2001
DOI: 10.1038/35100573
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From T to B and back again: positive feedback in systemic autoimmune disease

Abstract: Systemic lupus erythematosus, a prototypical systemic autoimmune disease, is the result of a series of interactions within the immune system that ultimately lead to the loss of self-tolerance to nuclear autoantigens. Here, we present an integrated model that explains how self-tolerance is initially lost and how the loss of tolerance is then amplified and maintained as a chronic autoimmune state. Key to this model are the self-reinforcing interactions of T and B cells, which we suggest lead to perpetuation of a… Show more

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Cited by 507 publications
(352 citation statements)
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“…It is not known, and this study did not address, whether the signaling process in autoimmune cells is sustained for a longer period of time either because suppressive molecules function inadequately or because the altered composition of the signaling apparatus leads to sustained responses. Molecular mimicry by altered biochemical modifications in proteins have been shown to contribute to a breakdown of immune tolerance and induce autoimmune responses (35,36). Understanding the cellular biochemistry that leads to autoimmune responses will enable us to develop means to modulate the signaling process and treat autoimmunity.…”
Section: Discussionmentioning
confidence: 99%
“…It is not known, and this study did not address, whether the signaling process in autoimmune cells is sustained for a longer period of time either because suppressive molecules function inadequately or because the altered composition of the signaling apparatus leads to sustained responses. Molecular mimicry by altered biochemical modifications in proteins have been shown to contribute to a breakdown of immune tolerance and induce autoimmune responses (35,36). Understanding the cellular biochemistry that leads to autoimmune responses will enable us to develop means to modulate the signaling process and treat autoimmunity.…”
Section: Discussionmentioning
confidence: 99%
“…Autoimmune hemolytic anemia and myasthenia gravis belong to the category of B-cell dominant autoimmune diseases while experimental autoimmune encephalomyelitis, insulin-dependent diabetes mellitus and the collagen-induced arthritis are T-cell dominant autoimmune diseases. SLE arises from the emergence of both autoreactive T and B cells with an aetiology [6,[20][21][22].…”
Section: Systemic Lupus Erythematosusmentioning
confidence: 99%
“…CD4 ϩ ␣␤ T cells are required for full penetrance of disease in MRL and other murine models of lupus, largely via their help to autoreactive B cells (2)(3)(4).…”
Section: Il-10 Regulates Murine Lupusmentioning
confidence: 99%