Autoimmune diseases, with the exception of rheumatoid arthritisand autoimmune thyroiditis, are individually rare, but togetherthey affect approximately 5 percent of the population in Westerncountries.1,2 They are a fascinating but poorly understood groupof diseases. In this review, we define an autoimmune diseaseas a clinical syndrome caused by the activation of T cells orB cells, or both, in the absence of an ongoing infection orother discernible cause. We will discuss a classification ofautoimmune disease that distinguishes diseases caused by generalizeddefects in lymphocyte selection or homeostasis from those causedby aberrant responses to particular . . . [Full Text of this Article]
Classification of Autoimmune Diseases
Genetic Susceptibility
Initiation of Autoreactivity
Environmental Triggers
Infectious Agents
Noninfectious Triggers
Loss of Regulatory Cells
Disease Progression
Epitope Spreading
Pathogenic Mechanisms
Tissue Injury
Therapeutic Strategies for Specific Diseases
Rheumatoid Arthritis
Multiple Sclerosis
Psoriasis
Type 1 Diabetes
Systemic Lupus Erythematosus
Future Therapeutic Approaches
Source Information
From the Departments of Microbiology and Immunology and Medicine, Albert Einstein College of Medicine, Bronx, N.Y.
Address reprint requests to Dr. Diamond at Albert Einstein College of Medicine, 1300 Morris Park Ave., Bronx, NY 10461, or at diamond@aecom.yu.edu.
References
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