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Immunological tolerance and autoimmunity.

Sergio Romagnani1

  • 1Department of Internal Medicine, Excellence Centre Denothe, University of Florence, Florence, Italy. s.romagnani@dmi.unifi.it

Internal and Emergency Medicine
|November 24, 2006
PubMed
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Immunological tolerance prevents self-attack by immune cells. Breakdown of this tolerance, influenced by genetics and infections, can lead to autoimmune diseases.

Area of Science:

  • Immunology
  • Autoimmunity

Background:

  • Immunological tolerance prevents immune responses against self-antigens.
  • Central and peripheral mechanisms maintain tolerance.
  • T regulatory cells are crucial for suppressing self-reactive immune responses.

Purpose of the Study:

  • To explain the mechanisms of immunological tolerance.
  • To discuss the role of T regulatory cells.
  • To explore factors contributing to the breakdown of tolerance and autoimmunity.

Main Methods:

  • Review of central and peripheral tolerance mechanisms.
  • Discussion of T regulatory cell function.
  • Analysis of genetic and environmental factors in autoimmunity.

Main Results:

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  • Central tolerance eliminates self-reactive lymphocytes in primary lymphoid organs.
  • Peripheral tolerance involves anergy, deletion, or suppression of mature lymphocytes.
  • Infections can trigger autoimmunity through inflammation or molecular mimicry.

Conclusions:

  • Maintaining immunological tolerance is vital for preventing autoimmunity.
  • Both genetic predisposition and environmental factors, particularly infections, contribute to autoimmune disease development.