1. Clean up by aisle 2: roles for IL-2 receptors in host defense and tolerance
- Author
-
Joseph D Hernandez and Elena W Y Hsieh
- Subjects
Cell type ,Growth factor ,medicine.medical_treatment ,Immunology ,Inflammation ,Autoimmunity ,Receptors, Interleukin-2 ,Biology ,medicine.disease_cause ,Immune tolerance ,Immune system ,Cytokine ,T-Lymphocyte Subsets ,Host-Pathogen Interactions ,medicine ,Immune Tolerance ,Immunology and Allergy ,Animals ,Humans ,Disease Susceptibility ,medicine.symptom ,Receptor ,Disease Resistance - Abstract
Although IL-2 was first recognized as growth factor for T cells, it is now also appreciated to be a key regulator of T cells through its effects on regulatory T cells (Treg). The IL-2 receptor (IL-2R) subunits' different (i) ligand affinities, (ii) dimerization or trimerization relationships with other cytokine subunits, (iii) expression across multiple cell types, and (iv) downstream signaling effects, largely dictate cellular tolerance and antimicrobial processes. Defects in IL-2Rγ result in profound and almost universally fatal immune deficiency, unless treated with hematopoietic stem cell transplantation (HSCT). Defects in IL-2Rα and IL-2Rβ result in more limited infection susceptibility, particularly to herpesviruses. However, the most prominent clinical symptomatology for IL-2Rα and IL-2Rβ defects include multi-organ autoimmunity and inflammation, consistent with the critical role of IL-2 in establishing and maintaining immune tolerance. Here, we review how we have arrived at our current understanding of the complex roles of IL-2/2R in host defense and tolerance focusing on the insights gained from human clinical immunology.
- Published
- 2021