Key result
CD1d-restricted immunity can lead to either immunosuppression or autoimmunity in coxsackievirus B3 myocarditis depending on whether NKT cells or γδ T cells dominate the innate response.
This review highlights that CD1d-restricted immunity can lead to either immunosuppression or autoimmunity in viral myocarditis depending on whether NKT or γδ T cells dominate the innate response.
Suggests CD1d pathway as research target in viral myocarditis; leaves open which innate subset to modulate in trials.
CD1d is a non-classical major histocompatibility class 1-like molecule which primarily presents either microbial or endogenous glycolipid antigens to T cells involved in innate immunity. Natural killer T (NKT) cells and a subpopulation of T cells expressing the V4 T cell receptor (TCR) recognize CD1d. NKT and V4 T cells function in the innate immune response via rapid activation subsequent to infection and secrete large quantities of cytokines that both help control infection and modulate the developing adaptive immune response. T regulatory cells represent one cell population impacted by both NKT and V4 T cells. This review discusses the evidence that NKT cells promote T regulatory cell activation both through direct interaction of NKT cell and dendritic cells and through NKT cell secretion of large amounts of TGF, IL-10 and IL-2. Recent studies have shown that CD1drestricted V4 T cells, in contrast to NKT cells, selectively kill T regulatory cells through a caspase-dependent mechanism. V4 T cell elimination of the T regulatory cell population allows activation of autoimmune CD8+ effector cells leading to severe cardiac injury in a coxsackievirus B3 (CVB3) myocarditis model in mice. CD1drestricted immunity can therefore lead to either immunosuppression or autoimmunity depending upon the type of innate effector dominating during the infection.
No takes yet. Share an insight, caveat, or question.
Liu et al. (2011) conducted a review in Coxsackievirus B3 myocarditis. CD1d-restricted NKT and γδ T cells was evaluated. CD1d-restricted immunity can lead to either immunosuppression or autoimmunity in coxsackievirus B3 myocarditis depending on whether NKT cells or γδ T cells dominate the innate response.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: