[PDF][PDF] Aire enforces immune tolerance by directing autoreactive T cells into the regulatory T cell lineage

S Malchow, DS Leventhal, V Lee, S Nishi, ND Socci… - Immunity, 2016 - cell.com
S Malchow, DS Leventhal, V Lee, S Nishi, ND Socci, PA Savage
Immunity, 2016cell.com
The promiscuous expression of tissue-restricted antigens in the thymus, driven in part by
autoimmune regulator (Aire), is critical for the protection of peripheral tissues from
autoimmune attack. Aire-dependent processes are thought to promote both clonal deletion
and the development of Foxp3+ regulatory T (Treg) cells, suggesting that autoimmunity
associated with Aire deficiency results from two failed tolerance mechanisms. Here,
examination of autoimmune lesions in Aire−/− mice revealed an unexpected third possibility …
Summary
The promiscuous expression of tissue-restricted antigens in the thymus, driven in part by autoimmune regulator (Aire), is critical for the protection of peripheral tissues from autoimmune attack. Aire-dependent processes are thought to promote both clonal deletion and the development of Foxp3+ regulatory T (Treg) cells, suggesting that autoimmunity associated with Aire deficiency results from two failed tolerance mechanisms. Here, examination of autoimmune lesions in Aire−/− mice revealed an unexpected third possibility. We found that the predominant conventional T cell clonotypes infiltrating target lesions express antigen receptors that were preferentially expressed by Foxp3+ Treg cells in Aire+/+ mice. Thus, Aire enforces immune tolerance by ensuring that distinct autoreactive T cell specificities differentiate into the Treg cell lineage; dysregulation of this process results in the diversion of Treg cell-biased clonotypes into pathogenic conventional T cells.
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