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Autoimmune hypothyroidism: T cells caught in the act

Autoantibodies to thyroid peroxidase are the hallmark of Hashimoto thyroiditis, the most common form of thyroid autoimmunity. However, the relative contribution of antibodies and T cells to disease has been a long-standing controversy—now settled by a transgenic mouse model. Thyroid peroxidase–specific T cells, in the absence of mature B cells and antibodies, spontaneously infiltrate and destroy the thyroid gland, causing overt hypothyroidism and obesity (pages 920–926).

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Figure 1: The TAZ10 transgenic mouse model10 and the immunological basis for Hashimoto thyroiditis.

Michael Pace

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McLachlan, S., Rapoport, B. Autoimmune hypothyroidism: T cells caught in the act. Nat Med 10, 895–896 (2004). https://doi.org/10.1038/nm0904-895

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