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Central tolerance

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293:. This is a control step, in which the progenitor needs to receive positive signal from the pre-TCR to survive. They further need signal from CXCR4 (ligand is CXCL12) which does not serve here to direct migration but as a survival signal along with Notch signalling. Therefore, the β-selection step controls whether the TCRβ chain is properly formed and functional. It can be also understood as a positive selection specific only for the TCRβ chain (TCRα chain is not yet formed) but control for self-reactivity is not included in this step and comes later, especially in the medullary section. The cells that do not create functional γδTCR or pre-TCR or do not successfully pass through β-selection are removed by apoptosis. The cells that successfully pass the β-selection continue their development into DN4 stage, stop the expression of CD25 becoming CD44- CD25- and begin migration inside thymic cortex. It is, again, not completely clear what drives the migration. Probably, the receptors CXCR4 and CXCR9 on the DN4 cells drive the migration along gradients of chemokines CXCL12 and CCL25, although other models of migration to the cortex were established mainly based on movement dynamics of cells due to their extensive proliferation or fluid currents in the thymus without direct involvement of chemokine-driven migration. The DN4 cells subsequently begin the expression of CD8 and CD4 coreceptors becoming CD8+ CD4+ DP cells (DP means double positive because they express both the coreceptors).  Once in the thymic cortex, the DP cells finalize the rearrangement of TCRα chain, which results in production of complete αβTCR complex, which marks the cells ready to enter the positive selection, which takes place in the thymic cortex. 289:(recombinases of the V(D)J recombination of T or B cell receptors). Therefore, it is the DN3 stage at which the T cell precursors start to build their TCRs. It is also at this stage when the precursors decide whether they become αβ or γδ T cell. There are two possible models of how this decision step is made. The first possibility is that the cell fate is simply determined during the development of the precursor by the commitment similar to the development of other cell lineages. Therefore, some T cell precursors commit to γδ T cell and therefore in this step recombine γδTCR and some commit to αβ T cell and similarly recombine αβTCR. The other and generally more accepted model is that the commitment is determined during the TCR rearrangement and formation. Since the V(D)J recombination is step-by-step process, the precursors firstly recombine their genes to produce γδTCR. At the moment, the strength of signal that is produced by the newly formed TCR decides. If the γδTCR is properly formed and receives strong signal by interacting with the ligands present in the thymus, then the precursor continue its development into γδ T cell through specific selection processes. If the T cell precursor receives only weak signal, then the γδTCR formation is scratched and the recombination towards αβTCR starts. Those precursors firstly recombine TCRβ chain and combine it with invariant TCRα (substitute chain) and in previous stages formed CD3 complex to create so-called pre-TCR. With this premature TCR, they enter process called 285:
also do not express CD3 complex). The DN stages can be distinguished by the expression of surface markers CD44 and CD25, with the DN1 cells being CD44+ CD25-. Similarly to the TSPs, the DN1 cells are still capable of generating other cell types aside from T cells, such as B cells, NK cells, DCs and macrophages (lymphoid and myeloid lineage). But, due to the Notch signalling, they start to committing towards T cell lineage by expression of transcription factors (TFs) such as GATA3 and TCF1. Subsequently, the DN1 cells differentiate into DN2 cells, that are CD44+ and CD25+. The DN2 stage can be further divided into two substages DN2a and DN2b. The transition from the earlier DN2a substage to the later DN2b is also called commitement, because it is at this moment when the T cell precursor finally and completely lose their ability to generate other cell lineages and from that moment they can (even in vitro) only differentiate into T cells. After the commitement, at the DN2b substage, the precursors also start to produce CD3 complex (signalling component of the future TCR receptor complex). Next, the precursors continue their differentiation into DN3 phase in which they are CD44- CD25+. At this stage, the cells finally arrive to the subcapsular zone of the thymus, further proliferate and most importantly, start to express
246:“ because they have the ability of self-renewal (generating new HSCs) and also have the potential to differentiate into all blood cell types. The direct descendants of HSCs are the more mature multipotent progenitors (MPPs) that highly proliferate, can differentiate into all blood cell types but are not capable of self-renewal (do not have the ability to indefinitely generate new MPPs and therefore HSCs are needed for generation of new MPPs). Some of the MPPs further upregulate expression of FLT3 (becoming CD150- FLT3high) and start to upregulate genes specific for lymphoid lineage (for example Rag1) (but remain Lin-). These progenitors (still belong to the LSK cells) consist of two similar populations termed lymphoid-primed MPPs (LMPPs) and early lymphoid progenitors (ELPs). The LMPPs/ELPs subsequently give rise to common lymphoid progenitors (CLPs). These cells (FLT3high LIN- KITlow) do not belong to LSK pool, are more mature and more prone towards the lymphoid lineage, meaning that under normal circumstances they will ultimately give rise to T or B cells or other lymphocytes ( 262:
