Granulocyte-macrophage colony-stimulating factor (GM-CSF),
also known as colony stimulating factor 2 (CSF2), was termed due to its ability
to promote in vitro differentiation of granulocytic and macrophage colonies
from bone marrow precursors and is therefore considered as a hematopoietic-cell
growth factor. However, GM-CSF-null mice undergo normal hematopoiesis and only
the maturation of alveolar macrophages is compromised. GM-CSF is produced by
various types of cells, including activated T/B cells, monocytes/macrophages,
neutrophils, fibroblasts, epithelial cells, endothelial cells, stromal cells
and tumor cells.
An increasing body of evidences supports GM-CSF as a potent
proinflammatory factor that is critically involved in inflammatory and
autoimmune conditions and that the function of this cytokine varies depending
on the origin of the cytokine and the status of the cells in vivo. CD4+ T cells
are critical for immune response against microbial infection but also play
essential roles in autoimmunity. Naïve CD4+ T cells can differentiate into
various subsets of T helper (TH) cells including TH1, TH2 and TH17 cells.
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