What is the most common T cell type involved in inflammatory bowel disease?

Prepare for the ACVIM General Board Exam with comprehensive flashcards and in-depth multiple choice questions. Gain insights with detailed explanations and enhance your readiness for success!

The most common T cell type involved in inflammatory bowel disease (IBD) is CD4+ T cells. CD4+ T cells play a crucial role in regulating immune responses and are primarily responsible for orchestrating inflammation in various autoimmune and inflammatory conditions, including IBD. They can differentiate into various subsets, such as Th1, Th2, and Th17 cells, each contributing to different aspects of the inflammatory process.

In the context of IBD, Th1 and Th17 cells, which are derived from CD4+ T cells, have been particularly implicated in promoting intestinal inflammation. These activated CD4+ T cells produce pro-inflammatory cytokines that amplify the inflammatory response, leading to the characteristic symptoms associated with IBD.

CD8+ T cells, while also important in immune responses, are primarily cytotoxic and typically target virally infected or cancerous cells, making them less central to the pathogenesis of IBD compared to CD4+ cells. CD5+ T cells are a subset of T cells that express the CD5 molecule and are not specifically characterized as the predominant player in IBD. CD3+ refers to a protein complex found on all T cells and does not differentiate between types of T cells or their roles in IBD.

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