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Autoimmunity: Are We Asking the Right Question?

Overview
Journal Front Immunol
Date 2022 Nov 21
PMID 36405714
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Abstract

For decades, the main question immunologists have asked about autoimmunity is "what causes a break in self-tolerance?" We have not found good answers to that question, and I believe we are still so ignorant because it's the wrong question. Rather than a break in self-tolerance, I suggest that many autoimmune diseases might be due to defects in normal tissue physiology.

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References
1.
Costenbader K, Feskanich D, Stampfer M, Karlson E . Reproductive and menopausal factors and risk of systemic lupus erythematosus in women. Arthritis Rheum. 2007; 56(4):1251-62. DOI: 10.1002/art.22510. View

2.
Matzinger P, Kamala T . Tissue-based class control: the other side of tolerance. Nat Rev Immunol. 2011; 11(3):221-30. DOI: 10.1038/nri2940. View

3.
Suber T, Casciola-Rosen L, Rosen A . Mechanisms of disease: autoantigens as clues to the pathogenesis of myositis. Nat Clin Pract Rheumatol. 2008; 4(4):201-9. DOI: 10.1038/ncprheum0760. View

4.
Anderson C, Sinclair N . FcR-mediated inhibition of cell activation and other forms of coinhibition. Crit Rev Immunol. 1998; 18(6):525-44. DOI: 10.1615/critrevimmunol.v18.i6.30. View

5.
STOLLERMAN G, Lewis A, Schultz I, Taranta A . Relationship of immune response to group A streptococci to the course of acute, chronic and recurrent rheumatic fever. Am J Med. 1956; 20(2):163-9. DOI: 10.1016/0002-9343(56)90185-1. View