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                                     Immunology—Autoimmunity






              K. Michael Pollard
              Eng M. Tan
              Scripps Research Institute



               I. Autoimmunity and Autoantibodies
              II. Detection of Autoantibodies and Autoantigens
              III. Perspectives








              GLOSSARY                                          whether or not to respond to a suspected challenge. Con-
                                                                siderable debate has occurred regarding the definition of
              Antibody A protein product of a specific type of lym-  self and non-self, with both “infection” and “danger” be-
                phoid cell (B cell) which combines with a specific  ing suggested as possible discriminators. Irrespective of
                molecular target, called an antigen.            the final outcome of these discussions, it is clear that idio-
              Antigen A substance, usually protein, that combines with  pathic autoimmunity constitutes a significant disruption in
                an antibody.                                    the mechanisms that regulate the immune systems’ abil-
              Autoantigen A constituent of the body that is recognized  ity to discriminate at the molecular level. Autoimmunity
                by its immune system. An antibody that recognizes an  can lead to devastating diseases such as systemic lupus
                autoantigen is called an autoantibody.          erythematosus (SLE) and insulin-dependent diabetes mel-
              Chromophore A chemical group capable of selective  litus (IDDM). These two clinical syndromes reflect the
                light absorption resulting in the coloration of certain  two major types of autoimmunity. SLE is representative
                organic compounds.                              of multisystem autoimmunity, in which disease processes
              Neoantigen A new or different antigen.            may involve a number of organs of the body. IDDM is il-
                                                                lustrative of organ-specific autoimmunity, which is more
                                                                restrictive, targeting perhaps a single organ such as the
              IN NORMAL circumstances a healthy immune system is  pancreas. Advances in our understanding of the relation-
              tolerant of the tissue constituents of the host but intolerant  ships between autoimmune diseases and the autoantibod-
              of nonhost (or “nonself ”) matter such as invading viruses,  ies and autoantigens that characterize them have come
              bacteria, or other pathogens. In autoimmunity the immune  about through the use of an ever-evolving armamentarium
              system mounts responses against tissue constituents of the  of techniques based in part on the physical sciences. This
              host organism. This response is most commonly referred  chapter is an attempt to describe the history, principles,
              to as recognition of “self,” as opposed to “nonself.” The  and methodology of those techniques that have proven
              self/nonself paradigm is argued by many to be the ba-  the most useful in the characterization of autoantibod-
              sis for understanding how the immune system determines  ies and autoantigens in both basic and applied research




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