Abstract
The pathogenesis of sarcoidosis involves activated, cytokine-producing T-cells and macrophages that regulate granulomatous inflammation. At sites of inflammation, T-cells demonstrate reduced surface density of the CD3 component of the T-cell receptor complex, a hallmark of T-cells activated through the T-cell antigen receptor pathway. The stimulus activating these T-cells is unknown. Conventional antigens selectively stimulate T-cells expressing T-cell receptors with specific variable (V) and hypervariable VDJ or VJ region amino acid sequences while superantigens stimulate larger subsets of T-cells based primarily on their expression of specific Vβ genes. Recent studies show that subgroups of patients with sarcoidosis are characterized by biased expression of specific Vβ, Vα, or γδ+ T-cell receptor genes in T-cell subsets from lung, blood and at sites of Kveim-Siltzbach skin reactions. In addition, investigations on the molecular structure of T-cell receptor genes in sarcoidosis provide direct evidence that biased expression of specific αβ+ or γδ+ T-cells at sites of inflammation involves selective expansion of oligoclonal populations of T-cells, consistent with an immune response to a conventional antigen(s). Together, these studies provide direct evidence that sarcoidosis is an antigen-driven disorder at sites of granulomatous inflammation. The identification of key, clonally-expanded T-cell populations in sarcoidosis provides a potential tool for determining the specific antigens involved in the pathogenesis of sarcoidosis.
Original language | English (US) |
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Pages (from-to) | 158-164 |
Number of pages | 7 |
Journal | Sarcoidosis Vasculitis and Diffuse Lung Disease |
Volume | 15 |
Issue number | 2 |
State | Published - Sep 1998 |
Keywords
- MHC molecules
- Sarcoidosis
- T-cell receptor
- T-cell repertoire
- γδ+ T-cells
ASJC Scopus subject areas
- Internal Medicine
- Immunology and Allergy
- Pulmonary and Respiratory Medicine