2008
DOI: 10.1016/j.immuni.2007.12.004
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Sites and Stages of Autoreactive B Cell Activation and Regulation

Abstract: B cells are essential for the development and pathogenesis of both systemic and organ-specific autoimmune diseases. Autoreactive B cells are typically thought of as sources of autoantibody, but their most important pathogenetic roles may be to present autoantigens to T cells and to secrete proinflammatory cytokines. A rate-limiting step in the genesis of autoimmunity then is the activation of autoreactive B cells. Here, mechanisms are discussed that normally prevent such activation and how they break down duri… Show more

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Cited by 280 publications
(270 citation statements)
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“…Similarly, if autoimmune pathology stems from memory or LLPCs (36), BLyS-targeted treatments may prove ineffective. However, in some autoimmune situations self-reactive antibodies may be replenished by activation of extrafollicular foci and short-lived antibody-forming cells (37). In these scenarios, such directed therapies might deplete pathogenic naïve B cells but spare subsets that maintain induced and natural immunity.…”
Section: Resultsmentioning
confidence: 99%
“…Similarly, if autoimmune pathology stems from memory or LLPCs (36), BLyS-targeted treatments may prove ineffective. However, in some autoimmune situations self-reactive antibodies may be replenished by activation of extrafollicular foci and short-lived antibody-forming cells (37). In these scenarios, such directed therapies might deplete pathogenic naïve B cells but spare subsets that maintain induced and natural immunity.…”
Section: Resultsmentioning
confidence: 99%
“…Mechanisms of B-cell tolerance include clonal deletion, developmental arrest, receptor editing, anergy and B-cell differentiation to the B-1 subtype [34,35]. The efficient deletion of immature B cells in mice expressing high-levels of E41K-mutated Btk (Fig.…”
Section: Discussionmentioning
confidence: 99%
“…Furthermore, the fact that the presence and spectrum of b-cell-specific auto-Ab have predictive value in determining T1D susceptibility is consistent with the impairment of B-lymphocyte tolerance in patients developing disease [5]. Studies of models in which BCR Tg specific for natural or neo-self-Ag are expressed in the germ-line of non-autoimmune prone mouse strains have revealed a range of self-tolerance mechanisms in the B-lymphocyte compartment [6]. Which of these mechanisms operate in particular situations is determined by the avidity of the Tg BCR for its cognate self-Ag, i.e.…”
mentioning
confidence: 87%
“…Studies of models in which BCR Tg specific for natural or neo-self-Ag are expressed in the germ-line of non-autoimmune prone mouse strains have revealed a range of self-tolerance mechanisms in the B-lymphocyte compartment [6]. Which of these mechanisms operate in particular situations is determined by the avidity of the Tg BCR for its cognate self-Ag, i.e.…”
Section: Introductionmentioning
confidence: 99%