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Immune tolerance

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587:), resulting in graft reaction. However, there are two general cases in which an allograft may be accepted. One is when cells or tissue are grafted to an immune-privileged site that is sequestered from immune surveillance (like in the eye or testes) or has strong molecular signals in place to prevent dangerous inflammation (like in the brain). The second is when a state of tolerance has been induced, either by previous exposure to the antigen of the donor in a manner that causes immune tolerance rather than sensitization in the recipient, or after chronic rejection. Long-term exposure to a foreign antigen from fetal development or birth may result in establishment of central tolerance, as was observed in Medawar's mouse-allograft experiments. In usual transplant cases, however, such early prior exposure is not possible. Nonetheless, a few patients can still develop allograft tolerance upon cessation of all exogenous immunosuppressive therapy, a condition referred to as operational tolerance. CD4+ Foxp3+ Treg cells, as well as CD8+ CD28- regulatory T cells that dampen cytotoxic responses to grafted organs, are thought to play a role. In addition, genes involved in 667:. Though in mammals a number of defenses exist to keep the microbiota at a safe distance, including a constant sampling and presentation of microbial antigens by local DCs, most organisms do not react against commensal microorganisms and tolerate their presence. Reactions are mounted, however, to pathogenic microbes and microbes that breach physiological barriers(epithelium barriers). Peripheral mucosal immune tolerance, in particular, mediated by iTreg cells and tolerogenic antigen-presenting cells, is thought to be responsible for this phenomenon. In particular, specialized gut CD103+ DCs that produce both 436:, in immune tolerance was recognized in 1995 when animal models showed that CD4+ CD25+ T cells were necessary and sufficient for the prevention of autoimmunity in mice and rats. Initial observations showed removal of the thymus of a newborn mouse resulted in autoimmunity, which could be rescued by transplantation of CD4+ T cells. A more specific depletion and reconstitution experiment established the phenotype of these cells as CD4+ and CD25+. Later in 2003, experiments showed that Treg cells were characterized by the expression of the 977: 219:
instead of rejection and elimination, and preventing attack of fetuses by the maternal immune system. Typically, a change in the host, not the antigen, is implied. Though some pathogens can evolve to become less virulent in host-pathogen coevolution, tolerance does not refer to the change in the pathogen but can be used to describe the changes in host physiology. Immune tolerance also does not usually refer to artificially induced
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strains of mice fall neatly along a spectrum of being more tolerant but less resistant or more resistant but less tolerant. Patients with autoimmune diseases also often have a unique gene signature and certain environmental risk factors that predispose them to disease. This may have implications for current efforts to identify why certain individuals may be disposed to or protected against
618:(MHC) proteins. However, the fetus usually is not rejected by the mother, making it essentially a physiologically tolerated allograft. It is thought that the placental tissues which interface with maternal tissues not only try to escape immunological recognition by downregulating identifying MHC proteins but also actively induce a marked peripheral tolerance. Placental 968:
general can be thought of as an alternative defense strategy that focuses on minimizing impact of an invader on host fitness, instead of on destroying and eliminating the invader. Such efforts may have a prohibitive cost on host fitness. In plants, where the concept was originally used, tolerance is defined as a
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hypersensitivity reactions have been mixed. The systemic effects of oral tolerance may be explained by the extensive recirculation of immune cells primed in one mucosal tissue in another mucosal tissue, allowing extension of mucosal immunity. The same probably occurs for cells mediating mucosal immune tolerance.
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Evolution works to optimize host fitness, so whether elimination or tolerance occurs depends on which would benefit the organism most in a given scenario. If the antigen is from a rare, dangerous invader, the costs of tolerating its presence are high and it is more beneficial to the host to eliminate
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The advantages of immune tolerance, in particular, may be seen in experiments with mice infected with malaria, in which more tolerant mice have higher fitness at greater pathogen burdens. In addition, development of immune tolerance would have allowed organisms to reap the benefits of having a robust
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is vulnerable to pathogenic penetration. The immune system must maintain its responsiveness to pathogenic antigens to prevent infections. The immune system has developed mechanisms in which orally ingested antigens can suppress following immune responses on a local and systemic level. Oral tolerance
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Dendritic cells play a crucial role in establishing oral tolerance for food antigens. The dendritic cells in the intestines cannot directly sample the antigens, as they are located behind the epithelial wall. There are different mechanisms in which the dendritic cells come in contact with the food
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Though it seems that the existence of tolerance is mostly adaptive, allowing an adjustment of the immune response to a level appropriate for the given stressor, it comes with important evolutionary disadvantages. Some infectious microbes take advantage of existing mechanisms of tolerance to avoid
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reactions in certain cases. Records from 1829 indicate that American Indians would reduce contact hypersensitivity from poison ivy by consuming leaves of related Rhus species; however, contemporary attempts to use oral tolerance to ameliorate autoimmune diseases like rheumatoid arthritis and other
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In their Nobel Lecture, Medawar and Burnet define immune tolerance as "a state of indifference or non-reactivity towards a substance that would normally be expected to excite an immunological response." Other more recent definitions have remained more or less the same. The 8th edition of Janeway's
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It was assumed that, since the presence of the Treg cells originally characterized was dependent on the neonatal thymus, these cells were thymically derived. By the mid-2000s, however, evidence was accruing of conversion of naïve CD4+ T cells to Treg cells outside of the thymus. These were later
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The deletion threshold is much more stringent for T cells than for B cells since T cells alone can cause direct tissue damage. Furthermore, it is more advantageous for the organism to let its B cells recognize a wider variety of antigen so it can produce antibodies against a greater diversity of
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twin cattle sharing a common placenta also shared a stable mixture of each other's red blood cells (though not necessarily 50/50), and retained that mixture throughout life. Although Owen did not use the term immune tolerance, his study showed the body could be tolerant of these foreign tissues.
