A clear understanding of the events surrounding the selection of autoreacti
ve T cells in the thymus and their regulation in the periphery has eluded i
mmunologists for years. However recent work examining the expression of tis
sue-specific antigens in the thymus and the biochemistry of disease associa
ted MHC alleles has provided important clues into the generation of the aut
oreactive T cell repertoire in the thymus. In addition, recent studies focu
sing on the role of immunoregulatory cytokines and cross-reactive peptide l
igands has provided information regarding both the regulation and activatio
n of autoreactive cells in the periphery. An improved understanding of the
selection and regulation of autoreactive T cells will undoubtedly aid in th
e development of strategies for treating autoimmune disease.