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a proposed classification of the immunological diseases提出了分类的免疫性疾病
Research in Translation
A Proposed Classifi cation
of the Immunological Diseases
*
Dennis McGonagle , Michael F. McDermott
century ago Paul Ehrlich Box 1. Defi nitions of from genetic and molecular studies
proposed that immune Autoimmunity and and improved clinical insights into
Areactivity against self, which he Autoinfl ammation disease in order to propose a unifi ed
called “horror autotoxicus” and which classifi cation and theoretical framework
is now called autoimmunity, would Generic Defi nition of Autoimmunity for all immunological diseases.
be incompatible with life because of Self-directed infl ammation, whereby
potentially devastating consequences aberrant dendritic cell, B and T cell, Key Studies That Defi ned
for the host. But Ehrlich was proven responses in primary and secondary Autoinfl ammation as the Opposite
wrong after the demonstration of lymphoid organs lead to breaking of of Autoimmunity
autoantibodies and the emergence of a tolerance, with development of immune The recent elucidation of mechanisms
theoretical basis for autoreactivity [1]. reactivity towards native antigens. The underlying self-directed tissue
Conceptually, autoimmunity is viewed adaptive immune response plays the infl ammation independent of B or T
as a defect of either B or T lymphocyte predominant role in the eventual clinical cell abnormalities could
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