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Though the exact evolutionary rationale behind the development of immunological tolerance is not completely known, it is thought to allow organisms to adapt to antigenic stimuli that will consistently be present instead of expending considerable resources fighting it off repeatedly. Tolerance in
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and α4β7 expression. The mesenteric lymph node stromal cells also release retinoic acid and are required for gut localisation of the mesenteric lymph node T cell population. The differentiated regulatory T cells subsequently migrate to the lamina propria, where they multiply. CX3CR1+ macrophages
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This process of negative selection ensures that T and B cells that could initiate a potent immune response to the host's own tissues are eliminated while preserving the ability to recognize foreign antigens. It is the step in lymphocyte education that is key for preventing autoimmunity (entire
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Immune tolerance is formally differentiated into central or peripheral; however, alternative terms such as "natural" or "acquired" tolerance have at times been used to refer to establishment of tolerance by physiological means or by artificial, experimental, or pharmacological means. These two
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Despite having mechanisms for both immune resistance and tolerance, any one organism may be overall more skewed toward a tolerant or resistant phenotype depending on individual variation in both traits due to genetic and environmental factors. In mice infected with malaria, different genetic
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Immune tolerance encompasses the range of physiological mechanisms by which the body reduces or eliminates an immune response to particular agents. It is used to describe the phenomenon underlying discrimination of self from non-self, suppressing allergic responses, allowing chronic infection
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develops after T and B cells mature and enter the peripheral tissues and lymph nodes. It is established by a number of partly overlapping mechanisms that mostly involve control at the level of T cells, especially CD4+ helper T cells, which orchestrate immune responses and give B cells the
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The fetus has a different genetic makeup than the mother, as it also translates its father's genes, and is thus perceived as foreign by the maternal immune system. Women who have borne multiple children by the same father typically have antibodies against the father's red blood cell and
1015:. The injection of Treg cells specific for a tumor antigen also can reverse experimentally-mediated tumor rejection based on that same antigen. The prior existence of immune tolerance mechanisms due to selection for its fitness benefits facilitates its utilization in tumor growth. 189:"We did not set out with the idea in mind of studying the immunological consequences of the phenomenon described by Owen; on the contrary, we had been goaded by Dr. H.P. Donald into trying to devise a foolproof method of distinguishing monozygotic from dizygotic twins... ." 310:
confirmatory signals they need in order to produce antibodies. Inappropriate reactivity toward normal self-antigen that was not eliminated in the thymus can occur, since the T cells that leave the thymus are relatively but not completely safe. Some will have receptors (
278:, a state of non-activity. Weakly autoreactive B cells may also remain in a state of immunological ignorance where they simply do not respond to stimulation of their B cell receptor. Some weakly self-recognizing T cells are alternatively differentiated into natural 798:
After antigen interaction the CD103+ dendritic cells travel to the mesenteric lymph nodes where they interact with their T cell population. Within the mesenteric lymph nodes the CD103+ dendritic cells will induce differentiation of the naïve T cell population into
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in 1953, who showed by injecting foreign cells into fetal or neonatal mice, they could become accepting of future grafts from the same foreign donor. However, they were not thinking of the immunological consequences of their work at the time: as Medawar explains:
267:. Self-antigens are present due to endogenous expression, importation of antigen from peripheral sites via circulating blood, and in the case of thymic stromal cells, expression of proteins of other non-thymic tissues by the action of the transcription factor 223:
by corticosteroids, lymphotoxic chemotherapy agents, sublethal irradiation, etc. Nor does it refer to other types of non-reactivity such as immunological paralysis. In the latter two cases, the host's physiology is handicapped but not fundamentally changed.
899:. Attempts have been made to reduce hypersensitivity reactions by oral tolerance and other means of repeated exposure. Repeated administration of the allergen in slowly increasing doses, subcutaneously or sublingually appears to be effective for allergic 827:
In the lamina propria the regulatory T cell population creates a tolerogenic environment to food antigens. It is known that tolerance to food antigens is systemic. The mechanism that establishes this systemic tolerance is not yet fully understood.
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of host fitness over a range of parasite burdens, and can be measured from the slope of the line fitting these data. Immune tolerance may constitute one aspect of this defense strategy, though other types of tissue tolerance have been described.
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Immune tolerance contrasts with resistance. Upon exposure to a foreign antigen, either the antigen is eliminated by the standard immune response (resistance), or the immune system adapts to the pathogen, promoting immune tolerance instead.
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Resistance typically protects the host at the expense of the parasite, while tolerance reduces harm to the host without having any direct negative effects on the parasite. Each strategy has its unique costs and benefits for host fitness:
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Appropriate reactivity toward certain antigens can also be quieted by induction of tolerance after repeated exposure, or exposure in a certain context. In these cases, there is a differentiation of naïve CD4+ helper T cells into induced
704:. The intestine harbours many non-self-antigens that are able to induce an immune reaction. The immune system in the gut needs to restrain from responding to these antigens to prevent constant inflammation. On the other hand, the thin 919:, which have mutated proteins and altered antigen expression, prevent elimination by the host immune system. It is well recognized that tumors are a complex and dynamic population of cells composed of transformed cells as well as 444:
defined as induced or iTreg cells to contrast them with thymus-derived nTreg cells. Both types of Treg cells quieten autoreactive T cell signaling and proliferation by cell-contact-dependent and -independent mechanisms including:
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to reactive T cells These mechanisms altogether establish an immune-privileged state in the placenta that protects the fetus. A break in this peripheral tolerance results in miscarriage and fetal loss. (for more information, see
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efficiently promotes the differentiation of iTreg cells in the gut lymphoid tissue. Foxp3- TR1 cells that make IL-10 are also enriched in the intestinal lining. Break in this tolerance is thought to underlie the pathogenesis of
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Mallegol J, Van Niel G, Lebreton C, Lepelletier Y, Candalh C, Dugave C, et al. (May 2007). "T84-intestinal epithelial exosomes bear MHC class II/peptide complexes potentiating antigen presentation by dendritic cells".
