Beckers Daniel, Jainarayanan Ashwin K, Dustin Michael L, Capera Jesusa
The Kennedy Institute of Rheumatology, Nuffield Department of Orthopaedics Rheumatology & Musculoskeletal Sciences, University of Oxford, Oxford OX3 7FY, United Kingdom.
Immune Netw. 2024 Dec 19;24(6):e42. doi: 10.4110/in.2024.24.e42. eCollection 2024 Dec.
Immunological tolerance is a fundamental arm of any functioning immune system. Not only does tolerance mitigate collateral damage from host immune responses, but in doing so permits a robust response sufficient to clear infection as necessary. Yet, despite occupying such a cornerstone, research aiming to unravel the intricacies of tolerance induction is mired by interchangeable and often misused terminologies, with markers and mechanistic pathways that beg the question of redundancy. In this review we aim to define these boarders by providing new perspectives to long-standing theories of tolerance. Given the central role of T cells in enforcing immune cascades, in this review we choose to explore immunological tolerance through the perspective of T cell 'resistance to activation,' to delineate the contexts in which one tolerance mechanism has evolved over the other. By clarifying the important biological markers and cellular players underpinning T cell resistance to activation, we aim to encourage more purposeful and directed research into tolerance and, more-over, potential therapeutic strategies in autoimmune diseases and cancer. The tolerance field is in much need of reclassification and consideration, and in this review, we hope to open that conversation.
免疫耐受是任何正常运作的免疫系统的一个基本组成部分。耐受不仅减轻了宿主免疫反应造成的附带损害,而且在这样做的过程中允许产生足够强大的反应,以便在必要时清除感染。然而,尽管占据着如此基石性的地位,但旨在揭示耐受诱导复杂性的研究却因可互换且经常被滥用的术语以及标记物和机制途径而陷入困境,这些标记物和机制途径引发了冗余性的问题。在本综述中,我们旨在通过为长期存在的耐受理论提供新的视角来界定这些边界。鉴于T细胞在执行免疫级联反应中的核心作用,在本综述中,我们选择从T细胞“对激活的抗性”角度来探讨免疫耐受,以描绘一种耐受机制相对于另一种耐受机制进化的背景。通过阐明支撑T细胞对激活抗性的重要生物学标记物和细胞参与者,我们旨在鼓励对耐受以及自身免疫性疾病和癌症中的潜在治疗策略进行更有针对性和方向性的研究。耐受领域非常需要重新分类和思考,在本综述中,我们希望开启这一讨论。