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Publication : Limited peripheral T cell anergy predisposes to retinal autoimmunity.

First Author  Lambe T Year  2007
Journal  J Immunol Volume  178
Issue  7 Pages  4276-83
PubMed ID  17371984 Mgi Jnum  J:145054
Mgi Id  MGI:3833213 Doi  10.4049/jimmunol.178.7.4276
Citation  Lambe T, et al. (2007) Limited peripheral T cell anergy predisposes to retinal autoimmunity. J Immunol 178(7):4276-83
abstractText  Autoimmune uveoretinitis accounts for at least 10% of worldwide blindness, yet it is unclear why tolerance to retinal Ags is so fragile and, particularly, to what extent this might be due to defects in peripheral tolerance. To address this issue, we generated double-transgenic mice expressing hen egg lysozyme, under the retinal interphotoreceptor retinoid-binding promoter, and a hen egg lysozyme-specific CD4(+) TCR transgene. In this manner, we have tracked autoreactive CD4(+) T cells from their development in the thymus to their involvement in uveoretinitis and compared tolerogenic mechanisms induced in a variety of organs to the same self-Ag. Our findings show that central tolerance to retinal and pancreatic Ags is qualitatively similar and equally dependent on the transcriptional regulator protein AIRE. However, the lack of Ag presentation in the eye-draining lymph nodes results in a failure to induce high levels of T cell anergy. Under these circumstances, despite considerable central deletion, low levels of retinal-specific autoreactive CD4(+) T cells can induce severe autoimmune disease. The relative lack of anergy induction by retinal Ags, in contrast to the same Ag in other organs, helps to explain the unique susceptibility of the eye to spontaneous and experimentally induced autoimmune disease.
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