T cells and the skin: from protective immunity to inflammatory skin disorders

Nat Rev Immunol. 2019 Aug;19(8):490-502. doi: 10.1038/s41577-019-0162-3.

Abstract

Skin is our primary interface with the environment, and T cells are crucial for orchestrating host immune responses against pathogenic microorganisms at this site. Effective skin immune responses require the generation of antigen-specific effector T cells, which home to cutaneous sites of injury or infection. Long-lasting immunity against future immune challenges is mediated by memory T cells. Among the memory T cells found in skin are both recirculating cells that transit between skin and blood and tissue-resident memory T (TRM) cells, which remain in skin for long periods of time and mediate durable protective immunity. These TRM cells also appear to drive many inflammatory diseases of skin. Here, we consider how a better understanding of cutaneous T cell responses can aid in the development of effective new therapies for immune-mediated cutaneous diseases.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Humans
  • Immunologic Memory*
  • Inflammation / immunology*
  • Skin / immunology*
  • Skin Diseases / immunology*
  • T-Lymphocytes / immunology*