progenitors, only the LMPPs/ELPs and CLPs express chemokine receptors CCR7 and CCR9 that enable them to enter the thymus. The thymic endothelium express chemokines CCL19 and CCL21, which are ligands for CCR7 and CCL25 which is a ligand for CCR9. The final part of thymic entry is not yet fully understood. Suggested model is that receptor sensing of chemokines by the progenitors activates their integrins (suggested integrins are VLA-4 and LFA-1) which engage with ligands on the endothelium. This interaction stops the rolling, leads to cellular arrest and finally to transmigration along the chemokine gradient inside thymus. Therefore, all the progenitors will be rolling on the thymic endothelium, but only the LMPPs/ELPs and CLPs will enter the thymus because only they have the proper receptor equipement to do so. The mechanism is highly similar to the
115:, enzymes necessary for somatic recombination, has been linked to development of immune cytopenias in which antibodies are produced against the patient's blood cells. Due to the nature of a random receptor recombination, there will be some BCRs and TCRs produced that recognize self antigens as foreign. This is problematic, since these B and T cells would, if activated, mount an immune response against self if not killed or inactivated by central tolerance mechanisms. Therefore, without central tolerance, the immune system could attack self, which is not sustainable and could result in an autoimmune disorder. 242:(BM). Population of the earliest hematopoietic progenitors do not bear markers of differentiated cells (for that they are called Lin- „lineage negative“) but express molecules such as SCA1 (stem cell antigen) and KIT (receptor for stem cell factor SCF). Based on these markers the cells are called LSKs (Lineage-SCA1-KIT). This population can be further divided, based on expression of markers such as CD150 and FMS-related tyrosine kinase 3 (FLT3), into CD150+ FLT3-hematopoietic stem cells (HSCs) and CD150- FLT3low multipotent progenitors (MPPs). The HSCs are „true 210:" which tests the thymocytes for self-reactivity. The cells that are strongly self-reactive (and therefore prone to attacking the host cells) are removed by apoptosis. Thymocytes that are still self-reactive, but only slightly develop into T regulatory (Treg) cells. Thymocytes that are not self-reactive become mature naïve T cells. Both the Treg and mature naïve T cells subsequently migrate to the secondary lymphoid organs. The negative selection has its name because it selects for survival only those thymocytes whose TCRs 278:
ultimately become only capable to create T cells but this comes at the later stages of the differentiation. At the stage of TSPs, the progenitors still retain the capacity to create both lymphoid and myeloid cells. Given their capability to generate other cell lineages (mainly in vitro) it is even debated that they can physiologically, at least partially contribute to generation of other cell types, present in the thymus, mainly plasmacytoid dendritic cells (pDCs). But this has not yet been clearly proven.
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is that they migrate along chemokine gradients, using CXCR4, CCR7 and CCR9 receptors but the migration can be also driven only by interactions of integrins and other cells and ECM (extra-cellular matrix) without direct involvement of chemokines. As they migrate towards the subcapsular zone, the TSPs further continue in their differentiation, which is driven mainly by the thymic microenvironment. Out of many signals the TSPs and other subsequent precursors receive from the microenvironment, the
385: 373: 415: 146:(Treg cells) are directly reactive towards self-antigens (although their self-reactivity is not very strong) and use this autoreactivity to regulate immune reactions by suppressing immune system when it should not be active. Importantly, lymphocytes can only develop tolerance towards antigens that are present in the bone marrow (for B cells) and thymus (for T cells). 272:
From the moment LMPPs/ETPs and CLPs enter the thymus in the corticomedullary junction, they are referred to as thymus settling progenitors (TSPs). The TSPs highly proliferate and start to migrate to the subcapsullar zone of the thymus. It is not celar what signals drive the migration. One possibility
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The first use of central tolerance was by Ray Owen in 1945 when he noticed that dizygotic twin cattle did not produce antibodies when one of the twins was injected with the other's blood. His findings were confirmed by later experiments by Hasek and Billingham. The results were explained by Burnet's
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Central tolerance is essential to proper immune cell functioning because it helps ensure that mature B cells and T cells do not recognize self-antigens as foreign microbes. More specifically, central tolerance is necessary because T cell receptors (TCRs) and B cell receptors (BCRs) are made by cells
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In the next step, the TSPs give rise to early thymic precursors (ETPs), also called as double negative 1 (DN1) cells. The term „double negative“ refers to the fact that at this stage the precursors do not express CD4 nor CD8 coreceptors (sometimes they are even termed „triple negative“ because they
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Progenitors from bone marrow (BM), even the HSCs, have the ability to randomly exit the BM to the bloodstream and thus can be readily detected there. Therefore, after being generated, the T cell progenitors exit the BM and are randomly carried by blood throughout the body. At the moment they reach
