[Autoantibodies, tolerance and autoimmunity]

Pathol Biol (Paris). 2003 Jul;51(5):297-304. doi: 10.1016/s0369-8114(02)00318-8.
[Article in French]

Abstract

In 1900, the group from Metchnikoff suggested the concept of autoimmunization by demonstrating the presence of autoantibodies in normal conditions; which was opposed to the concept of horror autotoxicus raised by Ehrlich. Landsteiner's description of the transfusion compatibility rules and 50 year-later work from Burnett's and Medawar's groups lead to the clonal deletion theory as a general explanation of tolerance and autoimmunity. However, more recent work succeeded demonstrating that autoreactive B cells constitute a substantial part of the B-cell repertoire and that this autoreactive repertoire secretes the so-called natural autoantibodies (NAA) characterized by their broad reactivity mainly directed against very well conserved public epitopes. They fulfill the definition of an autoantibody since they are self-reactive, but they are not self-specific. As yet, NAA directed against determinants of polymorphism have not been reported. The presence of this repertoire in normal conditions challenges the clonal deletion theory as a unique explanation for self-tolerance. However, if we take into account that this autoreactive B-cell repertoire is not self-specific, this contradiction may not be a real one opposition. Indeed, the Lansteiner's rule that a subject belonging to group A will never produce anti-A antibodies and will always produce natural antibodies against the B-cell group, could never be challenged. Clonal deletion is probably accounting for this phenomenum. However, the serum of healthy adult individuals frequently exhibits low titers of anti-I antibodies, which is a precursor molecule of AB0 antigen system. The mechanism accounting for deletion of B cells directed against critical determinants like antigens A and B in the red blood cell system and allowing the production of autoantibodies against I remain elusive.

Publication types

  • English Abstract
  • Review

MeSH terms

  • ABO Blood-Group System / immunology
  • Autoantibodies*
  • Autoantigens / chemistry
  • Autoantigens / immunology
  • Autoimmunity*
  • B-Lymphocytes / immunology
  • Carbohydrate Sequence
  • Humans
  • I Blood-Group System / chemistry
  • I Blood-Group System / immunology
  • Immune Tolerance*
  • Molecular Sequence Data

Substances

  • ABO Blood-Group System
  • Autoantibodies
  • Autoantigens
  • I Blood-Group System