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Article
Nature Medicine  6, 298 - 305 (2000)
doi:10.1038/73152

Disruption of positive selection of thymocytes causes autoimmunity

Anke Kretz-Rommel & Robert L. Rubin

W.M. Keck Autoimmune Disease Center, Department of Molecular and Experimental Medicine, The Scripps Research Institute, MEM 131, 10550 North Torrey Pines Road, La Jolla, California 92037, USA

Correspondence should be addressed to Robert L. Rubin rrubin@scripps.edu
To differentiate into T cells, immature thymocytes must engage, through their antigen-specific T-cell receptor, peptides derived from self proteins presented by cortical epithelial cells in the thymus, a process called positive selection. Despite this requirement for self-recognition during development, mature T cells do not normally show autoreactivity. Mice injected in the thymus with procainamide-hydroxylamine, a metabolite of procainamide, develop autoimmune features resembling drug-induced lupus. Here, we show that when thymocytes undergo positive selection in the presence of procainamide-hydroxylamine, they fail to establish unresponsiveness to low affinity selecting self antigens, resulting in systemic autoimmunity.

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Nature Medicine
ISSN: 1078-8956
EISSN: 1546-170X
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