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is especially important to drive their differentiation fate. The precursors express Notch1 receptor which is activated by ligands present in the thymic tissue. The subsequent activation of Notch pathway leads to gradual loss of the progenitors capability to generate other cell lineages and they
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occurs during recombination and serves to further increase the diversity of BCRs and TCRs. The production of random TCRs and BCRs is an important method of defense against microbes due to their high mutation rate. This process also plays an important role in promoting the survival of a species,
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and some of the developing T cell clones produce TCR that is completely unfunctional (unable to bind peptide-MHC complexes) and some produce TCR that is self-reactive and could therefore promote autoimmunity. These "problematic" clones are therefore removed from the pool of T cells by specific
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cortico-medullary junction, they start slowing down and rolling on the endothelium, because all the progenitors, including LSK cells, express on their surface glycoprotein PSGL1, which is a ligand for P-selectin, expressed on the thymic endothelium. But out of all the aforementioned T cell
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The result of central tolerance is a population of lymphocytes that do not mount immune response towards self-antigens. These cells use their TCR or BCR specificity to recognize foreign antigens, in order to play their specific roles in immune reaction against those antigens.
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Two other terms - recesive and dominant tolerance are also important regarding the T cell central tolerance. Both the terms refer to two possible ways of tolerance establishment towards particular antigen (typically self antigen). The
447:: the self-reactive B cell changes specificity by rearranging genes and develops a new BCR that does not respond to self. This process gives the B cell a chance for editing the BCR before it is signaled to apoptose or becomes anergic. 474:. This leads to a lack of expression of peripheral antigens in the thymus, and hence a lack of negative selection towards key peripheral proteins such as insulin. Multiple autoimmune symptoms result. 226:" means that the T cell clones specific for the antigen are deviated into Treg cells and therefore suppress the immune response against the antigen (Treg selection during the negative selection). 850:
Bettelli E, Carrier Y, Gao W, Korn T, Strom TB, Oukka M, et al. (May 2006). "Reciprocal developmental pathways for the generation of pathogenic effector TH17 and regulatory T cells".
222:" means that the antigen is tolerated via deletion of those T cells that would facilitate immune response against the antigen (deletion of autoreactive cells in negative selection). The " 127:
In this way, the mechanisms of central tolerance ensure that lymphocytes that would recognise self-antigens in a way that could endanger the host, are not released into the periphery.
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because there will be a variety of receptor arrangements within a species – this enables a very high chance of at least one member of the species having receptors for a novel antigen.
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is distinct from central tolerance in that it occurs once developing immune cells exit primary lymphoid organs (the thymus and bone-marrow), prior to their export into the periphery.
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Anderson MS, Venanzi ES, Klein L, Chen Z, Berzins SP, Turley SJ, et al. (November 2002). "Projection of an immunological self shadow within the thymus by the aire protein".
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complex, it does not receive survival signals, so it dies via apoptosis. T cell receptors with sufficient affinity for peptide-MHC complexes are selected for survival.
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The T cells that do not bind self, but do recognize antigen/MHC complexes, and are either CD4+ or CD8+, migrate to secondary lymphoid organs as mature naïve T cells.
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It is of note that T cells, despite tolerance mechanisms, are at least to some extent self-reactive. TCR of conventional T cells must be able to recognize parts of
250:). But since they are only progenitors, their cell fate is not strictly predetermined and they still have the ability to differentiate into other lineages. 103:, is important because it increases the receptor diversity which increases the likelihood that B cells and T cells will have receptors for novel antigens. 1844: 360:
are another type of T cell that mature in the thymus. Selection of T reg cells occurs in the thymic medulla and is accompanied by the transcription of
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While the process of somatic recombination is essential to a successful immune defense, it can lead to autoreactivity. For example, lack of functional
17: 331:, T cells are tested for their affinity to self. If they bind a self peptide, then they are signaled to apoptose (process of clonal deletion). 1377: 1236:
Zlotoff, Daniel A.; Sambandam, Arivazhagan; Logan, Theodore D.; Bell, J. Jeremiah; Schwarz, Benjamin A.; Bhandoola, Avinash (11 March 2010).
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Positive selection occurs in the thymic cortex with the help of thymic epithelial cells that contain surface MHC I and MHC II molecules.
