The immune system has the ability to recognize which molecules are produced by the body and which are not. Then, it can attack foreign invaders while avoiding self-produced antigens. When functioning properly, this process prevents misguided immune responses to non-harmful antigens, but if something goes wrong, it can lead to disorders like allergies or autoimmune diseases. Ah, the wonders of the immune system. It is undeniably powerful, protecting the body from a wide range of pathogens. At the same time, it must also avoid harming the body through excessive reactions to non-harmful materials. Immune tolerance, also referred to as immunological tolerance or immunotolerance, is an active state of unresponsiveness to specific antigens in an effort to prevent destructive over-reactivity of the immune system. It prevents an immune response to antigens produced by the body itself or recognized from a prior encounter.

Types of Immune Tolerance

Self-Tolerance

Self-tolerance refers to the ability of the immune system to recognize—and therefore not respond against—self-produced antigens. If the immune system loses this ability, the body can start to attack its own cells, which may cause an autoimmune disease. Both recessive and dominant mechanisms can play a part in self-tolerance: autoreactive lymphocytes are eliminated during development (recessive) or actively kept in check by regulatory T cells (Tregs) during circulation (dominant).

Induced Tolerance

Induced tolerance occurs when the immune system actively avoids responding to an external antigen. This tolerance is induced by previous encounters with that antigen. An example of induced tolerance is a deliberate manipulation of the immune system to avoid the rejection of transplanted organs or to provide protection from allergic reactions. Immune tolerance mechanisms are separated into two categories: central tolerance and peripheral tolerance. These mechanisms occur at different stages of the lymphocyte lifecycle, and a deficiency in either category can result in serious consequences to the body.

Central Tolerance

Central tolerance mechanisms occur during lymphocyte development, either in the thymus for T cells or in the bone marrow for B cells. Through this process, immune cells with T cell receptors (TCRs) or B cell receptors (BCRs) that can recognize and bind to self-antigens are eliminated or, for some T cells, are differentiated into Tregs. By preventing the maturation of autoreactive lymphocytes, central tolerance helps the immune system discriminate between self-antigens and foreign materials.

Peripheral Tolerance

Peripheral tolerance mechanisms occur after mature lymphocytes are released into the lymph nodes or other tissues. These mechanisms are intended to prevent autoreactive immune cells that have survived the mechanisms of central tolerance from damaging the periphery. One mechanism of peripheral tolerance is via Tregs, which can induce suppression or energy of escaped cells with self-antigen receptors. This process prevents the immune system from overreacting to self-antigens or non-harmful materials.

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