298:). Lymphocyte development and education is most active in fetal development but continues throughout life as immature lymphocytes are generated, slowing as the thymus degenerates and the bone marrow shrinks in adult life. 1115:
it. Conversely, if experience (of the organism or its ancestors) has shown that the antigen is innocuous, then it would be more beneficial to tolerate the presence of the antigen rather than pay the costs of inflammation.
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Those self-reactive T cells that escape intrathymic negative selection in the thymus can inflict cell injury unless they are deleted or effectively muzzled in the peripheral tissue chiefly by nTreg cells (see
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methods of categorization are sometimes confused, but are not equivalent—central or peripheral tolerance may be present naturally or induced experimentally. This difference is important to keep in mind.
959:(MDSCs), which also induce peripheral tolerance. In addition to promoting immune tolerance, other aspects of the microenvironment aid in immune evasion and induction of tumor-promoting inflammation. 927:, which the tumor largely manipulates to be immunotolerant so as to avoid elimination. There is an accumulation of metabolic enzymes that suppress T cell proliferation and activation, including 2103:
Maher S, Toomey D, Condron C, Bouchier-Hayes D (April 2002). "Activation-induced cell death: the controversial role of Fas and Fas ligand in immune privilege and tumour counterattack".
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in general are traditionally thought of as misguided or excessive reactions by the immune system, possibly due to broken or underdeveloped mechanisms of peripheral tolerance. Usually,
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refers to the tolerance established by deleting autoreactive lymphocyte clones before they develop into fully immunocompetent cells. It occurs during lymphocyte development in the
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However, these discoveries, and the host of allograft experiments and observations of twin chimerism they inspired, were seminal for the theories of immune tolerance formulated by
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nTreg cells are specific, modestly, for self-antigen while iTreg cells recognize allergens, commensal bacteria, tumor antigens, alloantigens, and self-antigens in inflamed tissue.
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are not the only cells that mediate peripheral tolerance. Other regulatory immune cells include T cell subsets similar to but phenotypically distinct from Treg cells, including
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extend in between enterocytes and directly take up antigens form the intestinal lumen. These macrophages are not capable of traveling to the mesenteric lymph nodes. They form
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pathogens. Since the B cells can only be fully activated after confirmation by more self-restricted T cells that recognize the same antigen, autoreactivity is held in check.
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Kretschmer K, Apostolou I, Jaeckel E, Khazaie K, von Boehmer H (August 2006). "Making regulatory T cells with defined antigen specificity: role in autoimmunity and cancer".
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Ghiringhelli F, Ménard C, Martin F, Zitvogel L (December 2006). "The role of regulatory T cells in the control of natural killer cells: relevance during tumor progression".
1011:, and other worms and parasites. Another important disadvantage of the existence of tolerance may be susceptibility to cancer progression. Treg cells inhibit anti-tumor 807:
instead. The local microenvironment determines if CD103+ dendritic cells act tolerogenic or immunogenic. The differentiation into regulatory T cells is dependent on
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from the liver and mesenteric lymph node can induce anergy or deletion of antigen specific T cells. Anergic T cells are hyporesponsive to their specific antigen.
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Those lymphocytes that have receptors that bind strongly to self-antigens are removed by induction of apoptosis of the autoreactive cells, or by induction of
206:. Burnet and Medawar were ultimately credited for "the discovery of acquired immune tolerance" and shared the Nobel Prize in Physiology or Medicine in 1960. 158:
that manage to evade immune elimination. Additionally, the induction of peripheral tolerance within the local microenvironment is a strategy employed by many
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and contrasts the immune system's conventional role in eliminating foreign antigens. Depending on the site of induction, tolerance is categorized as either
634:, which represses maternal T cell responses by amino acid starvation. Maternal T cells specific for paternal antigens are also suppressed by tolerogenic 980:
Schematic of the reaction norm of tolerance (after). Organisms of genotype 2 are considered more tolerant to the pathogen than organisms of genotype 1.
1423:"Immune dysregulation, polyendocrinopathy, enteropathy, X-linked (IPEX) and IPEX-related disorders: an evolving web of heritable autoimmune diseases" 737:. The newly differentiated regulatory T cells travel to the lamina propria, where they suppress the immune reaction against the recognized antigens. 583:
Immune recognition of non-self-antigens typically complicates transplantation and engrafting of foreign tissue from an organism of the same species (
951:. Pharmacologic monoclonal antibodies targeted against some of these ligands has been effective in treating cancer. Tumor-derived vesicles known as 500: 109: 3485: 73:. Although the mechanisms establishing central and peripheral tolerance differ, their outcomes are analogous, ensuring immune system modulation. 536:
nTreg cells and iTreg cells, however, have a few important distinguishing characteristics that suggest they have different physiological roles:
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Råberg L, Sim D, Read AF (November 2007). "Disentangling genetic variation for resistance and tolerance to infectious diseases in animals".
