Publication: Loss of tolerance precedes triggering and lifelong persistence of pathogenic type I interferon autoantibodies
Loss of tolerance precedes triggering and lifelong persistence of pathogenic type I interferon autoantibodies
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Fernbach, S., Mair, N. K., Abela, I. A., Groen, K., Kuratli, R., Lork, M., Thorball, C. W., Bernasconi, E., Filippidis, P., Leuzinger, K., Notter, J., Rauch, A., Hirsch, H. H., Huber, M., Günthard, H. F., Fellay, J., Kouyos, R. D., Hale, B. G., & Swiss HIV Cohort Study. (2024). Loss of tolerance precedes triggering and lifelong persistence of pathogenic type I interferon autoantibodies. Journal of Experimental Medicine, 221(9), e20240365. https://doi.org/10.1084/jem.20240365
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Autoantibodies neutralizing type I interferons (IFN-Is) can underlie infection severity. Here, we trace the development of these autoantibodies at high-resolution using longitudinal samples from 1,876 well-treated individuals living with HIV over a 35-year period. Similar to general populations, ∼1.9% of individuals acquired anti-IFN-I autoantibodies as they aged (median onset ∼63 years). Once detected, anti-IFN-I autoantibodies persisted lifelong, and titers increased over decades. Individuals developed distinct neutralizing and non-
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Fernbach, S., Mair, N. K., Abela, I. A., Groen, K., Kuratli, R., Lork, M., Thorball, C. W., Bernasconi, E., Filippidis, P., Leuzinger, K., Notter, J., Rauch, A., Hirsch, H. H., Huber, M., Günthard, H. F., Fellay, J., Kouyos, R. D., Hale, B. G., & Swiss HIV Cohort Study. (2024). Loss of tolerance precedes triggering and lifelong persistence of pathogenic type I interferon autoantibodies. Journal of Experimental Medicine, 221(9), e20240365. https://doi.org/10.1084/jem.20240365