Role of the thymus in spontaneous development of a multi-organ autoimmune disease in human immune system mice.

Role of the thymus in spontaneous development of a multi-organ autoimmune disease in human immune system mice.
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DOI:
10.1016/j.jaut.2021.102612
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发表时间:
2021-05
影响因子:
12.8
通讯作者:
Sykes M
Sykes M
中科院分区:
医学1区
文献类型:
--
作者:
Khosravi-Maharlooei M;Li H;Hoelzl M;Zhao G;Ruiz A;Misra A;Li Y;Teteloshvili N;Nauman G;Danzl N;Ding X;Pinker EY;Obradovic A;Yang YG;Iuga A;Creusot RJ;Winchester R;Sykes M

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We evaluated the role of the thymus in development of multi-organ autoimmunity in human immune system (HIS) mice. T cells were essential for disease development and the same T cell clones with varying phenotypes infiltrated multiple tissues. De novo-generated hematopoietic stem cell (HSC)-derived T cells were the major disease drivers, though thymocytes pre-existing in grafted human thymi contributed if not first depleted. HIS mice with a native mouse thymus developed disease earlier than thymectomized mice with a thymocyte-depleted human thymus graft. Defective structure in the native mouse thymus was associated with impaired negative selection of thymocytes expressing a transgenic TCR recognizing a self-antigen. Disease developed without direct recognition of antigens on recipient mouse MHC. While human thymus grafts had normal structure and negative selection, failure to tolerize human T cells recognizing mouse antigens presented on HLA molecules may explain eventual disease development. These new insights have implications for human autoimmunity and suggest methods of avoiding autoimmunity in next-generation HIS mice.
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