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The skin and digestive tract of humans and many other organisms is colonized with an ecosystem of microorganisms that is referred to as the
2682:"All-trans retinoic acid mediates enhanced T reg cell growth, differentiation, and gut homing in the face of high levels of co-stimulation" 421: 840:
or deletion of antigen specific T cells. This process can take place in the liver. The liver is exposed to many food antigens through the
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nTreg cells develop from Foxp3- CD25+ CD4+ cells while iTreg cells develop from Foxp3+ CD25- CD4- cells (both become Foxp3+ CD25+CD4+).
3478: 923:, blood vessels, tissue macrophages, and other immune infiltrates. These cells and their interactions all contribute to the changing 80:. Central tolerance is crucial for enabling the immune system to differentiate between self and non-self antigens, thereby preventing 256: 388:
cells, as well as other less well-characterized cells that help establish a local tolerogenic environment. B cells also express
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Fenner F (June 1983). "The Florey lecture, 1983. Biological control, as exemplified by smallpox eradication and myxomatosis".
3819: 701: 549: 466: 84:. Peripheral tolerance plays a significant role in preventing excessive immune reactions to environmental agents, including 696:
Oral tolerance refers to a specific type of peripheral tolerance induced by antigens given by mouth and exposed to the gut
3762: 652: 608: 1160: 97: 3128:"The immunosuppressive tumour network: myeloid-derived suppressor cells, regulatory T cells and natural killer T cells" 2000:
Vadasz Z, Haj T, Kessel A, Toubi E (June 2013). "B-regulatory cells in autoimmunity and immune mediated inflammation".
1194: 392:, a non-specific inhibitor receptor that dampens B cell receptor activation. A subset of B regulatory cells that makes 3451: 928: 845: 631: 401: 282:(nTreg cells), which act as sentinels in the periphery to calm down potential instances of T cell autoreactivity (see 1957:
Sakaguchi S, Miyara M, Costantino CM, Hafler DA (July 2010). "FOXP3+ regulatory T cells in the human immune system".
1372:"Expression of the autoimmune regulator gene and its relevance to the mechanisms of central and peripheral tolerance" 412:
in T cells that recognize antigen expressed at high levels and thus presented at steady-state by DCs. In addition,
3648: 1128: 677: 125: 891:, which mediate allergic response. Deficits in Treg cells or their localization to mucosa have been implicated in 408:
needed by T cells to proliferate and thus reduce responsiveness. DCs also have the capacity to directly induce
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commensal microbiome, such as increased nutrient absorption and decreased colonization by pathogenic bacteria.
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Hogquist KA, Baldwin TA, Jameson SC (October 2005). "Central tolerance: learning self-control in the thymus".
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Ramsay AG (August 2013). "Immune checkpoint blockade immunotherapy to activate anti-tumour T-cell immunity".
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Braza F, Soulillou JP, Brouard S (September 2012). "Gene expression signature in transplantation tolerance".
202:, who were the first to propose the deletion of self-reactive lymphocytes to establish tolerance, now termed 3828: 3586: 940: 623: 363: 260: 195: 154:
However, immune tolerance is not without its drawbacks. It can permit the successful infection of a host by
2780:"Intestinal tolerance requires gut homing and expansion of FoxP3+ regulatory T cells in the lamina propria" 3850: 3568: 3504: 2819:
Goubier A, Dubois B, Gheit H, Joubert G, Villard-Truc F, Asselin-Paturel C, et al. (September 2008).
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nTreg cells develop in the thymus; iTreg cells develop outside the thymus in chronically inflamed tissue,
1721:"Studies on the mechanism of the immunological paralysis induced in mice by pneumococcal polysaccharides" 3797: 3653: 3631: 1140: 705: 116:(IPEX) as examples. Furthermore, disruptions in immune tolerance are implicated in the development of 3814: 3747: 3658: 3582: 3388: 3193: 2009: 1677: 1150: 647: 326: 322: 306: 268: 101: 66: 3470: 2731:"Stromal mesenteric lymph node cells are essential for the generation of gut-homing T cells in vivo" 3921: 3874: 3809: 3792: 3626: 3544: 2877: 2778:
Hadis U, Wahl B, Schulz O, Hardtke-Wolenski M, Schippers A, Wagner N, et al. (February 2011).
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function associated with tolerance have been implicated for liver transplant patients. The unique
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the T cell did not encounter in the thymus (such as, tissue-specific molecules like those in the
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are present in such high concentration outside the thymus that they can bind to "weak" receptors.
255:, respectively. In these tissues, maturing lymphocytes are exposed to self-antigens presented by 2271:
Clark DA, Chaouat G (December 2012). "Regulatory T cells and reproduction: how do they do it?".
681: 1775:"Mechanisms of natural tolerance in the intestine: implications for inflammatory bowel disease" 976: 803:
regulatory T cells (iTregs). Under inflammatory conditions, CD103+ dendritic cells will induce
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and activated iTregs or cross-reacting nTregs. Some maternal Treg cells also release soluble
350:(lymph nodes, mucosal-associated lymphoid tissue, etc.). This differentiation is mediated by 3862: 3802: 3774: 3769: 3724: 3714: 3460: 3404: 3396: 3345: 3302: 3265: 3257: 3209: 3201: 3147: 3139: 3092: 3055: 3047: 3000: 2963: 2914: 2869: 2840: 2832: 2791: 2750: 2742: 2701: 2693: 2652: 2644: 2633:"Intestinal inflammation abrogates the tolerogenic properties of MLN CD103+ dendritic cells" 2603: 2562: 2554: 2541:
McDole JR, Wheeler LW, McDonald KG, Wang B, Konjufca V, Knoop KA, et al. (March 2012).
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surface of the enterocytes. Here dendritic cells can interact with the presented antigens.
