Using Primary Immunodeficiencies to Investigate Human CD4+ T cell Development, Differentiation and Function. (#12)
CD4+ helper T cells play essential and non-redundant roles in cellular and humoral immune responses. As such, the differentiation of naïve CD4+ T helper cells into effector cells is fundamental for host protection against infectious disease. Conversely, dysregulation of CD4+ T cell effector function can lead to significant immunopathologies, including autoimmunity, autoinflammation, allergy and malignancy. Thus, the molecular and cellular mechanisms that govern the induction, maintenance and regulation of CD4+ T cells have to be strictly controlled. While these processes are highly evolved and complex, they remain incompletely defined, especially in the context of human immunology. In order to develop novel therapies for immune-mediated pathologies - infectious diseases, autoimmunity, allergy, malignancies - as well as to improve vaccines and cancer immunosurveillance, it is imperative to identify factors controlling CD4+ T cell function. Here, we use our access to a large and diverse range of patients with primary immunodeficiencies due to monogenic mutations in key genes to determine the transcription factors and cytokine signalling pathways that are essential for the development, differentiation and function of human CD4+ T helper cells and specialised subsets.