Natural autoantibodies are present in normal serum. A large body of evidenc
e now supports the notion that not only is autoreactivity physiological, bu
t it is actually essential for the acquisition and maintenance of tolerance
to self. Here, Srini V, Kaveri and colleagues discuss the physicochemical
and functional properties of natural autoantibodies, and their use for ther
apeutic intervention in immune-mediated disorders.