Immunopathology & Immunotherapy
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Molecular Mimicry and Autoimmune Disease

Molecular Mimicry and Autoimmune Disease | Immunopathology & Immunotherapy | Scoop.it

Those in self-nonself camp, the more dominant of the two camps, would see a threat in the molecular mimics and link those to autoimmunity. Whereas the danger or damage theory proponents would argue that the presence or absence of molecular mimicry by itself means nothing unless the mimicked code evokes damage. Data can be found supporting either argument. 

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How infection can trigger autoimmune disease - Immunity 08 Nov

 

Elimination of Germinal Center-Derived Self-Reactive B Cells Is Governed by the Location and Concentration of Self-Antigen

Immunity, 08 November 2012
10.1016/j.immuni.2012.07.017

Authors

Tyani D. Chan, Katherine Wood, Jana R. Hermes, Danyal Butt, Christopher J. Jolly, Antony Basten, Robert Brink

 

Summary

Secondary diversification of the B cell repertoire by immunoglobulin gene somatic hypermutation in the germinal center (GC) is essential for providing the high-affinity antibody specificities required for long-term humoral immunity. While the risk to self-tolerance posed by inadvertent generation of self-reactive GC B cells has long been recognized, it has not previously been possible to identify such cells and study their fate. In the current study, self-reactive B cells generated de novo in the GC failed to survive when their target self-antigen was either expressed ubiquitously or specifically in cells proximal to the GC microenvironment. By contrast, GC B cells that recognized rare or tissue-specific self-antigens were not eliminated, and could instead undergo positive selection by cross-reactive foreign antigen and produce plasma cells secreting high-affinity autoantibodies. These findings demonstrate the incomplete nature of GC self-tolerance and may explain the frequent association of cross-reactive, organ-specific autoantibodies with postinfectious autoimmune disease.

 

A summary in Garvan Institute:

http://www.garvan.org.au/news-events/news/how-infection-can-trigger-autoimmune-disease.html

 

A previous publication of this theory:

Mechanisms for the induction of autoimmunity by infectious agents

Kai W. Wucherpfennig

Published in Volume 108, Issue 8 (October 15, 2001)
J Clin Invest. 2001;108(8):1097–1104. doi:10.1172/JCI14235.

 

 

http://www.jci.org/articles/view/14235

 

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