Fetal regulatory T cells and peripheral immune tolerance in utero: implications for development and disease.
Fetal regulatory T cells and peripheral immune tolerance in utero: implications for development and disease.
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DOI:
10.1111/aji.12083
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发表时间:
2013-04
期刊:
影响因子:
--
通讯作者:
Burt TD
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文献类型:
--
作者:
Burt TD
The developing fetus must actively learn to tolerate benign antigens, or suffer the consequences of broken tolerance. Tolerance of self-antigens prevents development of autoimmune diseases, and is achieved by both deletion of autoreactive T cell clones in the thymus (central tolerance) and by the suppressive influence of CD4+CD25+FoxP3+ regulatory T cells (Tregs) in the periphery. Fetal CD4+ T cells have a strong predisposition to differentiate into tolerogenic Tregs that actively promote self-tolerance, as well as tolerance to non-inherited antigens on chimeric maternal cells that reside in most fetal tissues. As the fetus nears birth, a crucial transition must occur between the tolerogenic fetal immune system and a more defensive adult-type immune system that is able to combat pathogens. This paper will review the unique tolerogenic nature of the human fetal immune system and will examine evidence for a novel model of fetal immune development: the layered immune system hypothesis.
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