The immune system must not only fight off infections, but also ensure
that it does not react against its own body tissues. Since clones of l
ymphocytes have predetermined reactivities, some will be self-reactive
and have the potential to cause damage. They should therefore be neut
ralized in some way. In a system as complex and important as that gove
rning self-tolerance, many mechanisms must exist to neutralize autoagg
ressive lymphocytes. They may be classified under two main groups. In
one the tolerant state arises from the physical or functional silencin
g of potentially autoaggressive lymphocytes after antigen encounter. T
his may involve clonal deletion, clonal abortion or clonal anergy. In
the second, regulatory mechanisms of the immune system itself may hold
autoreactive lymphocytes in check, for example through the operation
of idiotypic network interactions and the action of specialized suppre
ssor cells. Much evidence has accumulated for the physical deletion of
autoreactive T cells as they mature in the thymus. The fate of any th
at escape thymus censorship has been the subject of recent research an
d is discussed here. Under certain conditions, self-tolerance must als
o be imposed at the B-cell level to prevent the production of potentia
lly damaging autoantibodies. Although the mechanisms which silence sel
f-reactive lymphocytes are very efficient, self-tolerance can break do
wn, and autoimmunity will thus ensue. The main factors responsible for
this are briefly described here.