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Published on: August 9, 2019
Ectopic Lymphoid Structures: Powerhouse of Autoimmunity
Elisa Corsiero1, Alessandra Nerviani1, Michele Bombardieri1
1Centre for Experimental Medicine and Rheumatology, William Harvey Research Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London , London , UK.
Ectopic lymphoid structures (ELS) form in autoimmune diseases, driving autoimmune responses. This review details ELS formation, regulation, and their role in perpetuating autoimmune diseases.
Area of Science:
- Immunology
- Autoimmunity
- Cellular Biology
Background:
- Ectopic lymphoid structures (ELS) are key inflammatory sites in autoimmune diseases like rheumatoid arthritis and lupus.
- These structures feature organized T/B cell aggregates and germinal centers, crucial for immune responses.
Approach:
- This review synthesizes current knowledge on ELS formation mechanisms in tertiary lymphoid organs.
- It emphasizes the role of lymphoid chemokines, T follicular helper cells, and IL-27 in ELS regulation.
Key Points:
- Lymphoid chemokines are critical for initiating and sustaining ELS.
- Emerging regulators, including T follicular helper cells (positive) and IL-27 (negative), modulate ELS development and function.
- ELS support autoreactive B cell maturation and differentiation, perpetuating humoral autoimmunity.
Conclusions:
- Understanding ELS regulation offers therapeutic targets for autoimmune diseases.
- ELS play a significant role in the chronic inflammation and tissue damage seen in autoimmune conditions.
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