 cells
IL-4 normally associated with T<sub>H</sub>2 cells
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*IL-4 normally associated with T<sub>H</sub>2 cells
    
==Cytotoxic T-Cells==
 
==Cytotoxic T-Cells==
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TH cells secrete cytokines for only a short period after they have been activated; the range of cytokines that T<sub>H</sub> cells secrete after activation chiefly determines their function. Different T-helper cell subpopulations (T<sub>H</sub>1, T<sub>H</sub>2 and T<sub>H</sub>17 cells) secrete different sets of cytokines.
 
TH cells secrete cytokines for only a short period after they have been activated; the range of cytokines that T<sub>H</sub> cells secrete after activation chiefly determines their function. Different T-helper cell subpopulations (T<sub>H</sub>1, T<sub>H</sub>2 and T<sub>H</sub>17 cells) secrete different sets of cytokines.
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==References==
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<references />
 
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{{Jim Bee 2007}}
 
{{Jim Bee 2007}}
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[[Category:Lymphocytes|E]]
 
[[Category:Lymphocytes|E]]
    
[[Category:Adaptive Immune System|C]]
 
[[Category:Adaptive Immune System|C]]
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