Many T cells with autoaggressive potential are deleted in the thymus b
ut some escape to the general circulation. They do not damage organs s
uch as the insulin-producing tissue of the pancreas, unless some or al
l of the following conditions are met: high affinity of the antigen re
ceptor on T cells (TCR) for the target self antigen, priming by enviro
nmental antigens which mimic the target antigen, and some inflammatory
reaction in the target site. When the liver expresses the antigen, an
y circulating T cells specific for this are deleted in the liver. This
suggests that the liver may play a role in preventing autoimmune aggr
ession by T cells specific for antigens expressed on liver cells. Rece
nt experimental models have been set up to test the possibility that a
n immunoregulatory T cell may exist and exert some type of preventive
influence on the autoaggressive potential of self-reactive T cells. (C
) 1996 Academic Press Limited