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Liston A, Lesage S, Wilson J, Peltonen L, Goodnow CC (April 2003). "Aire regulates negative selection of organ-specific T cells".
1837: 903:"Tolerance is established in polyclonal CD4(+) T cells by distinct mechanisms, according to self-peptide expression patterns" 738: 652: 554: 86:
exists as a secondary mechanism to ensure that T and B cells are not self-reactive once they leave primary lymphoid organs.
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hypothesis. Burnet and Medawar won the Nobel Prize in 1960 for their work in explaining how immune tolerance works.
2176: 1188:"The long road to the thymus: the generation, mobilization, and circulation of T-cell progenitors in mouse and man" 300:, T cells are checked for their ability to bind peptide-MHC complexes with affinity. If the T cell cannot bind the 131: 2171: 2114: 425:
Properly functioning B cell receptors recognize non-self antigen, or pathogen-associated molecular proteins (
178:" the thymocytes are tested, ehether their TCR works properly and those with unfunctional TCR are removed by 112: 345:
play important roles in the expression of self tissue antigens on the thymic epithelial cells in the thymus.
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in case of CD4+ T cells) to create proper interaction with antigen-presenting cell. Furthermore, TCRs of
2000: 1432:"Single-cell insights into the hematopoietic generation of T-lymphocyte precursors in mouse and human" 195:" (or lineage commitment) takes place. In this process the thymocytes whose TCR recognize with MHCI ( 1822: 999:
Palmer E (May 2003). "Negative selection--clearing out the bad apples from the T-cell repertoire".
214:(or interact only slightly) with peptide-MHC complexes on antigen presenting cells in the thymus. 2180: 1938: 274: 263: 243: 950:
Cosway EJ, Ohigashi I, Schauble K, Parnell SM, Jenkinson WE, Luther S, et al. (July 2018).
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The thymic epithelial cells display self antigen to the T cells to test their affinity for self.
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to the body itself. Through elimination of autoreactive lymphocytes, tolerance ensures that the
2202: 1920: 1856: 182:. The mechanism has its name because it selects for survival only those thymocytes whose TCRs 2149: 2005: 1983: 422:
Immature B cells in the bone marrow undergo negative selection when they bind self peptides.
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Malhotra D, Linehan JL, Dileepan T, Lee YJ, Purtha WE, Lu JV, et al. (February 2016).
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where they continue their development. During this development, the thymocytes perform the
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This figure depicts the process of positive selection and MHC restriction for T cells.
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Negative selection occurs in the cortico-medullary junction and in the thymic medulla.
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Chen K, Wu W, Mathew D, Zhang Y, Browne SK, Rosen LB, et al. (March 2014).
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Liu YJ (May 2006). "A unified theory of central tolerance in the thymus".
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This figure depicts the process of B cell selection in the bone marrow.
266:, which is used by leukocytes to enter lymph nodes or inflamed tissues. 199:) molecules become CD4- CD8+ and thymocytes whose TCR recognize MHCII ( 33: 1795: 467: 186:
with peptide-MHC complexes on antigen presenting cells in the thymus.
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During the late stage of positive selection, another process called "
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Depending on whether the T cell binds MHC I or II, it will become a
2242: 2027: 2015: 1973: 1927: 1891: 1047: 1652: 1378:"An Overview of the Intrathymic Intricacies of T Cell Development" 390:
This figure depicts the process of negative selection for T cells.
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Genetic defects in central tolerance can lead to autoimmunity.
