Review Article

Intracellular Pathogens: Host Immunity and Microbial Persistence Strategies

Table 1

Lymphocyte subsets in the control of microbial infections.

Lymphocyte subsetAntigen presentationTranscription factorsEffector molecules secretedMechanismEvidence for control in intracellular infections (gene deficiency or direct involvement)

Th1MHC class IIT-bet, STAT4, STAT1IFN-γ, TNF-α, IL-2, lymphotoxin αActivation of macrophages by IFN-γ, upregulation of iNOS and ROI, proliferation of CTLIFN-γ -/- [1621]
TNF-α -/- [2229]
IL-12p40 -/- [3032]
IL-18 -/- [3335]

Th2MHC class IIGATA3, STAT5, STAT6IL-4, IL-5, IL-9, IL-13Stimulate B cells, antibody production, antibody class switchingTh2 cytokines [3032]

Th17MHC class IIRORγt, STAT3IL-17A, IL-17F, IL-21, IL-22, CCL20Recruitment, activation and migration of neutrophilsIL-17 -/- [3641]
IL-17 RA -/- [4247]
IFN-γ -/- [16, 18, 19, 48]
IL-23 -/- [31, 4951]

TfhMHC class IIBcl6, c-MAFIL-10, IL-21Provides help for B cells to allow formation of plasma cells and memory B cellsTfh -/- [52, 53]
IL-21 -/- [54]
IL-6 -/- [55]

TregsMHC class IIFOXP3, SMAD, STAT5IL-10, TGF-β, IL-35Immunosuppression and toleranceCD4+ Tregs [5658]
CD8+ Tregs [5961]
IL-10 -/- [57, 62, 63]
TGF-β -/- [64, 65]

CD8+/CTLMHC class IEOMES, BLIMP1IFN-γ, perforin, granzyme, granulysin, FAS-FAS ligandCytotoxicity, programmed cell death by caspase or receptor-mediated FAS-FAS ligand apoptosisIFN-γ -/- [6671]
TNF-α -/- [2228, 72]
Perforin -/- [7375]
Granzyme -/- [75, 76]

γδ TCD1cPLZF, GATA3, TBX21IFN-γ, IL-17A, IL-17F, IL-22Pro- and anti-inflammatory functions at epithelial surfacesγδ TCR -/- [7782]
IL-17 [37, 38, 46, 83]
IL-22 [84]

NKMHC class I are inhibitoryPU.1, Ets-1, GATA3, IRF-2IFN-γ, TNF-α, perforin, granzyme, α-defensinsCytotoxic, direct cytolysis by apoptosis, ADCCNK -/- [85, 86]
IFN-γ -/- [87, 88]
Perforin -/- [87, 89]

iNKTCD1dPLZF, TBX21, ERKIL-4, IFN-γ, IL-17A, GM-CSFPro- and anti-inflammatory functionsiNKT cells [9095]

MAITMR1ZBTB16, ROR(γt)IFN-γ, TNF-α, IL-17, granzymeCytokine production, cytotoxicMAIT -/- [9698]
MR -/- [99101]

BNAPU.1, Pax5 IkarosImmunoglobulins, IL-10Antibody secretion, neutralization, opsonization, phagocytosis, antigen presentationB cells [102108]
Polymeric-Ig receptor -/- [109113]

ADCC: antibody-dependent cellular cytotoxicity; B: B lymphocyte; Bcl6: B cell lymphoma 6; BLIMP1: PR domain zinc finger protein 1; CCL: chemokine ligand; CD: cluster of differentiation; c-MAF: c-musculoaponeurotic fibrosarcoma oncogene homolog; CTL: cytotoxic T lymphocyte; EOMES: Eomesodermin; ERK: extracellular signal-regulated kinase; Ets-1: erythroblastosis virus transcription factor-1; FOXP3: Forkhead box P3; GATA, trans-acting T cell-specific transcription factor; γδ T: gamma delta T cells; GM-CSF: granulocyte-macrophage colony-stimulating factor; IFN-γ: interferon gamma; Ig: immunoglobulin; IL: interleukin; IL-17RA: interleukin 17 receptor a; iNKT: invariant natural killer T cell; iNOS: inducible nitric oxide synthase; IRF-2: interferon regulatory factor 2; MHC: major histocompatibility complex; MR1: major histocompatibility complex class I-related gene protein; MAIT: mucosal-associated invariant T cells; NA: not applicable; NK: natural killer cells; Pax5: paired box protein 5; PLZF: promyelocytic leukemia zinc finger; RORγt: RAR-related orphan receptor gamma 2; ROI: reactive oxygen intermediates; STAT: signal transducer and activator of transcription; TBX: T-box transcription factor; Tfh: follicular helper T cells; TGF-β: transforming growth factor beta; Th: helper T cells; TNF-α: tumor necrosis factor alpha; Tregs: regulatory T cells; ZBTB16: zinc finger and BTB domain-containing protein 16.