Allergies - A T cells perspective in the era beyond the TH1/TH2 paradigm

- Review of the role of (novel) T cell subsets in the pathogenesis of allergies
- Focus on pathogenesis of atopic dermatitis, asthma and allergic rhinitis
- T cell induction, regulation, effector phase and plasticity in allergic diseases
- Recent discoveries in the field of T cell plasticity summarized

Allergic diseases have emerged as a major health care burden, especially in the western hemisphere. They are defined by overshooting reactions of an aberrant immune system to harmless exogenous stimuli. The TH1/TH2 paradigm assumes that a dominance of TH2 cell activation and an inadequate TH1 cell response are responsible for the development of allergies. However, the characterization of additional T helper cell subpopulations such as TH9, TH17, TH22, THGM-CSF and their interplay with regulatory T cells suggest further layers of complexity. This review summarizes state-of-the-art knowledge on T cell diversity and their induction, while revisiting the TH1/TH2 paradigm. With respect to these numerous contributors, it offers a new perspective on the pathogenesis of asthma, allergic rhinitis (AR) and atopic dermatitis (AD) incorporating recent discoveries in the field of T cell plasticity.