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Hammerschmidt SI, Ahrendt M, Bode U, Wahl B, Kremmer E, Förster R, Pabst O (October 2008).
815:. Retinoic acid is also programming the T cells to stay in the gut environment by inducing 592: 215:
Immunobiology defines tolerance as "immunologically unresponsive...to another's tissues.".
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transcription factor, which is responsible for the suppressive phenotype of these cells.
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Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences
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Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences
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This observation was experimentally validated by Leslie Brent, Rupert E. Billingham and
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Soyer OU, Akdis M, Ring J, Behrendt H, Crameri R, Lauener R, Akdis CA (February 2013).
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of these patients implies their physiology may be predisposed toward immune tolerance.
596: 525: 393: 359: 89: 2433: 2408: 45:'s state of unresponsiveness to substances or tissues that would otherwise trigger an 3915: 3752: 3641: 3349: 3306: 2509: 2254: 2116: 1791: 1774: 1145: 1007: 969: 880: 844:
and is therefore also a site of food tolerance induction. Upon high antigen exposure
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dendritic cells. CD103+ dendritic cells are associated with tolerance induction.
841: 770: 619: 244: 171: 148: 92:. Deficiencies in either central or peripheral tolerance mechanisms can lead to 77: 70: 62: 2409:"Oral tolerance, an active immunologic process mediated by multiple mechanisms" 1338: 907:
to cause allergic reactions, can also reduce antibiotic allergies in children.
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Sakaguchi S, Wing K, Onishi Y, Prieto-Martin P, Yamaguchi T (October 2009).
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The hypo-responsiveness induced by oral exposure is systemic and can reduce
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Cernadas JR (February 2013). "Desensitization to antibiotics in children".
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with CD103+ dendritic cells and transfer antigens to the dendritic cells.
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Proceedings of the Royal Society of London. Series B, Biological Sciences
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may have evolved to prevent hypersensitivity reactions to food proteins.
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have also been implicated promoting differentiation of iTreg cells and
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Cytokine absorption leading to cytokine deprivation-mediated apoptosis
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detection and/or elimination by the host immune system. Induction of
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immunodysregulation polyendocrinopathy enteropathy X-linked syndrome
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Pain, swelling, and disruption of tissue function by inflammation.
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The soluble antigens in the lumen of intestine are transported to
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Clinica Chimica Acta; International Journal of Clinical Chemistry
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1472:"Role of plasmacytoid dendritic cell subsets in allergic asthma" 816: 639: 559: 488: 484: 389: 162:
to avoid detection and destruction by the host's immune system.
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1580:"Immune-suppressive properties of the tumor microenvironment" 2148:"Regulatory T cells: how do they suppress immune responses?" 1635:
Murphy K (2012). "Chapter 1: Basic Concepts in Immunology".
1269:"The pathogenesis of systemic lupus erythematosus-an update" 769:
Another pathway of soluble antigen transport occurs through
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Murphy K (2012). "Chapter 12: The Mucosal Immune System".
170:
The phenomenon of immune tolerance was first described by
1054:
Tissue damage by inflammatory mediators (immunopathology)
935:, and high expression of tolerance-inducing ligands like 903:. Repeated administration of antibiotics, which can form 915:
Immune tolerance is an important means by which growing
76:
Immune tolerance is important for normal physiology and
358:
from any of a variety of sources, including tolerizing
3180:
Medzhitov R, Schneider DS, Soares MP (February 2012).
2051:
Ganguly D, Haak S, Sisirak V, Reizis B (August 2013).
2821:"Plasmacytoid dendritic cells mediate oral tolerance" 1070:
Neutralizes toxins and eliminates dangerous organisms
