2005
DOI: 10.1016/j.immuni.2005.07.005
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The Cellular Mechanism of Aire Control of T Cell Tolerance

Abstract: Aire promotes the tolerization of thymocytes by inducing the expression of a battery of peripheral-tissue antigens in thymic medullary epithelial cells. We demonstrate that the cellular mechanism by which Aire exerts its tolerance-promoting function is not primarily positive selection of regulatory T cells, but rather negative selection of T effector cells. Surprisingly, supplementing its influence on the transcription of genes encoding peripheral-tissue antigens, Aire somehow enhances the antigen-presentation… Show more

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Cited by 575 publications
(630 citation statements)
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“…1C). These results are broadly consistent with previous studies that looked more specifically at Treg using anti-FOXP3 staining (required for definitive Treg identification) in conjunction with markers such as CD4 and CD25 and which reported no significant change in Treg numbers in Aire-deficient mice [8,10].…”
Section: Nkt Cell Frequencysupporting
confidence: 91%
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“…1C). These results are broadly consistent with previous studies that looked more specifically at Treg using anti-FOXP3 staining (required for definitive Treg identification) in conjunction with markers such as CD4 and CD25 and which reported no significant change in Treg numbers in Aire-deficient mice [8,10].…”
Section: Nkt Cell Frequencysupporting
confidence: 91%
“…An alternate explanation is that the loss of Aire might affect more than one form of tolerance [2,8,9]. A controversial, but still unresolved, possibility is that Aire-dependent antigens could be important for the development of regulatory T cells in the thymus, perhaps leading Aire-deficient mice to develop regulatory T cell deficiencies already known to be associated with autoimmunity [4,5,[10][11][12][13].…”
Section: Introductionmentioning
confidence: 99%
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“…Interestingly, in a recent report the thymic expression of mRNA encoding the self antigens insulin and cytochrome P4501A2 [51] in two patients with Omenn syndrome and one SCID patient was absent, and, in addition, mTEC from the patients lacked Aire expression [52], suggesting that the few T cells carrying a restricted TCR repertoire may escape negative selection and cause autoimmunity in the periphery. Conversely, Aire -/-mice were recently reported to target the salivary gland autoantigen afodrin in spite of normal a-fodrin mRNA levels in mTEC [28], suggesting additional factors or mechanisms determining the organ-specific autoimmunity caused by Aire deficiency, an idea which has recently been reviewed by Mathis et al [53]. Evidence is accumulating that Aire regulates ectopic expression of only a subset of self antigens in mature mTEC [27].…”
Section: Discussionmentioning
confidence: 99%
“…Third, the average residence time of mature thymocytes of 4 to 5 days is shorter than previously assumed [31,32]. Nevertheless, deletion of monoclonal or polyclonal T-cell repertoires specific for ectopically expressed (neo) self-antigens is highly efficient [33,34]. Since Spatial is also expressed at a limiting dose in mature mTEC, these features qualify it as preferential target of an auto-immune response.…”
Section: Spatial Is Expressed In Mature Medullary Thymic Epithelial Cmentioning
confidence: 95%