TLR-dependent and TLR-independent pathways of type I interferon induction in systemic autoimmunity

R Baccala, K Hoebe, DH Kono, B Beutler… - Nature medicine, 2007 - nature.com
R Baccala, K Hoebe, DH Kono, B Beutler, AN Theofilopoulos
Nature medicine, 2007nature.com
We formulate a two-phase paradigm of autoimmunity associated with systemic lupus
erythematosus, the archetypal autoimmune disease. The initial Toll-like receptor (TLR)-
independent phase is mediated by dendritic cell uptake of apoptotic cell debris and
associated nucleic acids, whereas the subsequent TLR-dependent phase serves an
amplification function and is mediated by uptake of TLR ligands derived from self-antigens
(principally nucleic acids) complexed with autoantibodies. Both phases depend on …
Abstract
We formulate a two-phase paradigm of autoimmunity associated with systemic lupus erythematosus, the archetypal autoimmune disease. The initial Toll-like receptor (TLR)-independent phase is mediated by dendritic cell uptake of apoptotic cell debris and associated nucleic acids, whereas the subsequent TLR-dependent phase serves an amplification function and is mediated by uptake of TLR ligands derived from self-antigens (principally nucleic acids) complexed with autoantibodies. Both phases depend on elaboration of type I interferons (IFNs), and therapeutic interruption of induction or activity of these cytokines in predisposed individuals might have a substantial mitigating effect in lupus and other autoimmune diseases.
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