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  • Review Article
  • Published:

Central tolerance: learning self-control in the thymus

Key Points

  • Various experimental approaches have been used to model antigen-specific clonal deletion. Many of these are fraught with non-physiological aspects. A consensus is emerging that clonal deletion occurs as cells transition from the double-positive stage to the single-positive stage.

  • The thymic medulla is a specialized microenvironment for central tolerance. Most thymic dendritic cells reside in this compartment, and medullary thymic epithelial cells (mTECs) can synthesize antigens that are otherwise highly tissue specific.

  • The autoimmune regulator (AIRE) protein has an important part in driving the transcription of genes encoding tissue-specific antigens in mTECs, and AIRE deficiency results in a defect in clonal deletion.

  • The proper functioning of mTECs requires several intracellular-signalling proteins: REL-B, NIK (nuclear-factor-κB-inducing kinase) and TRAF6 (tumour-necrosis-factor-receptor-associated factor 6). In the absence of these molecules, mice have a disorganized thymic architecture, impaired clonal deletion, impaired generation of CD4+CD25+ regulatory T cells and natural killer T cells, and autoimmune disease.

  • One factor in the development of diabetes in the non-obese-diabetic mouse strain is that clonal deletion of self-reactive progenitors in the thymus is impaired.

  • How the T-cell receptor interprets low-affinity and high-affinity ligation to result in positive selection and negative selection, respectively, remains an important unanswered question in the field.

Abstract

In the past few years, there has been a flurry of discoveries and advancements in our understanding of how the thymus prepares T cells to exist at peace in normal healthy tissue: that is, to be self-tolerant. In the thymus, one of the main mechanisms of T-cell central tolerance is clonal deletion, although the selection of regulatory T cells is also important and is gaining enormous interest. In this Review, we discuss the emerging consensus about which models of clonal deletion are most physiological, and we review recent data that define the molecular mechanisms of central tolerance.

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Figure 1: Central-tolerance mechanisms.
Figure 2: TCR-transgenic mice express a cell-surface TCR earlier in development than do normal mice.
Figure 3: Models of how differences in affinity affect whether differentiation or apoptosis occurs during development.
Figure 4: Aspects of the thymic medulla that are involved in central tolerance.

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Acknowledgements

This work was supported by the National Institutes of Health (United States) (to K.A.H.), and the Canadian Institutes of Health Research and the Alberta Heritage Foundation for Medical Research (Canada) (to T.A.B.).

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Correspondence to Kristin A. Hogquist.

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DATABASES

Entrez Gene

Entrez Gene

AIRE

LT-βR

Nik

REL-B

TRAF6

OMIM

OMIM

APECED

IPEX

FURTHER INFORMATION

Kristin Hogquist's and Stephen Jameson's laboratories

Models of negative selection

Glossary

ANERGY

A state of non-responsiveness to antigen. Anergic T or B cells cannot respond to their cognate antigens under optimal conditions of stimulation.

RECEPTOR EDITING

A tolerance mechanism in which the binding of self-antigen during development promotes secondary antigen-receptor gene rearrangement. In the T-cell receptor α-chain or immunoglobulin light chain locus, this results in replacement of the autoreactive receptor with a benign one. This is thought to be one of the main tolerance mechanisms in B-cell development, but it is less well-described for T cells.

CD4+CD25+ REGULATORY T CELL

(TReg cell). A CD4+ T cell that expresses high levels of CD25 (also known as the α-chain of the interleukin-2 receptor), is naturally anergic and requires stimulation through the T-cell receptor for induction of its cell-mediated suppressive function. The role of this subset of T cells is to maintain self-tolerance.

CD8αα+ INTESTINAL EPITHELIAL LYMPHOCYTE

A type of T cell that is found in the intestinal epithelium. The CD8 molecule that they express is a homodimer of CD8α, rather than the CD8αβ heterodimer that is expressed by conventional CD8+ T cells in the lymph nodes. It has been proposed that these cells are self-reactive T cells that have regulatory properties.

