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[[File:CytokinesThelpercelllineages.png|thumb|500x500px|T helper cells ]] '''T helper (Th) cells''' play an important role in the adaptive [[immune system]]. T helper cells are often distinguished from [[Cytotoxic T cell|cytotoxic T cells]] by the surface antigens [[CD4]] and [[CD8]]. T helper cells carry the CD4 surface antigen while cytotoxic T cells carry the CD8 surface antigen. T helper cells and cytotoxic T cells are the best known types of [[T cell|T cells]]. == Th1 == {{bookmark|Th1}} Th1 cells are a subset of T helper cells that are involved in cell-mediated immunity against viruses and intracellular bacteria. They are triggered by [[Interleukin 12|IL-12]], [[Interleukin 2|IL-2]] and their effector [[cytokine]] is [[Interferon gamma|IFN-γ]]. The main effector cells of Th1 immunity are macrophages as well as CD8 T cells, [[Immunoglobulin G|IgG]] [[B cell|B cells]], and [[IFN-γ]] [[CD4 T cell]]s. Autoimmune diseases characterized by a Th1 immune profile include [[rheumatoid arthritis]], [[multiple sclerosis]], [[diabetes#Type_1|type 1 diabetes]], [[Sjögren's syndrome]] and [[Crohn's disease]].{{Citation needed}} == Th2 == {{bookmark|Th2}} Th2 cells are a subset of T helper cells that are involved in humoral immunity against extracellular parasites, bacteria, toxins and allergens. They are triggered by IL-4 and their effector [[cytokines]] are IL-4, [[Interleukin 5|IL-5]], [[Interleukin 9|IL-9]], [[Interleukin 10|IL-10]] and [[Interleukin 13|IL-13]]. The main effector cells are [[Eosinophil|eosinophils]], [[Basophil granulocyte|basophils]], and [[Mast cell|mast cells]] as well as [[B cell|B cells]], and [[Interleukin 4|IL-4]]/[[Interleukin 5|IL-5]] [[CD4 T cell]]s. Autoimmune diseases characterized by a Th2 immune profile include [[Lupus]], scleroderma, i[[Inflammatory bowel disease|nflammatory bowel disease]], and [[Asthma]].{{Citation needed}} [[Chronic fatigue syndrome]] may be characterized by a Th2 [[cytokine]] profile.<ref>{{Cite journal | last =Skowera | first=A. | author-link = Anna Showera | last2 = Cleare | first2 = A. | authorlink2 = Anthony Cleare | last3 = Blair | first3= D. | authorlink3 = Dorothy Blair | last4 = Bevis | first4 = L. | authorlink4 = L Bevis | last5 = Wessely | first5 = S.C. | authorlink5 = Simon Wessely | last6 = Peakman | first6 = M. | authorlink6 = Mark Peakman | date = Feb 2004 | title = High levels of type 2 cytokine-producing cells in chronic fatigue syndrome|url=https://onlinelibrary.wiley.com/doi/10.1111/j.1365-2249.2004.02354.x|journal=[[Clinical and Experimental Immunology]]|language=en|volume=135|issue=2|pages=294–302|doi=10.1111/j.1365-2249.2004.02354.x|issn=0009-9104|pmc=1808936|pmid=14738459|quote=|via=}}</ref><ref>{{Cite journal | last =Patarca | first = Roberto | author-link =Roberto Patarca-Montero | date = 2001 | title=Cytokines and Chronic Fatigue Syndrome|url=https://nyaspubs.onlinelibrary.wiley.com/doi/abs/10.1111/j.1749-6632.2001.tb05824.x|journal=Annals of the New York Academy of Sciences|language=en|volume=933|issue=1|pages=185–200|doi=10.1111/j.1749-6632.2001.tb05824.x|issn=1749-6632|quote=|via=}}</ref> == Th17 == {{bookmark|Th17}} The T-helper cell 17 (Th17) lineage is a recently discovered subset of effector memory T cells. == Modulating the Th1/Th2 balance == There are many compounds that have been suggested to suppress a Th2-mediated immune response, inducing a shift toward a Th1-type response. These include [[ginger]]<ref>{{Cite journal | last = Ahui | first = Marie Louise Berthe | last2 = Champy | first2 = Pierre | last3 = Ramadan | first3=Abdulraouf | last4 = Pham Van | first4 = Linh | last5 = Araujo | first5 = Luiza | last6 = Brou André | first6 = Konan | last7 = Diem | first7 = Séverine | last8 = Damotte | first8 = Diane | last9 = Kati-Coulibaly | first9 = Séraphin | date = 2008-12-10 | title = Ginger prevents Th2-mediated immune responses in a mouse model of airway inflammation|url=https://www.ncbi.nlm.nih.gov/pubmed/18692598|journal=International Immunopharmacology|volume=8|issue=12|pages=1626–1632|doi=10.1016/j.intimp.2008.07.009|issn=1567-5769|pmid=18692598}}</ref>, [[reishi]]<ref>{{Cite journal | last= Jan | first = Rong-Hwa | last2 = Lin | first2=Teng-Yi | last3 = Hsu | first3 = Ya-Chun | last4 = Lee | first4 = Shiuh-Sheng | last5 = Lo | first5 = Shih-Yen | last6 = Chang | first6 = Mingi | last7 = Chen | first7 = Li-Kuang | last8 = Lin | first8 = Yu-Li | date = 2011 | title = Immuno-modulatory activity of Ganoderma lucidum-derived polysacharide on human monocytoid dendritic cells pulsed with Der p 1 allergen|url=http://bmcimmunol.biomedcentral.com/articles/10.1186/1471-2172-12-31|journal=BMC Immunology|language=en|volume=12|issue=1|pages=31|doi=10.1186/1471-2172-12-31|issn=1471-2172}}</ref>, [[licorice]]<ref>{{Cite journal | last =Bordbar | first = Narges | author-link = | last2 = Karimi | first2 = Mohammad Hossein | authorlink2 = | last3 = Amirghofran | first3=Zahra | date = Nov 2012 | title = The effect of glycyrrhizin on maturation and T cell stimulating activity of dendritic cells|url=https://www.ncbi.nlm.nih.gov/pubmed/23261828|journal=Cellular Immunology|volume=280|issue=1|pages=44–49|doi=10.1016/j.cellimm.2012.11.013|issn=1090-2163|pmid=23261828|quote=|via=}}</ref> and [[astragalus]]<ref>{{Cite journal | last =Wang | first = Gang | author-link = | last2 = Liu | first2 = Chun-tao | authorlink2 = | last3 = Wang | first3 = Zeng-li | author-link3 = | last4 = Yan | first4 = Cun-liang | author-link4 = | last5 = Luo | first5 = Feng-ming | authorlink5 = | last6 = Wang | first6 = Lei | last7 = Li | first7 = Ting-qian | date = Dec 2006 | title = Effects of Astragalus membranaceus in promoting T-helper cell type 1 polarization and interferon-gamma production by up-regulating T-bet expression in patients with asthma|url=https://www.ncbi.nlm.nih.gov/pubmed/17361521|journal=Chinese Journal of Integrative Medicine|volume=12|issue=4|pages=262–267|issn=1672-0415|pmid=17361521|quote=|via=}}</ref>. These have not been tested for efficacy in [[myalgic encephalomyelitis|ME]] or [[Chronic fatigue syndrome|CFS]] patients. [[Histamine]]<ref>{{Cite journal | last =Packard | first = Kathleen A. | author-link = | last2 = Khan | first2 = Manzoor M. | date = Jul 2003 | title = Effects of histamine on Th1/Th2 cytokine balance|url=https://www.ncbi.nlm.nih.gov/pubmed/12810348|journal=International Immunopharmacology|volume=3|issue=7 | pages = 909–920|doi=10.1016/S1567-5769(02)00235-7|issn=1567-5769|pmid=12810348|quote=|via=}}</ref> and [[mold]]<ref>{{Cite journal | last =Schütze | first = Nicole | last2 = Lehmann | first2=Irina | last3 = Bönisch | first3 = Ulrike | last4 = Simon | first4 = Jan C. | last5 = Polte | first5 = Tobias | date = 2010-06-01 | title = Exposure to mycotoxins increases the allergic immune response in a murine asthma model|url=https://www.ncbi.nlm.nih.gov/pubmed/20194814|journal=American Journal of Respiratory and Critical Care Medicine|volume=181|issue=11|pages=1188–1199|doi=10.1164/rccm.200909-1350OC|issn=1535-4970|pmid=20194814}}</ref> increase a Th2 response. ==See also== *[[Adaptive immune system]] == Learn more == ==References== <references /> [[Category:Body systems]] [[Category:Immune cells]] [[Category:Immunology]]
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