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Blood, 15 September 2006, Vol. 108, No. 6, pp. 1941-1948. Prepublished online as a Blood First Edition Paper on May 18, 2006; DOI 10.1182/blood-2006-04-019679.
Submitted December 22, 2005
Dept. of Medical Sciences, Uppsala University Hospital, Uppsala, Sweden * Corresponding author; email: ola.winqvist{at}karolinska.se.
Autoimmune polyendocrine syndrome type I (APS I) is an
inherited recessive disorder with a progressive
immunological destruction of many tissues including the
adrenal cortex, the parathyroid glands and the gonads.
APS I is caused by mutations in the AIRE gene
(AutoImmune REgulator), expressed in cells of the thymus
and spleen, suggesting a role in central and peripheral
tolerance. Aire-/- mice replicate the autoimmune
features of APS I patients with the presence of multiple
autoantibodies and lymphocytic infiltrates in various
tissues, but young mice appear clinically healthy. We
here report the investigation of 15-24 months old Aire-/-
mice. We did not observe any endocrinological
abnormalities nor did sera from these mice recognize
known APS I autoantigens. Interestingly, however, there
was a high frequency of marginal zone B cell lymphoma in
Aire-/- mice and liver infiltrates of B cells,
suggesting chronic antigen exposure and exaggerated
activation. Furthermore, increased numbers of monocytes
in blood were identified as well as augmented numbers of
metallophilic macrophages in the spleen. We propose that
Aire, in addition to its function in the thymus, also
has a peripheral regulatory role by controlling the
development of APCs and marginal zone B cell activation.
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