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National Academy of Sciences, Proceedings of the National Academy of Sciences, 52(116), p. 26788-26797, 2019

DOI: 10.1073/pnas.1910281116

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Activation-induced cell death of self-reactive regulatory T cells drives autoimmunity

Journal article published in 2019 by Ester Badami ORCID, Olivier N. F. Cexus ORCID, Sonia Quaratino
This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Abstract

Significance In the present study, we provide evidence of a cellular mechanism of breach of tolerance in an in vivo model of spontaneous autoimmune thyroiditis (AIT). We observe that self-antigen (Ag) specific T reg circulate in all lymphatic tissues except for the lymph nodes (LNs) draining the thyroid, which represents the site of inflammation. By contrast, cognate effector T cells accumulate in the draining LNs and thyroid. The absence of T reg unleashes cognate T eff , which promote tissue destruction. We demonstrate that the organ-restricted disappearance of T reg is driven by the self-Ag, aberrantly expressed in a highly inflammatory environment, by a mechanism of activation-induced cell death.