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Subsequently, the positively selected thymocytes go through "
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through random somatic rearrangement. This process, known as
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Elimination of autoreactive lymphocytes by the immune system
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Immunology 508:Peripheral tolerance 203:) become CD4+ CD8-. 105:Junctional diversity 88:Peripheral tolerance 84:peripheral tolerance 2162:V(D)J recombination 2145:Affinity maturation 1897:Antigenic variation 1602:2002Sci...298.1395A 1596:(5597): 1395–1401. 1316:2011NYASA1217..122Z 872:10.1038/nature04753 864:2006Natur.441..235B 168:V(D)J recombination 101:V(D)J recombination 607:10.1007/bf02934736 420: 358:Regulatory T cells 329:negative selection 298:positive selection 224:dominant tolerance 220:recesive tolerance 208:negative selection 176:positive selection 144:regulatory T cells 42:negative selection 2261: 2260: 2189: 2188: 1939:professional APCs 1796:10.1111/imm.12558 1641:Nature Immunology 1248:(10): 1897–1905. 1081:(1409): 609–616. 1036:Nature Immunology 907:Nature Immunology 858:(7090): 235–238. 740:978-0-443-07098-3 654:978-0-8153-3642-6 556:978-1-4292-1919-8 441:(clonal deletion) 134:(MHC) molecules ( 38:central tolerance 16:(Redirected from 2281: 2155:Clonal selection 2127:Immune privilege 2122:Immunodeficiency 2077:Cross-reactivity 2067:Hypersensitivity 1872: 1871: 1847: 1840: 1833: 1824: 1823: 1818: 1817: 1807: 1775: 1769: 1768: 1758: 1734: 1725: 1724: 1714: 1682: 1673: 1672: 1636: 1630: 1629: 1585: 1579: 1578: 1538: 1532: 1531: 1521: 1503: 1479: 1470: 1469: 1459: 1427: 1414: 1413: 1388:(9): 4017–4023. 1373: 1354: 1353: 1343: 1295: 1284: 1283: 1273: 1233: 1224: 1223: 1183: 1177: 1176: 1166: 1126: 1109: 1108: 1098: 1066: 1060: 1059: 1031: 1025: 1024: 996: 990: 989: 979: 947: 941: 940: 930: 898: 892: 891: 847: 838: 837: 809: 796: 795: 769: 760: 745: 744: 722: 716: 715: 705: 688:(3): 880–2.e10. 673: 667: 666: 646: 636: 627: 626: 590: 569: 568: 542: 486:clonal selection 459:Genetic diseases 445:Receptor editing 399: 387: 375: 275:Notch signalling 192:MHC restricition 21: 2289: 2288: 2284: 2283: 2282: 2280: 2279: 2278: 2264: 2263: 2262: 2257: 2231: 2185: 2131: 2110:Clonal deletion 2038: 2032: 1962: 1863: 1851: 1821: 1776: 1772: 1735: 1728: 1683: 1676: 1637: 1633: 1586: 1582: 1559:10.1038/nri2820 1539: 1535: 1480: 1473: 1428: 1417: 1374: 1357: 1296: 1287: 1234: 1227: 1184: 1180: 1147:10.1038/nri2989 1127: 1112: 1067: 1063: 1032: 1028: 1013:10.1038/nri1085 997: 993: 948: 944: 919:10.1038/ni.3327 899: 895: 848: 841: 810: 799: 767: 761: 748: 741: 723: 719: 674: 670: 655: 637: 630: 591: 572: 557: 547:Kuby immunology 543: 520: 516: 494: 481: 461: 412: 407: 406: 405: 404: 403: 400: 392: 391: 388: 380: 379: 376: 282:DN to DP stages 212:do not interact 174:First, during " 152: 121: 96: 40:(also known as 28: 23: 22: 15: 12: 11: 5: 2287: 2277: 2276: 2259: 2258: 2256: 2255: 2250: 2245: 2239: 2237: 2233: 2232: 2230: 2229: 2224: 2223: 2222: 2212: 2211: 2210: 2199: 2197: 2191: 2190: 2187: 2186: 2184: 2183: 2174: 2169: 2164: 2159: 2158: 2157: 2152: 2141: 2139: 2137:Immunogenetics 2133: 2132: 2130: 2129: 2124: 2119: 2118: 2117: 2112: 2107: 2102: 2097: 2085: 2084: 2082:Co-stimulation 2079: 2074: 2069: 2064: 2059: 2054: 2049: 2042: 2040: 2034: 2033: 2031: 2030: 2025: 2023:Immune complex 2019: 2018: 2013: 2008: 2003: 1998: 1997: 1996: 1991: 1986: 1981: 1970: 1968: 1964: 1963: 1961: 1960: 1955: 1950: 1945: 1943:Dendritic cell 1931: 1930: 1925: 1924: 1923: 1921:Conformational 1918: 1907: 1906: 1901: 1900: 1899: 1894: 1889: 1878: 1876: 1869: 1865: 1864: 1850: 1849: 1842: 1835: 1827: 1820: 1819: 1790:(3): 269–274. 