Initiation of autoimmunity.

Abstract:

:It has recently become clear that several factors must coincide for the initiation of autoimmunity. At minimum, these involve a genetic predisposition, naive lymphocytes that can react with autoantigens and a precipitating event that leads to T and/or B cell activation. Inter-individual variations in these factors probably explain the significant complexity associated with autoimmune diseases; however, quantitative issues are also important because clinical disease will manifest only if a sufficient amount of cellular material has been destroyed. Therefore, the presence of autoreactive lymphocytes does not always signify disease; rather, the kinetics of their generation, their resulting numbers and the regulation of their activation and effector functions (destructive versus regulatory) will determine the ultimate outcome and make the difference between subclinical autoimmunity and disease.

journal_name

Curr Opin Immunol

authors

Christen U,von Herrath MG

doi

10.1016/j.coi.2004.09.002

subject

Has Abstract

pub_date

2004-12-01 00:00:00

pages

759-67

issue

6

eissn

0952-7915

issn

1879-0372

pii

S0952-7915(04)00146-3

journal_volume

16

pub_type

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