The Danger Model Approach to the Pathogenesis of the Rheumatic Diseases

The danger model was proposed by Polly Matzinger as complement to the traditional self-non-self- (SNS-) model to explain the immunoreactivity. The danger model proposes a central role of the tissular cells’ discomfort as an element to prime the immune response processes in opposition to the traditio...

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Main Authors: César Pacheco-Tena, Susana Aideé González-Chávez
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Journal of Immunology Research
Online Access:http://dx.doi.org/10.1155/2015/506089
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author César Pacheco-Tena
Susana Aideé González-Chávez
author_facet César Pacheco-Tena
Susana Aideé González-Chávez
author_sort César Pacheco-Tena
collection DOAJ
description The danger model was proposed by Polly Matzinger as complement to the traditional self-non-self- (SNS-) model to explain the immunoreactivity. The danger model proposes a central role of the tissular cells’ discomfort as an element to prime the immune response processes in opposition to the traditional SNS-model where foreignness is a prerequisite. However recent insights in the proteomics of diverse tissular cells have revealed that under stressful conditions they have a significant potential to initiate, coordinate, and perpetuate autoimmune processes, in many cases, ruling over the adaptive immune response cells; this ruling potential can also be confirmed by observations in several genetically manipulated animal models. Here, we review the pathogenesis of rheumatic diseases such as systemic lupus erythematous, rheumatoid arthritis, spondyloarthritis including ankylosing spondylitis, psoriasis, and Crohn’s disease and provide realistic approaches based on the logic of the danger model. We assume that tissular dysfunction is a prerequisite for chronic autoimmunity and propose two genetically conferred hypothetical roles for the tissular cells causing the disease: (A) the Impaired cell and (B) the paranoid cell. Both roles are not mutually exclusive. Some examples in human disease and in animal models are provided based on current evidence.
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spelling doaj-art-60a6e7fb02d640cda6a72471c957d8d32025-02-03T05:57:27ZengWileyJournal of Immunology Research2314-88612314-71562015-01-01201510.1155/2015/506089506089The Danger Model Approach to the Pathogenesis of the Rheumatic DiseasesCésar Pacheco-Tena0Susana Aideé González-Chávez1Facultad de Medicina, Universidad Autónoma de Chihuahua, Circuito No. 1, Nuevo Campus Universitario, 31240 Chihuahua, CHIH, MexicoFacultad de Medicina, Universidad Autónoma de Chihuahua, Circuito No. 1, Nuevo Campus Universitario, 31240 Chihuahua, CHIH, MexicoThe danger model was proposed by Polly Matzinger as complement to the traditional self-non-self- (SNS-) model to explain the immunoreactivity. The danger model proposes a central role of the tissular cells’ discomfort as an element to prime the immune response processes in opposition to the traditional SNS-model where foreignness is a prerequisite. However recent insights in the proteomics of diverse tissular cells have revealed that under stressful conditions they have a significant potential to initiate, coordinate, and perpetuate autoimmune processes, in many cases, ruling over the adaptive immune response cells; this ruling potential can also be confirmed by observations in several genetically manipulated animal models. Here, we review the pathogenesis of rheumatic diseases such as systemic lupus erythematous, rheumatoid arthritis, spondyloarthritis including ankylosing spondylitis, psoriasis, and Crohn’s disease and provide realistic approaches based on the logic of the danger model. We assume that tissular dysfunction is a prerequisite for chronic autoimmunity and propose two genetically conferred hypothetical roles for the tissular cells causing the disease: (A) the Impaired cell and (B) the paranoid cell. Both roles are not mutually exclusive. Some examples in human disease and in animal models are provided based on current evidence.http://dx.doi.org/10.1155/2015/506089
spellingShingle César Pacheco-Tena
Susana Aideé González-Chávez
The Danger Model Approach to the Pathogenesis of the Rheumatic Diseases
Journal of Immunology Research
title The Danger Model Approach to the Pathogenesis of the Rheumatic Diseases
title_full The Danger Model Approach to the Pathogenesis of the Rheumatic Diseases
title_fullStr The Danger Model Approach to the Pathogenesis of the Rheumatic Diseases
title_full_unstemmed The Danger Model Approach to the Pathogenesis of the Rheumatic Diseases
title_short The Danger Model Approach to the Pathogenesis of the Rheumatic Diseases
title_sort danger model approach to the pathogenesis of the rheumatic diseases
url http://dx.doi.org/10.1155/2015/506089
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