3883: 3841: 3783: 3684: 3614: 3522: 3515: 1100:
Less selection pressure on pathogens for resistance
1087:
Direct damage by pathogen (toxins, digestion, etc.)
754:. The partially degraded antigens are presented on 3175: 3173: 3171: 1525: 1523: 1521: 1519: 1517: 1515: 1470:Maazi H, Lam J, Lombardi V, Akbari O (June 2013). 993:, for instance, has been noted in infections with 762:. The MHCII carrying vesicles are released on the 750:. The antigens are then partially degraded in the 642:(sFGL2), which suppresses the function of DCs and 2903:"Mechanisms of peripheral tolerance to allergens" 1321:Round JL, O'Connell RM, Mazmanian SK (May 2010). 1019:Tradeoffs between immune tolerance and resistance 346:(iTreg cells) in the peripheral tissue or nearby 1530:Curotto de Lafaille MA, Lafaille JJ (May 2009). 432:The involvement of T cells, later classified as 3239: 3237: 3235: 3233: 1914: 1912: 1910: 1229: 1227: 1225: 1223: 1221: 1219: 1217: 1215: 1188: 1186: 1184: 1182: 1180: 1178: 1176: 1060:Risk of autoimmunity, hypersensitivity, allergy 836:Oral tolerance is also established by inducing 746:antigens Dissolved antigens can be taken up by 366:, or in certain conditions surrounding tissue. 2952:"Allergen immunotherapy for allergic rhinitis" 2631:Laffont S, Siddiqui KR, Powrie F (July 2010). 2098: 2096: 1952: 1950: 1948: 1573: 1571: 1569: 1567: 713:Mechanisms of oral tolerance for food antigens 49:. It arises from prior exposure to a specific 27:State of unresponsiveness of the immune system 3486: 3244:Råberg L, Graham AL, Read AF (January 2009). 3036:"Life history trade-offs in cancer evolution" 2053:"The role of dendritic cells in autoimmunity" 1768: 1766: 1764: 1316: 1314: 1312: 8: 3449:International Conference on Immune Tolerance 2876:(8th ed.). Garland Sciences. pp.  1927:(8th ed.). Garland Sciences. pp.  1643:(8th ed.). Garland Sciences. pp.  758:after lysosome merging with MHCII carrying 3519: 3493: 3479: 3471: 1242:(8th ed.). Garland Science. pp.  1097:Reduced tissue damage from immune response 473:(reduced proliferation and IL-2 signaling) 314:) that can respond to self-antigens that: 3463:at the U.S. National Library of Medicine 3408: 3269: 3213: 3182:"Disease tolerance as a defense strategy" 3151: 3059: 2967: 2918: 2844: 2795: 2754: 2705: 2656: 2607: 2566: 2517: 2432: 2383: 2331: 2220: 2218: 2163: 2076: 1847: 1790: 1736: 1603: 1547: 1495: 1446: 1397: 1387: 1346: 1292: 1267:Choi J, Kim ST, Craft J (December 2012). 626:(HLA-G) that inhibits attack by maternal 562:costimulation, while iTreg cells require 325:, brain, or spinal cord not expressed by 283: 2266: 2264: 2227:Current Opinion in Organ Transplantation 1421:Verbsky JW, Chatila TA (December 2013). 1195:"Nobel Lecture: Immunological Tolerance" 1030: 501:lymphocyte function-associated antigen 1 110:autoimmune polyendocrine syndrome type 1 1376:Clinical & Developmental Immunology 1172: 741:Antigen presentation to dendritic cells 335: 2413:The Journal of Clinical Investigation 2353: 2351: 1090:Energy and resources lost to pathogen 558:nTreg cells, when activated, require 354:produced upon T cell activation, and 7: 2735:The Journal of Experimental Medicine 2686:The Journal of Experimental Medicine 2498:Clinical and Experimental Immunology 820:present in this environment secrete 574:Tolerance in physiology and medicine 135:, immune tolerance is vital for the 69:, taking place in other tissues and 852:Hypersensitivity and oral tolerance 404:(IDO) that depletes the amino acid 376:that make IL-10 but do not express 2950:Petalas K, Durham SR (June 2013). 2273:Journal of Reproductive Immunology 1824:"The thymus and central tolerance" 1822:Sprent J, Kishimoto H (May 2001). 832:Other mechanisms of oral tolerance 25: 2492:Miron N, Cristea V (March 2012). 1141:Evolutionary medicine § tradeoffs 257:medullary thymic epithelial cells 147:response sufficiently to prevent 3350:10.1111/j.0105-2896.2006.00411.x 3307:10.1111/j.1600-065x.2006.00445.x 2993:Pediatric Allergy and Immunology 2510:10.1111/j.1365-2249.2011.04523.x 2360:"Oral tolerance to food protein" 2117:10.1046/j.1440-1711.2002.01068.x 1792:10.1097/00054725-200407000-00023 1773:Jump RL, Levine AD (July 2004). 1584:Cancer Immunology, Immunotherapy 957:myeloid derived suppressor cells 733:and induce differentiation into 729:. Here they interact with naïve 616:major histocompatibility complex 2306:Christiansen OB (August 2013). 1193:Medawar P (December 12, 1960). 702:its associated lymphoid tissues 400:also exists. Some DCs can make 3820:Immunoglobulin class switching 3085:British Journal of Haematology 2637:European Journal of Immunology 2358:Pabst O, Mowat AM (May 2012). 