1770: 1726: 1697:(4): a006908. 1674: 1647:(4): 350–354. 1631: 1580: 1553:(9): 657–663. 1533: 1471: 1415: 1355: 1310:(1): 122–138. 1285: 1225: 1198:(4): 371–382. 1178: 1141:(7): 469–477. 1110: 1061: 1048:10.1038/ni1428 1042:(2): 191–197. 1026: 1007:(5): 383–391. 991: 962:(2): 516–523. 942: 913:(2): 187–195. 893: 839: 820:(5): 215–221. 797: 746: 739: 717: 668: 653: 628: 601:(3): 187–196. 570: 555: 517: 515: 512: 511: 510: 505: 500: 493: 490: 480: 477: 476: 475: 460: 457: 456: 455: 448: 442: 411: 408: 401: 394: 393: 389: 382: 381: 377: 370: 369: 368: 367: 366: 355: 354: 351: 350: 349: 346: 335: 325: 324: 323: 320: 294: 279: 267: 264:transmigration 251: 151: 148: 120: 117: 95: 92: 26: 9: 6: 4: 3: 2: 2286: 2275: 2272: 2271: 2269: 2254: 2251: 2249: 2246: 2244: 2241: 2240: 2238: 2234: 2228: 2225: 2221: 2218: 2217: 2216: 2213: 2209: 2206: 2205: 2204: 2201: 2200: 2198: 2196: 2192: 2182: 2178: 2175: 2173: 2170: 2168: 2165: 2163: 2160: 2156: 2153: 2151: 2148: 2147: 2146: 2143: 2142: 2140: 2138: 2134: 2128: 2125: 2123: 2120: 2116: 2113: 2111: 2108: 2106: 2105:Clonal anergy 2103: 2101: 2098: 2096: 2093: 2092: 2091: 2087: 2086: 2083: 2080: 2078: 2075: 2073: 2070: 2068: 2065: 2063: 2060: 2058: 2055: 2053: 2050: 2048: 2044: 2043: 2041: 2035: 2029: 2026: 2024: 2021: 2020: 2017: 2014: 2012: 2009: 2007: 2004: 2002: 1999: 1995: 1994:Microantibody 1992: 1990: 1987: 1985: 1982: 1980: 1977: 1976: 1975: 1972: 1971: 1969: 1965: 1959: 1956: 1954: 1951: 1949: 1946: 1944: 1940: 1936: 1933: 1932: 1929: 1926: 1922: 1919: 1917: 1914: 1913: 1912: 1909: 1908: 1905: 1902: 1898: 1895: 1893: 1890: 1888: 1885: 1884: 1883: 1880: 1879: 1877: 1873: 1870: 1866: 1862: 1858: 1855: 1848: 1843: 1841: 1836: 1834: 1829: 1828: 1825: 1815: 1811: 1806: 1801: 1797: 1793: 1789: 1785: 1781: 1774: 1766: 1762: 1757: 1752: 1748: 1744: 1740: 1733: 1731: 1722: 1718: 1713: 1708: 1704: 1700: 1696: 1692: 1688: 1681: 1679: 1670: 1666: 1662: 1658: 1654: 1653:10.1038/ni906 1650: 1646: 1642: 1635: 1627: 1623: 1619: 1615: 1611: 1607: 1603: 1599: 1595: 1591: 1584: 1576: 1572: 1568: 1564: 1560: 1556: 1552: 1548: 1544: 1537: 1529: 1525: 1520: 1515: 1511: 1507: 1502: 1497: 1493: 1489: 1485: 1478: 1476: 1467: 1463: 1458: 1453: 1449: 1445: 1441: 1437: 1433: 1426: 1424: 1422: 1420: 1411: 1407: 1403: 1399: 1395: 1391: 1387: 1383: 1379: 1372: 1370: 1368: 1366: 1364: 1362: 1360: 1351: 1347: 1342: 1337: 1333: 1329: 1325: 1321: 1317: 1313: 1309: 1305: 1301: 1294: 1292: 1290: 1281: 1277: 1272: 1267: 1263: 1259: 1255: 1251: 1247: 1243: 1239: 1232: 1230: 1221: 1217: 1213: 1209: 1205: 1201: 1197: 1193: 1189: 1182: 1174: 1170: 1165: 1160: 1156: 1152: 1148: 1144: 1140: 1136: 1132: 1125: 1123: 1121: 1119: 1117: 1115: 1106: 1102: 1097: 1092: 1088: 1084: 1080: 1076: 1072: 1065: 1057: 1053: 1049: 1045: 1041: 1037: 1030: 1022: 1018: 1014: 1010: 1006: 1002: 995: 987: 983: 978: 973: 969: 965: 961: 