Immune tolerance
Abstract
BACKGROUND Regulation of human immune system through mechanisms of immune tolerance is an exceptionally important part of the homeostasis that protects the integrity of our organism. Whenever we talk about immune responses, we primarily consider them as an efficient activation of numerous factors enabling our cellular and humoral immunity to protect us against nocive effects of various forms of pathogens. However, each of these activation processes must be adequately regulated by appropriate immunosuppressive mechanisms, thereby providing a rational extent of immune reactivity without exhausting the organism and at the same time assuring a rather quick reestablishment of normal physiological conditions, which is a basic task of immune homeostasis. Such natural and dynamic »yin/yang« balance, being crucial for the wellbeing of each individual, can only be provided by well orchestrated specific interactions between activated effector immune cells, such as Th1, Th2 and Th17 CD4+ lymphocytes, CD8+ cytotoxic T lymphocytes, natural killer cells (NK) and other activating factors on one side, and the oppositely functioning immunoregulatory effectors, such as regulatory CD4+ and CD8+ T lymphocytes, tolerogenic antigen-presenting cells (APC) and other immunosuppressive factors, on the other. In the case of a colapse or an imbalance of this system, there are serious consequences that are reflected in the occurrence of autoimmune diseases, in which case the immune system is unsuccessfully suppressing the reactivity against self-antigens or the outburst of cancer cells, due to the excessive negative regulatory immune mechanisms that are actively protecting tumors. Conclusions: In this review we are presenting novel findings regarding the mechanisms of tolerance as an important part of immune homeo-self-antigens or the outburst of cancer cells, due to the excessive negative regulatory immune mechanisms that are actively protecting tumors. CONCLUSIONS In this review we are presenting novel findings regarding the mechanisms of tolerance as an important part of immune homeo-stasis and discussing the potential of translating this knowledge into clinical setting by developing advanced cell therapies, mostly for treating autoimmune diseases and preventing graft rejection following allogeneic tissue and organ transplantation.Downloads
The Author transfers to the Publisher (Zdravniški vestnik/Slovenian Medical Journal) all economic copyrights following form Article 22 of the Slovene Copyright and Related Rights Act (ZASP), including the right of reproduction, the right of distribution, the rental right, the right of public performance, the right of public transmission, the right of public communication by means of phonograms and videograms, the right of public presentation, the right of broadcasting, the right of rebroadcasting, the right of secondary broadcasting, the right of communication to the public, the right of transformation, the right of audiovisual adaptation and all other rights of the author according to ZASP.
The aforementioned rights are transferred non-exclusively, for an unlimited number of editions, for the term of the statutory
The Author can make use of his work himself or transfer subjective rights to others only after 3 months from date of first publishing in the journal Zdravniški vestnik/Slovenian Medical Journal.
The Publisher (Zdravniški vestnik/Slovenian Medical Journal) has the right to transfer the rights, acquired parties without explicit consent of the Author.
The Author consents that the Article be published under the Creative Commons BY-NC 4.0 (attribution-non-commercial) or comparable licence.