550:gut-associated lymphoid tissue 1: 2022:10.1016/j.febslet.2013.05.023 1427:Current Opinion in Pediatrics 1273:Current Opinion in Immunology 879:at mucosal surfaces suppress 653:Immune tolerance in pregnancy 646:involved in inflammation and 609:Immune tolerance in pregnancy 422:activation-induced cell death 2837:10.1016/j.immuni.2008.06.017 2797:10.1016/j.immuni.2011.01.016 2609:10.1016/j.immuni.2013.12.012 2471:10.1053/j.gastro.2007.02.043 2324:10.1016/j.molimm.2012.08.025 2239:10.1097/MOT.0b013e3283636fd5 1549:10.1016/j.immuni.2009.05.002 1439:10.1097/mop.0000000000000029 1161:Plant tolerance to herbivory 846:plasmacytoid dendritic cells 98:systemic lupus erythematosus 2105:Immunology and Cell Biology 1779:Inflammatory Bowel Diseases 1131:, and other such diseases. 678:inflammatory bowel diseases 630:. These cells also express 402:Indoleamine 2,3-dioxygenase 3938: 3649:Polyclonal B cell response 2407:Weiner HL (October 2000). 2057:Nature Reviews. Immunology 1959:Nature Reviews. Immunology 1873:Nature Reviews. Immunology 1339:10.1016/j.jaut.2009.11.007 1129:inflammatory bowel disease 911:The tumor microenvironment 869:hypersensitivity reactions 640:fibrinogen-like proteins 2 606: 491:costimultory molecules on 196:Sir Frank McFarlane Burnet 126:inflammatory bowel disease 96:, with conditions such as 2308:"Reproductive immunology" 2285:10.1016/j.jri.2012.07.007 2201:10.1016/j.cca.2012.04.024 1596:10.1007/s00262-013-1434-6 1285:10.1016/j.coi.2012.10.004 3465:Medical Subject Headings 3444:Immune Tolerance Network 2152:International Immunology 1738:10.4049/jimmunol.74.1.17 1045:Elimination (resistance) 493:antigen presenting cells 469:after contact, inducing 364:antigen presenting cells 174:in 1945, who noted that 139:of genetically distinct 3401:10.1126/science.1148526 3206:10.1126/science.1214935 2872:Janeway's Immunobiology 1923:Janeway's Immunobiology 1639:Janeway's Immunobiology 1327:Journal of Autoimmunity 1238:Janeway's Immunobiology 1067:Reduces pathogen burden 881:type 2 CD4 helper cells 624:Human Leukocyte Antigen 622:cells express a unique 35:immunological tolerance 3763:Tolerance in pregnancy 3505:adaptive immune system 3262:10.1098/rstb.2008.0184 3040:Nature Reviews. Cancer 1840:10.1098/rstb.2001.0846 1690:10.1098/rspb.1983.0039 1002:Listeria monocytogenes 981: 925:tumor microenvironment 727:mesenteric lymph nodes 495:upon interaction with 462:secretion upon contact 420:tissues can result in 261:thymic dendritic cells 143:, as it moderates the 3798:Somatic hypermutation 3632:Polyclonal antibodies 3627:Monoclonal antibodies 3338:Immunological Reviews 3295:Immunological Reviews 2649:10.1002/eji.200939957 2165:10.1093/intimm/dxp095 1725:Journal of Immunology 1103:Promotes commensalism 979: 428:nTreg vs. iTreg cells 210:Definitions and usage 166:Historical background 3815:Junctional diversity 3583:Antigen presentation 2747:10.1084/jem.20080039 2698:10.1084/jem.20070719 2312:Molecular Immunology 2195:(17–18): 1414–1418. 1151:Infectious tolerance 648:antigen presentation 323:islets of Langerhans 307:Peripheral tolerance 302:Peripheral tolerance 284:peripheral tolerance 102:rheumatoid arthritis 67:peripheral tolerance 3810:V(D)J recombination 3793:Affinity maturation 3545:Antigenic variation 3393:2007Sci...318..812R 3198:2012Sci...335..936M 2969:10.4193/Rhino12.086 2559:10.1038/nature10863 2014:2013FEBSL.587.2074V 1682:1983RSPSB.218..259F 1389:10.1155/2012/207403 1370:Perniola R (2012). 1073:Prevents parasitism 996:Helicobacter pylori 579:Allograft tolerance 510:Contact-independent 329:in thymic tissues). 156:pathogenic microbes 94:autoimmune diseases 57:, occurring in the 3454:2011-02-19 at the 2364:Mucosal Immunology 991:regulatory T cells 982: 794:Regulatory T cells 735:regulatory T cells 686:ulcerative colitis 483:Downregulation of 448:Contact-dependent: 280:regulatory T cells 131:In the context of 3909: 3908: 3837: 3836: 3587:professional APCs 3387:(5851): 812–814. 3192:(6071): 936–941. 3144:10.1111/imm.12036 3097:10.1111/bjh.12380 3005:10.1111/pai.12001 2920:10.1111/all.12085 2887:978-0-8153-4243-4 2741:(11): 2483–2490. 2553:(7389): 345–349. 2376:10.1038/mi.2012.4 2158:(10): 1105–1111. 2008:(13): 2074–2078. 1938:978-0-8153-4243-4 1834:(1409): 609–616. 1676:(1212): 259–285. 1654:978-0-8153-4243-4 1488:10.1111/all.12166 1253:978-0-8153-4243-4 1112: 1111: 1106:Lower energy cost 897:atopic dermatitis 603:Fetal development 476:Interaction with 418:immune privileged 336:central tolerance 294:process detailed 265:bone marrow cells 237:Central tolerance 232:Central tolerance 221:immunosuppression 55:central tolerance 16:(Redirected from 3929: 3803:Clonal selection 3775:Immune privilege 3770:Immunodeficiency 3725:Cross-reactivity 3715:Hypersensitivity 3520: 3495: 3488: 3481: 3472: 3461:Immune+tolerance 3431: 3430: 3412: 3376: 3370: 3369: 3333: 3327: 3326: 3290: 3284: 3283: 3273: 3241: 3228: 3227: 3217: 3177: 3166: 3165: 3155: 3123: 3117: 3116: 3080: 3074: 3073: 3063: 3031: 3025: 3024: 2988: 2982: 2981: 2971: 2947: 2941: 2940: 2922: 2898: 2892: 2891: 2875: 2865: 2859: 2858: 2848: 2816: 2810: 2809: 2799: 2775: 2769: 2768: 2758: 2726: 2720: 2719: 2709: 2692:(8): 1765–1774. 