“…This process causes a vicious cycle wherein each disease flare can initiate further autoantibody production and tissue injury (107)(108)(109). Furthermore, combined TLR-and Fc receptor-mediated activation of myeloid cells often leads to an enhanced inflammatory response that is thought to contribute to the chronicity of inflammation (51,94,110,111). Therefore, those self-antigens that can most potently activate B cells because they are TLR ligands may also potently enhance pathogenic inflammatory responses (Figure 3).…”