The current prevailing view regarding the role of Aire in self-tolerance is that it is involved in the transcriptional control of many tissue-restricted self-antigen genes in thymic epithelial cells in the medulla (mTECs); however, accumulating evidence also suggests that Aire has other roles, e.g. in mTEC differentiation, and furthermore that Aire can either promote or inhibit the mTEC differentiation program, i.e. Aire does not play a neutral role in mTEC differentiation. This review discusses when and how Aire plays an important role in controlling the organization of mTECs required for the expression of self-antigen genes.Keywords: Promiscuous gene expression . Self-tolerance . Thymic organogenesis
IntroductionThe mechanisms underlying the autoimmune pathology caused by Aire deficiency are a focus of intense research aimed at answering the fundamental question of how the immune system discriminates between self and non-self within the thymic microenvironment [1]. The discovery of Aire-dependent transcriptional control of many tissue-restricted self-antigen (TRA) genes in thymic epithelial cells (TECs) in the medulla (mTECs), where Aire is most strongly expressed [2], has raised the intriguing question of how the single Aire gene can influence the transcription of such a large number of TRA genes within mTECs [3][4][5]. Transcriptional control of TRA gene expression by Aire has drawn considerable attention since the original landmark report describing Aire regulation [2]. In addition, the recent emergence of a novel epigenetic feature of Aire's action on TRA gene expression -plant homeodomain (PHD) 1 of Aire preferentially binds with unmethylated form of histone3 lysin 4 (H3K4me0) -has stimulated further efforts in this field [6,7]. However, the functional significance of Aire in the differentiation program of mTECs is equally noteworthy when considering how mTECs gain, in an Aire-dependent manner, the ability to express a large battery of TRA genes that are authentically expressed by parenchymal organs, a phenomenon termed promiscuous gene expression (PGE). In this brief review, I will address these topics by highlighting two contrasting models proposed for when and how Aire controls the differentiation program of mTECs.Link between the mTEC differentiation program and TRA gene expression Cortical TECs (cTECs) and mTECs have previously been indicated to derive from a common bipotent progenitor [8,9], whereas one recent report suggests that the thymus contains a small population of epithelial stem cells that conserve the capacity to integrate in a complex three-dimensional network organized in cTECs and mTECs [10]. Although it is now widely accepted that mTECs are clonally derived [11], there has been active debate as to how the mTECs acquire their unique ability for PGE; one model, the terminal differentiation model, suggests that PGE by mTECs is a specialized property attained upon terminal differentiation. In contrast, another model, the developmental