NATURAL KILLER T CELL

(NKT cell). A T cell that expresses both natural killer (NK)-cell receptors and an αβ-T-cell receptor (αβ-TCR). In mice, these cells were first identified by their expression of the alloantigen NK1.1 (also known as NKR-P1C). Some mouse NKT cells express an invariant TCR that uses the Vα14 variable region of the TCR α-chain and recognizes CD1d-associated antigen. NKT cells are characterized by cytolytic activity and rapid production of cytokines, including interferon-γ and interleukin-4, and they might regulate the function of other T cells.

CRE–LOXP TECHNOLOGY

A site-specific recombination system. Two short DNA sequences (loxP sites) are engineered to flank the target DNA. Expression of the recombinase Cre leads to excision of the intervening sequence. Depending on the type of promoter that controls Cre expression, Cre can be expressed at specific times during development or by specific subsets of cells.

LCK–CRE MOUSE

A mouse that expresses the recombinase Cre under the control of the Lck proximal promoter. Cre expression is initiated early during thymic development, at the double-negative-2 stage or earlier.

ENDOGENOUS SUPERANTIGEN

A defective mammary tumour-virus sequence that is stably integrated in the genome of certain mouse strains. This sequence encodes an MHC-class-II-binding protein that causes stimulation of T cells that use specific variable regions in the T-cell receptor β-chain.

CROSS-PRESENTATION

The ability of certain antigen-presenting cells to load peptides that are derived from exogenous antigens onto MHC class I molecules. This property is atypical, because most cells exclusively present peptides from their endogenous proteins on MHC class I molecules. Cross-presentation is essential for the initiation of immune responses to viruses that do not infect antigen-presenting cells.

PLANT HOMEODOMAIN

(PHD). A motif that is found in numerous eukaryotic proteins, many of which regulate transcription. This domain encodes a zinc-binding site and is probably involved in protein–protein interactions.

PROTEOMICS APPROACH

The large-scale analysis of the proteins that are expressed by a particular cell or tissue. This is usually used to compare cell populations, states of differentiation or responses to stimuli. Proteomics not only includes the identification and quantification of proteins but also includes the study of the post-translational modifications and interactions of proteins.

SMALL INTERFERING RNA

(siRNA). Synthetic double-stranded RNA molecules of 19–23 nucleotides, which are used to 'knockdown' (silence the expression of) a specific gene. This is known as RNA interference and is mediated by the sequence-specific degradation of mRNA.

NON-OBESE DIABETIC MOUSE STRAIN

(NOD mouse strain). An inbred mouse strain that spontaneously develops T-cell-mediated autoimmune diabetes.

MIMETOPE

When a natural T-cell epitope is not known, it is possible to screen peptides and define a peptide that mimics the stimulatory activity of a natural epitope. This is known as a mimetope.

INSULIN-DEPENDENT DIABETES SUSCEPTIBILITY LOCI

(Idd loci). Regions of genomic DNA that are associated with susceptibility or resistance to diabetes in non-obese diabetic (NOD) mice. They were identified by correlating DNA polymorphism with disease in genetic crosses between NOD mice and non-diabetic mouse strains. Because diabetes is a polygenic autoimmune disease, several susceptibility loci have been defined. The Idd5 region includes the genes that encode CD28, cytotoxic T-lymphocyte antigen 4 (CTLA4) and the natural resistance-associated macrophage proteins (NRAMPs).

BCL-2 FAMILY

(B-cell-lymphoma-2 family). Mitochondrial proteins that increase or decrease the susceptibility of a cell to apoptosis. When the levels of either of the family members BCL-2 or BCL-XL are increased, a cell is more resistant to cell death.

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Hogquist, K., Baldwin, T. & Jameson, S. Central tolerance: learning self-control in the thymus. Nat Rev Immunol 5, 772–782 (2005). https://doi.org/10.1038/nri1707

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