Abstract:The immune system recognizes and fights off pathogenic microorganisms and clears abnormally dividing cells in the body, and its balance is critical to maintaining normal responses and activities of the body. A variety of cells in the human body participate in the maintenance of immune homeostasis, among which T helper 17 (Th17) cells and regulatory T (Treg) cells play an essential role. The unbalanced immune system could lead to the occurrence of multiple immune diseases. The Th17/Treg cell balance is regulated in various ways involving cytokines, metabolism, intestinal microbiome, and post-translational modification. This review may provide novel insights and strategies for the treatment of immune diseases by summarizing the relevant mechanisms.