The role of T lymphocytes in ANCA associated vasculitis: neglected or revisited?

"Antineutrophil cytoplasmic antibodies (ANCA) are pathogenic--Oh yes they are!" is the title of a recent review [Falk et al. 2002], discussing the current evidence on the pathogenic role of ANCA in vasculitis. But what about T lymphocytes? Do these cells also contribute to disease manifest...

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Hauptverfasser: Kälsch, Anna-Isabelle (VerfasserIn) , Woude, Fokko J. van der (VerfasserIn) , Yard, Benito A. (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 2005
In: Clinical nephrology
Year: 2005, Jahrgang: 64, Heft: 6, Pages: 471-474
DOI:10.5414/cnp64471
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.5414/cnp64471
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Verfasserangaben:A.I. Kälsch, F.J. van der Woude, B.A. Yard

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520 |a "Antineutrophil cytoplasmic antibodies (ANCA) are pathogenic--Oh yes they are!" is the title of a recent review [Falk et al. 2002], discussing the current evidence on the pathogenic role of ANCA in vasculitis. But what about T lymphocytes? Do these cells also contribute to disease manifestation and if so to what extend? T-cells most likely play a role in delivering proper signals to autoreactive B cells for the production of ANCA, but, in the efferent arm of the immune response the involvement of T cells is less obvious and controversially discussed. Numerous studies provide evidence that peripheral T-cell phenotypes are dramatically changed in ANCA associated vasculitis (AAV) patients. How these changes relate to disease manifestation is still a matter of discussion. In an attempt to provide a better understanding of how T cells might play a role in AAV, the present paper will review recent data presented at the 12th international vasculitis and ANCA workshop. 
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