957: 953: 946: 938: 934: 929: 924: 920: 916: 912: 908: 904: 897: 889: 885: 881: 877: 873: 869: 865: 861: 857: 853: 846: 844: 835: 831: 827: 823: 819: 815: 808: 806: 804: 802: 793: 789: 785: 781: 777: 773: 766: 759: 757: 755: 753: 751: 742: 736: 732: 728: 721: 713: 709: 704: 699: 695: 691: 687: 683: 679: 672: 664: 660: 656: 650: 645: 644: 635: 633: 624: 620: 616: 612: 608: 604: 600: 596: 589: 587: 585: 583: 581: 579: 577: 575: 566: 562: 558: 552: 548: 541: 539: 537: 535: 533: 531: 529: 527: 525: 523: 518: 509: 506: 504: 501: 499: 496: 495: 489: 487: 473: 469: 466: 465: 464: 453: 450:Induction of 449: 446: 443: 440: 437: 436: 435: 434: 430: 428: 423: 416: 398: 386: 374: 365: 363: 359: 352: 347: 344: 340: 336: 333: 332: 330: 326: 321: 318: 314: 310: 309: 307: 303: 299: 295: 292: 288: 287:Rag1 and Rag2 283: 280: 276: 271: 268: 265: 260: 255: 252: 249: 245: 241: 237: 234: 233: 232: 231: 227: 225: 221: 215: 213: 209: 204: 202: 198: 194: 193: 187: 185: 181: 177: 172: 169: 165: 161: 157: 147: 145: 141: 137: 133: 128: 125: 116: 114: 109: 106: 102: 91: 89: 85: 80: 78: 74: 70: 66: 62: 61:immune system 58: 54: 53:B lymphocytes 50: 47: 43: 39: 35: 30: 19: 2094: 2072:Inflammation 2057:Alloimmunity 2052:Autoimmunity 2037:Immunity vs. 1989:Autoantibody 1887:Superantigen 1787: 1783: 1773: 1749:(1): 14–15. 1746: 1742: 1694: 1690: 1644: 1640: 1634: 1593: 1589: 1583: 1550: 1546: 1536: 1491: 1487: 1439: 1435: 1385: 1381: 1307: 1303: 1245: 1241: 1195: 1191: 1181: 1138: 1134: 1078: 1074: 1064: 1039: 1035: 1029: 1004: 1000: 994: 959: 955: 945: 910: 906: 896: 855: 851: 817: 813: 775: 771: 730: 720: 685: 681: 671: 642: 598: 594: 546: 498:Autoimmunity 482: 462: 432: 431: 424: 421: 356: 328: 306:MHC class II 297: 290: 281: 269: 253: 235: 229: 228: 223: 219: 216: 211: 207: 205: 201:MHC class II 190: 188: 183: 175: 173: 171:mechanisms. 153: 140:MHC class II 129: 126: 122: 110: 97: 81: 71:such as the 45: 41: 37: 31: 29: 2195:Lymphocytes 1854:Lymphocytic 778:(1): 7–18. 302:MHC class I 291:β-selection 240:bone marrow 197:MHC class I 184:do interact 160:bone marrow 136:MHC class I 73:bone marrow 2274:Immunology 2236:Substances 2100:Peripheral 2088:Inaction: 1967:Antibodies 1948:Macrophage 1861:complement 1784:Immunology 514:References 503:Immunology 156:thymocytes 46:developing 34:immunology 2253:Cytolysin 2243:Cytokines 2090:Tolerance 2039:tolerance 1958:Immunogen 1567:1474-1741 1510:1664-3224 1402:0022-1767 1332:0077-8923 1262:0006-4971 1212:1863-2297 1155:1474-1733 565:820117219 439:Apoptosis 180:apoptosis 119:Mechanism 2268:Category 2203:Cellular 2047:Immunity 2045:Action: 2028:Paratope 2016:Idiotype 2006:Allotype 1974:Antibody 1928:Mimotope 1892:Allergen 1875:Antigens 1868:Lymphoid 1814:26790994 1765:21209621 1721:22395097 1661:12612579 1626:13989491 1618:12376594 1575:20725107 1528:32038664 1466:33454362 1442:: 1–12. 1410:24748636 1350:21251013 1280:19965655 1220:18925398 1173:21701522 1105:11375064 1056:17136045 1021:12766760 986:29784760 937:26726812 880:16648838 834:16580260 792:30420705 712:24472623 663:45708106 623:27585046 615:17120464 492:See also 248:NK cells 94:Function 75:and the 65:peptides 57:reactive 2248:Opsonin 2227:NK cell 2215:Humoral 2095:Central 2062:Allergy 2011:Isotype 1911:Epitope 1882:Antigen 1805:4754613 1712:3312674 1669:4561402 1598:Bibcode 1590:Science 1519:6992645 1457:8018899 1341:3076003 1312:Bibcode 1271:2837318 1164:3710714 1096:1088448 977:6036229 928:4718891 888:4391497 860:Bibcode 703:4107635 479:History 327:During 296:During 2220:B cell 2208:T cell 1953:B cell 1916:Linear 1904:Hapten 1812:  1802:  1763:  1719:  1709:  1667:  1659:  1624:  1616:  1573:  1565:  1526:  1516:  1508:  1494:: 42. 