Staerz U D, Qi Y
Department of Medicine, National Jewish Medical and Research Center, Denver, Colorado 80207, USA.
J Clin Immunol. 1999 Jul;19(4):195-202. doi: 10.1023/a:1020511928974.
Immune responses protect against infectious diseases and cancers. In normal circumstances, the immune system is tolerant to self. However, under certain conditions this tolerance is broken. The immune system attacks otherwise normal tissue. An autoimmune disease ensues. Strategies are now being sought that remove the pathogenic T cells without affecting other immune functions. "Classical" veto has been described as an immune suppressive mechanism able to remove T cells in a highly specific and effective manner. The present article briefly reviews the current knowledge on the development of autoreactive T cells and their regulation in the periphery. It describes "classical" veto, its mechanisms, and its novel applications. Finally, it argues that "classical" veto can be adapted to treat an autoimmune disease, such as type I diabetes mellitus.
免疫反应可抵御传染病和癌症。在正常情况下,免疫系统对自身具有耐受性。然而,在某些条件下,这种耐受性会被打破。免疫系统会攻击原本正常的组织,继而引发自身免疫性疾病。目前正在寻找能够清除致病性T细胞而不影响其他免疫功能的策略。“经典”否决已被描述为一种免疫抑制机制,能够以高度特异性和有效的方式清除T细胞。本文简要回顾了关于自身反应性T细胞的发育及其在外周的调节的现有知识。它描述了“经典”否决、其机制及其新应用。最后,本文认为“经典”否决可适用于治疗自身免疫性疾病,如I型糖尿病。