PMID- 15701924 OWN - NLM STAT- MEDLINE DCOM- 20050725 LR - 20231213 IS - 0007-1420 (Print) IS - 0007-1420 (Linking) VI - 71 DP - 2004 TI - Genetic insights into disease mechanisms of autoimmunity. PG - 93-113 AB - Educating the immune system to distinguish between self and non-self is critical to ensure that an immune response is mounted against foreign antigens and not against self. A breakdown in these mechanisms can lead to the onset of autoimmune disease. Clinical and molecular data suggest that shared immunogenetic mechanisms lead to the autoimmune process. The most studied genes and molecules are the human leukocyte antigen (HLA) region and the cytotoxic T-lymphocyte-associated 4 molecule (CTLA-4). Recently progress has been achieved in narrowing down the primary variants within both gene regions, but further work is needed to determine the function and extent of the aetiological variant(s) present. Recent exciting results also suggest a role for the newly discovered lymphoid-specific phosphatase (LYP) protein. As well as these general mechanisms, disease-specific mechanisms are beginning to be elucidated, for example the role of autoimmune regulatory element 1 (AIRE1) in autoimmune polyendocrinopathy-candidiasis ectodermal dystrophy (APECED). Taken together, these data suggest that both general and disease-specific mechanisms lead to the clinical outcome of autoimmune disease and that increased understanding of these mechanisms will improve our knowledge of how autoimmune disease occurs, eventually leading to the development of novel therapeutic agents. FAU - Simmonds, M J AU - Simmonds MJ AD - Division of Medical Sciences, University of Birmingham, Institute of Biomedical Research, Birmingham B15 2TT, UK. FAU - Gough, S C L AU - Gough SC LA - eng PT - Journal Article PT - Review DEP - 20050208 PL - England TA - Br Med Bull JT - British medical bulletin JID - 0376542 RN - 0 (Antigens, CD) RN - 0 (Antigens, Differentiation) RN - 0 (CTLA-4 Antigen) RN - 0 (CTLA4 protein, human) RN - 0 (HLA Antigens) RN - 0 (Histocompatibility Antigens Class I) RN - 0 (Histocompatibility Antigens Class II) RN - 0 (Immunosuppressive Agents) RN - 0 (Insulin) RN - 0 (Transcription Factors) RN - 9007-36-7 (Complement System Proteins) SB - IM MH - Antigens, CD MH - Antigens, Differentiation/genetics/immunology MH - Autoimmune Diseases/*genetics/immunology MH - Autoimmunity/*genetics/immunology MH - CTLA-4 Antigen MH - Complement System Proteins/genetics/immunology MH - HLA Antigens/*genetics/immunology MH - Histocompatibility Antigens Class I/genetics/immunology MH - Histocompatibility Antigens Class II/genetics/immunology MH - Humans MH - Immunosuppressive Agents/immunology MH - Insulin/genetics/immunology MH - Transcription Factors/genetics/immunology MH - AIRE Protein RF - 77 EDAT- 2005/02/11 09:00 MHDA- 2005/07/26 09:00 CRDT- 2005/02/11 09:00 PHST- 2005/02/11 09:00 [pubmed] PHST- 2005/07/26 09:00 [medline] PHST- 2005/02/11 09:00 [entrez] AID - 71/1/93 [pii] AID - 10.1093/bmb/ldh032 [doi] PST - epublish SO - Br Med Bull. 2005 Feb 8;71:93-113. doi: 10.1093/bmb/ldh032. Print 2004.