New Insights on CD8+ T Cells in Inflammatory Bowel Disease and Therapeutic Approaches

Front Immunol. 2021 Oct 11:12:738762. doi: 10.3389/fimmu.2021.738762. eCollection 2021.

Abstract

CD8+ T cells are involved in the pathogenesis of inflammatory bowel disease (IBD), a complex multifactorial chronic disease. Here, we present an overview of the current research with the controversial findings of CD8+ T cell subsets and discuss some possible perspectives on their therapeutic value in IBD. Studies on the role of CD8+ T cells in IBD have contradictory outcomes, which might be related to the heterogeneity of the cells. Recent data suggest that cytotoxic CD8+ T cells (Tc1) and interleukin (IL) 17-producing CD8+ (Tc17) cells contribute to the pathogenesis of IBD. Moreover, subsets of regulatory CD8+ T cells are abundant at sites of inflammation and can exhibit pro-inflammatory features. Some subsets of tissue resident memory CD8+ T cells (Trm) might be immunosuppressant, whereas others might be pro-inflammatory. Lastly, exhausted T cells might indicate a positive outcome for patients. The function and plasticity of different subsets of CD8+ T cells in health and IBD remain to be further investigated in a challenging field due to the limited availability of mucosal samples and adequate controls.

Keywords: CD8+ Tc1; Crohn´s disease; IBD; T regs; TRM; Tc17; ulcerative colitis.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • CD8-Positive T-Lymphocytes / immunology*
  • CD8-Positive T-Lymphocytes / metabolism
  • Colitis, Ulcerative / immunology*
  • Colitis, Ulcerative / metabolism
  • Colitis, Ulcerative / pathology
  • Colitis, Ulcerative / therapy
  • Crohn Disease / immunology*
  • Crohn Disease / metabolism
  • Crohn Disease / pathology
  • Crohn Disease / therapy
  • Cytotoxicity, Immunologic
  • Humans
  • Immunity, Mucosal*
  • Immunologic Memory
  • Immunotherapy
  • Inflammation Mediators / metabolism
  • Interleukin-17 / metabolism
  • Intestinal Mucosa / immunology*
  • Intestinal Mucosa / metabolism
  • Intestinal Mucosa / pathology
  • Lymphocyte Activation
  • Phenotype

Substances

  • Inflammation Mediators
  • Interleukin-17