and its central role in preventing autoimmunity

Located just above the heart, the thymus is the training ground of the immune system where
T cells learn to distinguish self from non-self. Within this organ, autoantigens representing nearly all peripheral proteins and tissues are presented to developing thymocytes in a process that leads to the elimination of autoreactive conventional T cells and the generation of tolerogenic regulatory T cells (Tregs). Thymus-derived Tregs home to diseased tissues where they exert anti-inflammatory effects and promote tissue repair.


Each immature thymocyte enters the thymus from the bone marrow and undergoes gene rearrangement to generate unique T cell receptors (TCRs), each of which can recognize and bind to any one of a billion different antigens.
Antigen-presenting cells (APCs) display self-antigens that engage TCRs on developing T cells. High-affinity (HI) recognition between a self-antigen and TCR promotes deletion of potentially autoreactive T cells. Medium-affinity (MED) recognition causes developing T cells to become tolerogenic Tregs that recognize and protect the body’s own tissues.
Mature thymic Tregs travel to peripheral tissues that express their specific self-antigen. Once there, Tregs exert various mechanisms to promote tolerance and prevent an autoimmune attack.


What goes wrong in autoimmunity


Thymus-targeted drugs to restore balance.

