2003
DOI: 10.1038/ni982
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Lymphotoxin pathway directs thymic Aire expression

Abstract: The autoimmune regulator Aire is a key mediator of central tolerance for peripherally restricted antigens. Its absence in human patients results in autoimmune polyendocrinopathy-candidiasis-ectodermal dystrophy. The cellular signals that regulate Aire expression are undefined. We show here that lymphotoxin signaling is necessary for the expression of Aire and its downstream target genes. The failure of Aire induction in the thymi of lymphotoxin-deficient and lymphotoxin-beta receptor-deficient mice contributes… Show more

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Cited by 180 publications
(194 citation statements)
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“…These mice have significantly reduced levels of Aire [20] and NKT cells [21,22], but relatively normal conventional T-cell numbers. A similar correlation between Aire expression and NKT cell numbers was reported in lymphotoxin-deficient mice [23,24], although the link between the expression of lymphotoxin and Aire-dependent genes has been disputed in more recent studies [25][26][27]. Human patients (and a mouse model) of Omenn syndrome [28,29] also have reduced levels of Aire and NKT cells and it is interesting to note that the severe NKT cell deficit evident in NOD mice coincides with significant morphological abnormalities among Aire 1 medullary cells in the thymus [20].…”
Section: Introductionsupporting
confidence: 79%
“…These mice have significantly reduced levels of Aire [20] and NKT cells [21,22], but relatively normal conventional T-cell numbers. A similar correlation between Aire expression and NKT cell numbers was reported in lymphotoxin-deficient mice [23,24], although the link between the expression of lymphotoxin and Aire-dependent genes has been disputed in more recent studies [25][26][27]. Human patients (and a mouse model) of Omenn syndrome [28,29] also have reduced levels of Aire and NKT cells and it is interesting to note that the severe NKT cell deficit evident in NOD mice coincides with significant morphological abnormalities among Aire 1 medullary cells in the thymus [20].…”
Section: Introductionsupporting
confidence: 79%
“…The profound reduction of the MTEC compartment in the RelB Ϫ/Ϫ thymus encompasses a dramatic loss of Aire expression and a paucity of UEA ϩ MTEC (41,42), while deficiencies of signaling pathways that regulate RelB expression variably recapitulate the RelB Ϫ/Ϫ thymic phenotype. Thymi from mice deficient in TNFR-associated factor 6 (43), NF-B-inducing kinase (44), or I B kinase ␣ (45) closely resemble the RelB Ϫ/Ϫ thymus, while the thymic phenotype of LT␣R/LT␤R-deficient mice is less severe (46,47) and CD40 Ϫ/Ϫ thymi appear to be normal (referenced in Ref. 44).…”
Section: Discussionmentioning
confidence: 99%
“…This suggests that the Ins2 increase seen in the mTECs requires the direct interaction between the two cell types and this effect may be mediated by Aire, whose expression increased coordinately with Ins2. Lymphotoxin beta receptor (TNFR superfamily, member 3) (LTβR), known to upregulate both Aire and Ins2 [27,43] may play a role here, in conjunction with interactions that may involve additional co-receptors between mTECs and thymocytes.…”
Section: Discussionmentioning
confidence: 99%