1464:  1454:  1408:  1400:  1348:  1338:  1330:  1278:  1268:  1260:  1218:  1210:  1171:  1161:  1153:  1103:  1093:  1054:  1019:  984:  974:  935:  925:  886:  878:  852:Nature 832:  790:  737:  710:  700:  661:  651:  621:  613:  563:  553:  452:anergy 410:B cell 259:thymic 164:thymus 150:T cell 113:RAG1/2 77:thymus 1665:S2CID 1622:S2CID 1242:Blood 884:S2CID 768:(PDF) 619:S2CID 427:PAMPs 362:FOXP3 343:Fezf2 1859:and 1810:PMID 1761:PMID 1717:PMID 1657:PMID 1614:PMID 1571:PMID 1563:ISSN 1524:PMID 1506:ISSN 1462:PMID 1406:PMID 1398:ISSN 1346:PMID 1328:ISSN 1308:1217 1276:PMID 1258:ISSN 1216:PMID 1208:ISSN 1169:PMID 1151:ISSN 1101:PMID 1052:PMID 1017:PMID 982:PMID 933:PMID 876:PMID 830:PMID 788:PMID 735:ISBN 708:PMID 659:OCLC 649:ISBN 611:PMID 561:OCLC 551:ISBN 472:AIRE 341:and 339:AIRE 317:CD4+ 313:CD8+ 2181:HLA 2177:MHC 1800:PMC 1792:doi 1788:147 1751:doi 1707:PMC 1699:doi 1649:doi 1606:doi 1594:298 1555:doi 1514:PMC 1496:doi 1452:PMC 1444:doi 1390:doi 1386:192 1336:PMC 1320:doi 1266:PMC 1250:doi 1246:115 1200:doi 1159:PMC 1143:doi 1091:PMC 1083:doi 1079:356 1044:doi 1009:doi 972:PMC 964:doi 960:201 923:PMC 915:doi 868:doi 856:441 822:doi 780:doi 698:PMC 690:doi 686:133 603:doi 429:). 315:or 304:or 51:or 32:In 2270:: 1941:: 1808:. 1798:. 1786:. 1782:. 1759:. 1747:89 1745:. 1741:. 1729:^ 1715:. 1705:. 1693:. 1689:. 1677:^ 1663:. 1655:. 1643:. 1620:. 1612:. 1604:. 1592:. 1569:. 1561:. 1551:10 1549:. 1545:. 1522:. 1512:. 1504:. 1492:11 1490:. 1486:. 1474:^ 1460:. 1450:. 1440:95 1438:. 1434:. 1418:^ 1404:. 1396:. 1384:. 1380:. 1358:^ 1344:. 1334:. 1326:. 1318:. 1306:. 1302:. 1288:^ 1274:. 1264:. 1256:. 1244:. 1240:. 1228:^ 1214:. 1206:. 1196:30 1194:. 1190:. 1167:. 1157:. 1149:. 1139:11 1137:. 1133:. 1113:^ 1099:. 1089:. 1073:. 1050:. 1038:. 1015:. 1003:. 980:. 970:. 958:. 954:. 931:. 921:. 911:17 909:. 905:. 882:. 874:. 866:. 854:. 842:^ 828:. 818:27 816:. 800:^ 786:. 776:19 774:. 770:. 749:^ 729:. 706:. 696:. 684:. 680:. 657:. 631:^ 617:. 609:. 597:. 573:^ 559:. 521:^ 36:, 2179:/ 1937:/ 1846:e 1839:t 1832:v 1816:. 1794:: 1767:. 1753:: 1723:. 1701:: 1695:4 1671:. 1651:: 1645:4 1628:. 1608:: 1600:: 1577:. 1557:: 1530:. 1498:: 1468:. 1446:: 1412:. 1392:: 1352:. 1322:: 1314:: 1282:. 1252:: 1222:. 1202:: 1175:. 1145:: 1107:. 1085:: 1058:. 1046:: 1040:8 1023:. 1011:: 1005:3 988:. 966:: 939:. 917:: 890:. 870:: 862:: 836:. 824:: 794:. 782:: 743:. 714:. 692:: 665:. 625:. 605:: 599:1 567:. 218:" 49:T 20:)

Index

Negative selection (immunology)
immunology
T
B lymphocytes
reactive
immune system
peptides
primary lymphoid organs
bone marrow
thymus
peripheral tolerance
Peripheral tolerance
V(D)J recombination
Junctional diversity
RAG1/2
major histocompatibility complex
MHC class I
MHC class II
regulatory T cells
thymocytes
bone marrow
thymus
V(D)J recombination
apoptosis
MHC restricition
MHC class I
MHC class II
bone marrow
hematopoietic stem cells
NK cells

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