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Unbalanced Immune System: Immunodeficiencies and Autoimmunity.

Giuliana Giardino1, Vera Gallo1, Rosaria Prencipe1

  • 1Department of Translational Medical Sciences, Federico II University of Naples , Naples , Italy.

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Primary immunodeficiencies (PIDs) increase the risk of autoimmune diseases due to immune dysregulation. This review details autoimmune manifestations and their underlying mechanisms in various PIDs.

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Area of Science:

  • Immunology
  • Autoimmunity
  • Genetics

Background:

  • Primary immunodeficiencies (PIDs) are associated with an increased risk of autoimmune manifestations.
  • Autoimmunity and immune deficiency are intertwined, reflecting inadequate immune function in PIDs.
  • Mechanisms include defects in self-antigen tolerance and chronic antigen stimulation.

Approach:

  • This review summarizes autoimmune manifestations across different PIDs.
  • It includes humoral immunodeficiencies, combined immunodeficiencies, and syndromes with immunodeficiencies.
  • Pathogenetic mechanisms underlying autoimmunity in specific PIDs are explained where possible.

Key Points:

  • Immune dysregulation in PIDs leads to exaggerated inflammatory responses.
  • Compensatory inflammation can result in tissue damage and autoimmunity.
  • Distinct PIDs exhibit unique autoimmune manifestations and pathogenetic mechanisms.

Conclusions:

  • Autoimmunity is a significant concern in various primary immunodeficiencies.
  • Understanding the specific mechanisms is crucial for managing autoimmune complications in PIDs.
  • This review provides a comprehensive overview of autoimmunity in PIDs.