1998
DOI: 10.1172/jci1615
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An acetylcholine receptor alpha subunit promoter confers intrathymic expression in transgenic mice. Implications for tolerance of a transgenic self-antigen and for autoreactivity in myasthenia gravis.

Abstract: Myasthenia gravis (MG) is an autoimmune disease targeting the skeletal muscle acetylcholine receptor (AChR). Although the autoantigen is present in the thymus, it is not tolerated in MG patients. In addition, the nature of the cell bearing the autoantigen is controversial. To approach these questions, we used two lineages of transgenic mice in which the ␤ -galactosidase ( ␤ -gal) gene is under the control of a 842-bp (Tg1) or a 3300-bp promoter fragment (Tg2)

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Cited by 47 publications
(26 citation statements)
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“…The discrepancy between ␤-gal-Tg and AchR-Tg mice as compared with SM-OVA mice suggests that CD4 ϩ T cell anergy in the first two models is due to thymic rather than muscle autoantigen expression. Regarding B cell tolerance, a specific Ab response was observed in ␤-gal-Tg1, AchR-Tg, and SM-OVA mice after autoantigen immunization in the presence of CFA, whereas ␤-gal-Tg2 mice did not respond (50,51). This indicates that, despite muscle and eventually thymic expression, it remains possible to induce a specific B cell response except when the autoantigen is expressed at very high levels in muscle such as the case in ␤-gal-Tg2 mice.…”
Section: Discussionmentioning
confidence: 97%
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“…The discrepancy between ␤-gal-Tg and AchR-Tg mice as compared with SM-OVA mice suggests that CD4 ϩ T cell anergy in the first two models is due to thymic rather than muscle autoantigen expression. Regarding B cell tolerance, a specific Ab response was observed in ␤-gal-Tg1, AchR-Tg, and SM-OVA mice after autoantigen immunization in the presence of CFA, whereas ␤-gal-Tg2 mice did not respond (50,51). This indicates that, despite muscle and eventually thymic expression, it remains possible to induce a specific B cell response except when the autoantigen is expressed at very high levels in muscle such as the case in ␤-gal-Tg2 mice.…”
Section: Discussionmentioning
confidence: 97%
“…To study the pathogenesis of myasthenia gravis, Tg mice that express ␤-galactosidase (␤-gal) or a heterologous AchR under the control of chicken AchR ␣-chain promoter sequences have been developed (50,51). This resulted in muscle but also thymic expression of the transgene.…”
Section: Discussionmentioning
confidence: 99%
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“…The level of this thymic expression of tissue-specific autoantigens may be crucial to immune tolerance, at least in the case of insulin: the second strongest genetic association with type 1 diabetes (after HLA) is with a polymorphism upstream of the insulin gene, whose type 1 diabetes-predisposing alleles are associated with substantially lower thymic insulin expression [10][11][12]. This concept is supported by mouse models, which demonstrate a strong relationship between a tissue representation by 'promiscuous' gene expression in the thymus and the development of tissue-specific autoimmune response [13][14][15][16][17][18]. Most work in the past few years on the regulation of this atypical expression process has been on the autoimmune regulator (autoimmune polyendocrinopathy candidiasis ectodermal dystrophy) (AIRE) transcription factor, which has a major role in the expression of most self-antigens in the thymus.…”
Section: Introductionmentioning
confidence: 99%
“…In another model wherein ␤-galactosidase was expressed at high levels in the thymus, practically all Ag-specific T cells were deleted. However, by shortening the promoter, thymic expression levels were reduced resulting in the functional inactivation of only Th1 cells (27). Although these results correlate differential tolerance levels with thymic Ag expression levels, they are applicable in that the neo-self Ag is expressed at low levels within the thymus in our model (8), and we observed a similar induction of tolerance of only the high-avidity T cell subset.…”
Section: Nontransgenic Animalsmentioning
confidence: 47%