1993
DOI: 10.1136/gut.34.2.208
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Numbers of T cell receptor (TCR) alpha beta+ but not of TcR gamma delta+ intraepithelial lymphocytes correlate with the grade of villous atrophy in coeliac patients on a long term normal diet.

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Cited by 165 publications
(102 citation statements)
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“…Although changes in the IEL population have been associated with human IBD [32], the biologic function of this population remains elusive. TGF-g appears to directly inhibit the proliferation of inflammatory LP CD4 + proliferation via a shift in the balance between Smad7/Tbet down-regulation and Smad2/3 up-regulation, leading to a disruption of intestinal homeostasis and the subsequent development of intestinal pathology.…”
Section: Discussionmentioning
confidence: 99%
“…Although changes in the IEL population have been associated with human IBD [32], the biologic function of this population remains elusive. TGF-g appears to directly inhibit the proliferation of inflammatory LP CD4 + proliferation via a shift in the balance between Smad7/Tbet down-regulation and Smad2/3 up-regulation, leading to a disruption of intestinal homeostasis and the subsequent development of intestinal pathology.…”
Section: Discussionmentioning
confidence: 99%
“…Increased numbers and an increased proportion of / relative to / IEL in the small intestinal mucosa are a hallmark of coeliac disease, whether disease is active or in remission [15][16][17]. In addition, healthy first degree relatives of coeliac disease patients have increased numbers of / IEL in the small intestinal mucosa, and this correlates with whether or not those subjects express the HLA class II coeliac disease susceptibility alleles [20].…”
Section: Discussionmentioning
confidence: 99%
“…In contrast, T cells that express the / form of the TCR are abundant in the lamina propria and intraepithelial region. In addition to active coeliac disease, patients with treated coeliac disease are reported to have an increased proportion of / IEL to / IEL, and this finding has been used as a diagnostic adjunct for latent coeliac disease [15][16][17][18][19]. Furthermore, increased numbers of mucosal / T cells have been noted in otherwise healthy, first degree relatives of coeliac disease patients who carry the disease-associated HLA class II susceptibility alleles [20].…”
Section: Introductionmentioning
confidence: 99%
“…38 These cells are phenotypically and functionally different from the lamina propria CD4+ gliadin specific T cells, as they contain a mixture of TCR gd+ T cells, they are not CD4+ and also at least a subgroup expresses the CD94 markers. 39,40 Several studies addressed the function of IEL in disease progression, but no definitive consensus on their role in the pathogenesis of CD has emerged, although it is clear that they might be involved in epithelial damage, a key aspect of CD, 39 via epithelial engagement of FAS via FAS-L, and thus activation of the death receptor expressed on epithelia, 41 perforin release, 42 and possible recognition of Class I-like molecules expressed by 'stressed' epithelial cells.…”
Section: Gene Therapy In Celiac Diseasementioning
confidence: 99%
“…21,22 In particular, there is a possible involvement of the IEL population. 38,39,42 These IELs are increased in number and appear to be involved in the epithelial destructive phase of CD. Importantly, they are highly sensitive to the presence of IL-15, as this cytokine promotes their activation and expansion.…”
Section: Targeting a Gt Therapy In CDmentioning
confidence: 99%