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Autoimmunity (Paperback, 2001 ed.)
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Autoimmunity (Paperback, 2001 ed.)
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The immune system has evolved mechanisms enabli ng it to
discriminate between self and non-self constituents. A normally
functioning organism is naturally unresponsive to self antigens
originating from clonal deletion, aner- gy, or an active
suppression of self-reactive T cells. The wide spectrum of
autoimmune responses may be divided into systemic and
organ-specific dis- eases and encompasses the actions of
autoantibodies, autoantigeu-autoanti- body complexes, and
sensitized T lymphocytes. The aim of this book is to review the
current understandin g, concepts and hypotheses regarding the
pathogenesis and therapeutic approaches in autoim- mune disorders.
The first six articles are generally concerned with the mech-
anisms operating in autoimmune phenomena, whereas the subsequent
reviews discuss particular phenomena in representative autoimmune
dis- eases. The introductory article underlines the significance of
the interactions between antigen-specific T cells and other
elements ot the immune system and proposes that not suppression,
but rather activation of the immune sys- tem, leading to a
redirection of the immune response, would be therapeuti- cally
beneficial. The next articles present the importance of costim
ulatory signals in determining various types of immune responses,
including autoim- munity, and the role of regulatory T cells.
Further, an interesting phenome- non of epitope spreading as a
mechanism for the progression of autoimmune diseases is presented.
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