Pathogenesis of type I (insulin-dependent) diabetes: possible mechanisms of autoimmune damage

Br Med Bull. 1989 Jan;45(1):37-57. doi: 10.1093/oxfordjournals.bmb.a072319.

Abstract

By definition, autoimmunity is a circumvention of self-tolerance. Considering the complex network of control mechanisms which initiate and regulate immune responses to foreign agents and maintain the natural state of self-tolerance, autoimmunity may result from a weakening of this delicate equilibrium at various levels. Several hypotheses have therefore been put forward to explain the 'active' immunization process against self-constituents which are normally tolerated.

Publication types

  • Review

MeSH terms

  • Autoantigens / immunology
  • Autoimmune Diseases / immunology*
  • Diabetes Mellitus, Type 1 / immunology*
  • Histocompatibility Antigens Class II / immunology
  • Humans
  • Immunoglobulin Idiotypes / immunology
  • Macrophages / immunology
  • T-Lymphocytes, Cytotoxic / immunology
  • T-Lymphocytes, Regulatory / immunology

Substances

  • Autoantigens
  • Histocompatibility Antigens Class II
  • Immunoglobulin Idiotypes