Klinische Wochenschrift

, Volume 67, Issue 22, pp 1117–1125 | Cite as

Neuere Aspekte zur Pathogenese endokriner Autoimmunerkrankungen des Menschen: Welche Rolle spielt die Expression von HLA Klasse-II-Molekülen durch die endokrine Zielzelle?

  • U. Deuß
  • M. Buscema
  • G. F. Bottazzo
  • W. Winkelmann





MHC des Menschen


antigenpräsentierende Zelle








Tumor Necrosis Faktor


Diabetes mellitus Typ I


relatives Risiko

Current aspects in the pathogenesis of endocrine autoimmunity in man: The inappropriate expression of HLA class II molecules


The inappropriate expression of HLA Class II molecules by the target cells of endocrine autoimmune diseases is a recent observation that has been intensively studied in thyroid autoimmunity and type I diabetes mellitus. In vitro studies have shown that interferon-γ can induce Class II expression, either alone, as in thyrocytes, or in combination with other mediators like tumour necrosis factor or lymphotoxin, as in islet cells, pointing to possible mechanisms operating in vivo. Endocrine cells expressing Class II molecules are able to present their autoantigens to helper T cells, thus possibly inducing the autoimmune process. However, until now it is still unclear if the expression of Class II molecules by the target cells is the primary immune phenomenon, which might possibly be triggered by a latent viral infection of the endocrine cell. Alternatively, it might be a secondary response in an ongoing autoimmune process. Particularly data obtained in the diabetic pancreas favour the first possibility, but only progress in our understanding of the role of HLA antigens in immunoregulation will make it possible to interpret the phenomenon properly.

Key words

Autoimmune diseases Diabetes mellitus type I Autoimmune thyroiditis HLA-D antigens Immune response 


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Copyright information

© Springer-Verlag 1989

Authors and Affiliations

  • U. Deuß
    • 1
  • M. Buscema
    • 2
  • G. F. Bottazzo
    • 2
  • W. Winkelmann
    • 1
  1. 1.Medizinische Universitätsklinik II, Krankenhaus Köln-MerheimGermany
  2. 2.Department of ImmunologyUniversity College and Middlesex School of MedicineLondonUK

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