APECED and the place of AIRE in the puzzle of the immune network associated with autoimmunity.

Bibliographic Details
Title: APECED and the place of AIRE in the puzzle of the immune network associated with autoimmunity.
Authors: Aytekin, Elif Soyak1 (AUTHOR), Cagdas, Deniz2 (AUTHOR) deniz.ayvaz@hacettepe.edu.tr
Source: Scandinavian Journal of Immunology. Aug2023, Vol. 98 Issue 2, p1-15. 15p.
Subject Terms: *AUTOIMMUNE diseases, *HEMATOPOIETIC stem cell transplantation, *IMMUNOLOGICAL tolerance, *AUTOIMMUNITY
Abstract: In the last 20 years, discoveries about the autoimmune regulator (AIRE) protein and its critical role in immune tolerance have provided fundamental insights into understanding the molecular basis of autoimmunity. This review provides a comprehensive overview of the effect of AIRE on immunological tolerance and the characteristics of autoimmune diseases in Autoimmune Polyendocrinopathy‐Candidiasis‐Ectodermal Dystrophy (APECED), which is caused by biallelic AIRE mutations. A better understanding of the immunological mechanisms of AIRE deficiency may enlighten immune tolerance mechanisms and new diagnostic and treatment strategies for autoimmune diseases. Considering that not all clinical features of APECED are present in a given follow‐up period, the diagnosis is not easy in a patient at the first visit. Longer follow‐up and a multidisciplinary approach are essential for diagnosis. It is challenging to prevent endocrine and other organ damage compared with other diseases associated with multiple autoimmunities, such as FOXP3, LRBA, and CTLA4 deficiencies. Unfortunately, no curative therapy like haematopoietic stem cell transplantation or specific immunomodulation is present that is successful in the treatment. [ABSTRACT FROM AUTHOR]
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ISSN:03009475
DOI:10.1111/sji.13299
Published in:Scandinavian Journal of Immunology
Language:English