“…ACT proposes that complementary antigens stimulate complementary, synergistic innate mechanisms. Synergisms are well-documented within the innate immune system and include TLR2 with TLR3; TLR2 with TLR4; TLR2 with TLR6; TLR 3 with TLRs 7 and 8; TLR 4 with TLR 8 and 9 (Sato, et al, 2000;Napolitani, et al, 2005;Ghosh, et al, 2007;Krumbiegel, et al, 2007;Vanhoutte, et al, 2008;Mäkelä, et al, 2009;Lee, et al, 2016;Acharya, et al, 2016;Fischetti, et al, 2017;Nouri-Shirazi, et al, 2017). For example, TLR2 and 4 synergize in rheumatoid arthritis-derived synoviocytes Liu, et al, 2014), sarcoidosis (Wikén, et al, 2009), systemic lupus erythematosus, systemic sclerosis, Sjogren's syndrome, psoriasis, multiple sclerosis, and autoimmune diabetes (Liu, et al, 2014).…”