2677: 2671: 2670: 2660: 2643:(7): 1877–1883. 2628: 2622: 2621: 2611: 2587: 2581: 2580: 2570: 2538: 2532: 2531: 2521: 2489: 2483: 2482: 2465:(5): 1866–1876. 2459:Gastroenterology 2453: 2447: 2446: 2436: 2425:10.1172/jci11348 2404: 2398: 2397: 2387: 2355: 2346: 2345: 2335: 2303: 2297: 2296: 2268: 2259: 2258: 2222: 2213: 2212: 2184: 2178: 2177: 2167: 2143: 2137: 2136: 2100: 2091: 2090: 2080: 2048: 2042: 2041: 1997: 1991: 1990: 1954: 1943: 1942: 1926: 1916: 1905: 1904: 1868: 1862: 1861: 1851: 1819: 1813: 1812: 1794: 1770: 1759: 1758: 1740: 1716: 1710: 1709: 1665: 1659: 1658: 1642: 1632: 1626: 1625: 1607: 1590:(7): 1137–1148. 1575: 1562: 1561: 1551: 1527: 1510: 1509: 1499: 1467: 1461: 1460: 1450: 1418: 1412: 1411: 1401: 1391: 1367: 1361: 1360: 1350: 1333:(3): J220–J225. 1318: 1307: 1306: 1296: 1264: 1258: 1257: 1241: 1231: 1210: 1209: 1207: 1205: 1190: 1057:High energy cost 1031: 858:hypersensitivity 465:Upregulation of 41:, refers to the 33:, also known as 31:Immune tolerance 21: 3937: 3936: 3932: 3931: 3930: 3928: 3927: 3926: 3912: 3911: 3910: 3905: 3879: 3833: 3779: 3758:Clonal deletion 3686: 3680: 3610: 3511: 3499: 3456:Wayback Machine 3440: 3435: 3434: 3378: 3377: 3373: 3335: 3334: 3330: 3292: 3291: 3287: 3256:(1513): 37–49. 3243: 3242: 3231: 3179: 3178: 3169: 3125: 3124: 3120: 3082: 3081: 3077: 3052:10.1038/nrc3606 3046:(12): 883–892. 3033: 3032: 3028: 2990: 2989: 2985: 2949: 2948: 2944: 2900: 2899: 2895: 2888: 2867: 2866: 2862: 2818: 2817: 2813: 2777: 2776: 2772: 2728: 2727: 2723: 2679: 2678: 2674: 2630: 2629: 2625: 2589: 2588: 2584: 2540: 2539: 2535: 2491: 2490: 2486: 2455: 2454: 2450: 2406: 2405: 2401: 2357: 2356: 2349: 2305: 2304: 2300: 2270: 2269: 2262: 2224: 2223: 2216: 2186: 2185: 2181: 2145: 2144: 2140: 2102: 2101: 2094: 2069:10.1038/nri3477 2050: 2049: 2045: 1999: 1998: 1994: 1971:10.1038/nri2785 1956: 1955: 1946: 1939: 1918: 1917: 1908: 1885:10.1038/nri1707 1879:(10): 772–782. 1870: 1869: 1865: 1821: 1820: 1816: 1772: 1771: 1762: 1718: 1717: 1713: 1667: 1666: 1662: 1655: 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3673: 3671:Immune complex 3667: 3666: 3661: 3656: 3651: 3646: 3645: 3644: 3639: 3634: 3629: 3618: 3616: 3612: 3611: 3609: 3608: 3603: 3598: 3593: 3591:Dendritic cell 3579: 3578: 3573: 3572: 3571: 3569:Conformational 3566: 3555: 3554: 3549: 3548: 3547: 3542: 3537: 3526: 3524: 3517: 3513: 3512: 3500: 3498: 3497: 3490: 3483: 3475: 3469: 3468: 3458: 3446: 3439: 3438:External links 3436: 3433: 3432: 3371: 3328: 3285: 3229: 3167: 3138:(2): 105–115. 3118: 3091:(3): 313–325. 3075: 3026: 2983: 2942: 2913:(2): 161–170. 2893: 2886: 2860: 2831:(3): 464–475. 2811: 2790:(2): 237–246. 2770: 2721: 2672: 2623: 2602:(2): 248–261. 2582: 2533: 2504:(3): 405–412. 2484: 2448: 2419:(8): 935–937. 2399: 2370:(3): 232–239. 2347: 2298: 2260: 2233:(4): 416–420. 2214: 2179: 2138: 2111:(2): 131–137. 2092: 2063:(8): 566–577. 2043: 1992: 1965:(7): 490–500. 1944: 1937: 1906: 1863: 1814: 1785:(4): 462–478. 1760: 1711: 1660: 1653: 1627: 1563: 1542:(5): 626–635. 1511: 1482:(6): 695–701. 1462: 1433:(6): 708–714. 1413: 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Owen 149:miscarriage 78:homeostasis 71:lymph nodes 63:bone marrow 3922:Immunology 3884:Substances 3748:Peripheral 3736:Inaction: 3615:Antibodies 3596:Macrophage 3509:complement 3132:Immunology 2999:(1): 3–9. 1382:: 207403. 1167:References 885:mast cells 873:Treg cells 665:microbiome 585:allografts 480:on T cells 434:Treg cells 406:tryptophan 370:Treg cells 344:Treg cells 145:alloimmune 3901:Cytolysin 3891:Cytokines 3738:Tolerance 3687:tolerance 3606:Immunogen 3410:1842/2140 2956:Rhinology 2255:205838923 1081:Tolerance 1039:Benefits 963:Evolution 877:Th3 cells 805:Th1 cells 760:endosomes 752:lysosomes 374:TR1 cells 176:dizygotic 141:offspring 137:gestation 133:pregnancy 86:allergens 3916:Category 3851:Cellular 3695:Immunity 3693:Action: 3676:Paratope 3664:Idiotype 3654:Allotype 3622:Antibody 3576:Mimotope 3540:Allergen 3523:Antigens 3516:Lymphoid 3452:Archived 3427:16697260 3419:17975068 3366:19863894 3358:16903913 3323:37377768 3315:17100888 3280:18926971 3224:22363001 3162:23216602 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Index

Oral tolerance
immune system
immune response
antigen
central tolerance
thymus
bone marrow
peripheral tolerance
lymph nodes
homeostasis
autoimmunity
allergens
gut microbiota
autoimmune diseases
systemic lupus erythematosus
rheumatoid arthritis
type 1 diabetes
autoimmune polyendocrine syndrome type 1
immunodysregulation polyendocrinopathy enteropathy X-linked syndrome
asthma
atopy
inflammatory bowel disease
pregnancy
gestation
offspring
alloimmune
miscarriage
pathogenic microbes
cancers
Ray D. Owen

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