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Abstract

Because of the requirement for efficient gas exchange, the respiratory tract is particularly vulnerable to opportunistic infection. The immune system, therefore, plays a particularly vital role in protecting the respiratory mucosa from infection. The cells that orchestrate this response are immune T cells. The respiratory mucosa contains large numbers of T cells and a network of dendritic cells that present antigen to them. For many years it was thought that IgE-mediated inflammation was the only precipitating factor in asthma. Mast cells sensitised with IgE antibodies were triggered following contact with aeroallergens which caused immediate and subsequent late phase inflammatory events leading to airway narrowing and subsequently to asthma. However, studies by Kay and colleagues have shown that T cells are also directly important in asthma [14] as they are in the allergen-induced late phase response in the skin [5]. The airways of asthmatic patients are rich in T cells. In experimental animals, adoptive transfer of antigen-specific Th2 T cells and subsequent aerosol challenge are sufficient to induce inflammation and increase bronchial hyperresponsiveness [6, 7]. The cytokines produced by immune T cells and their contribution to allergic inflammation and asthma is the subject of this chapter.

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Kemeny, D.M., O’Connor, B.J. (2000). T cells in the lung. In: Page, C.P., Banner, K.H., Spina, D. (eds) Cellular Mechanisms in Airways Inflammation. Progress in Inflammation Research. Birkhäuser, Basel. https://doi.org/10.1007/978-3-0348-8476-1_12

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