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REFLECTIONS ON SELF: IMMUNITY AND BEYOND
                                                                       VIEWPOINT

                              The Danger Model: A Renewed
                                     Sense of Self
                                                                      Polly Matzinger

       For over 50 years immunologists have based their thoughts, experiments,                             the discovery that activated B lymphocytes
       and clinical treatments on the idea that the immune system functions by                             hypermutate, creating new, potentially self-
       making a distinction between self and nonself. Although this paradigm has                           reactive cells. Realizing that autoimmunity
       often served us well, years of detailed examination have revealed a                                 would be rare if immunity required the coop-
       number of inherent problems. This Viewpoint outlines a model of immu-                               eration of two cells, Bretscher and Cohn (14 )
       nity based on the idea that the immune system is more concerned with                                added a new cell (the helper, later found to be
       entities that do damage than with those that are foreign.                                           a T cell) and a new signal (help), proposing
                                                                                                           that the B cell would die if it recognized
First, do no harm.                                       been incorporated into previous models [for       antigen in the absence of help (Fig. 1B). In
   –Hippocratic oath                                     example, why major histocompatibility com-        1975, Lafferty and Cunningham (15) dealt
                                                         plex (MHC)–mismatched kidney transplants          with the finding that T cells respond more




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Of all the mysteries in modern science, the              from living donors often perform better than      strongly against foreign cells of their own
mechanisms of self versus nonself recognition            MHC-compatible kidneys from cadavers (4);         species than against cells of another species,
in the immune system ranks at or near the                why liver transplants are rejected less vigor-    by adding another cell and another signal.
top.                                                     ously than hearts; why women seem to be           They proposed that T cells also need a second
    –D. E. Koshland Jr. (1)                              more susceptible than men to certain autoim-      signal (named “costimulation”), which they
    As a graduate student, I was taught that             mune diseases; why Rh disease of the new-         receive from “stimulator” cells [now called
the immune system functions by discriminat-              born is a problem in the second pregnancy,        antigen-presenting cells (APCs)], and sug-
ing between self (defined early in life) and             but not the first; why graft-versus-host dis-     gested that this signal is species specific (Fig.
nonself (anything that comes later), tolerating          ease is less severe in recipients that have had   1C).
self and attacking nonself. Although this el-            gentle rather than harsh preconditioning treat-
egantly simple idea seemed to make a lot of              ments (5, 6 ); and so on] without adding          The Infectious-Nonself (INS) Model
sense, it had problems from the beginning                special new situation-specific assumptions.       The need for costimulation posed a major
and has failed over the years to explain a                   This Viewpoint will first trace the history   problem for SNS models. If, as they assumed,
great number of findings. For example, what              of the self-nonself (SNS) model, showing          the decision to respond is made by antigen-
happens when “self ” changes? How do or-                 how it had to be modified over the years to       specific cells, and if self-reactive ones are
ganisms go through puberty, metamorphosis,               accommodate new data, then give a brief           deleted, then immunity can be directed
pregnancy, and aging without attacking new-              description of the Danger model, and show         against nonself. If, however, responses are
ly changed tissues? Why do mammalian                     how it is leading us to a new way of thinking     initiated by APCs, which are not antigen
mothers not reject their fetuses or attack their         about self-recognition. Those readers who         specific (they capture all sorts of self and
newly lactating breasts, which produce milk              may already have encountered some of these        foreign substances), then immunity cannot be
proteins that were not part of earlier “self ”?          concepts (2, 7–9) will find more details in the   directed only against nonself. The concept of
Why do we fail to make immune responses to               supplementary Web material on Science On-         costimulation was therefore essentially ig-
vaccines composed of inert foreign proteins              line (10).                                        nored until it was rediscovered experimental-
unless we add noxious substances, collective-                                                              ly by Jenkins and Schwartz in 1986 (16 ). In
ly known as “adjuvants”? Why do we fail to               The Self-Nonself Models                           1989, Janeway offered an ingenious solution
reject tumors, even when many clearly ex-                Burnet’s original model (11) suggested (Fig.      (17), suggesting that APCs have their own
press new or mutated proteins? Why do most               1) that (i) each lymphocyte expresses multi-      form of SNS discrimination and can recog-
of us harbor autoreactive lymphocytes with-              ple copies of a single surface receptor specif-   nize evolutionarily distant pathogens. He pro-
out any sign of autoimmune disease, while a              ic for a foreign entity, (ii) signaling through   posed that APCs are quiescent (a very impor-
few individuals succumb?                                 this surface antibody initiates the immune        tant and previously unappreciated point) until
    To answer some of these questions, I pro-            response, and (iii) the self-reactive lympho-     they are activated via a set of germ line–
posed the Danger model, which suggests that              cytes are deleted early in life [based on         encoded pattern recognition receptors (PRRs)
the immune system is more concerned with                 Owen’s discovery that nonidentical cattle         that recognize conserved pathogen-associated
damage than with foreignness, and is called              twins were mutually tolerant of each other’s      molecular patterns (PAMPs) on bacteria. On
into action by alarm signals from injured                blood cells (12)]. This straightforward model     activation, APCs up-regulate costimulatory
tissues, rather than by the recognition of non-          gained general acceptance when Medawar et         signals, process the bacterial antigens, and
self (2, 3). In the intervening 7 years, in              al. found that adult mice would accept for-       present them to passing T cells (Fig. 1D). The
conversations with a wide variety of people, I           eign skin grafts if they had been injected as     PRRs, he wrote, allow APCs to discriminate
discovered that this simple idea not only of-            babies with cells from the donors (13). In        between “infectious-nonself ” and “noninfec-
fers answers to broad immunological ques-                1960, Burnet and Medawar shared the Nobel         tious-self ” (18).
tions, it also covers many details that had not          Prize for their work, and the SNS discrimi-           Although the essence of SNS recognition
                                                         nation model has dominated the field ever         was temporarily saved, Janeway’s infectious-
                                                         since.                                            nonself (INS) model created new complexi-
Ghost Lab, Laboratory for Cellular and Molecular Im-
munology, National Institute of Allergy and Infectious
                                                             The original SNS model has changed,           ties while solving old problems. It could not
Diseases, National Institutes of Health, Bethesda, MD    however, to accommodate incompatible new          explain why viruses stimulate immunity, why
20892, USA. E-mail: pcm@helix.nih.gov                    findings. It was first modified in 1969, after    transplants are rejected, what induces autoim-

                                                www.sciencemag.org SCIENCE VOL 296 12 APRIL 2002                                                               301
REFLECTIONS ON SELF: IMMUNITY AND BEYOND
      munity, why tumors are sometimes spontane-       forth (Fig. 1e). Although purely theoretical at     predictive power of this model provides insight
      ously rejected, or how nonbacterial adju-        the time (20), many alarm signals have since        into many of the things that the immune system
      vants, such as alum, work. Over the years,       been empirically revealed (9). Alarm signals        does right, as well as many of the things it
      Janeway’s model has been modified to ac-         can be constitutive or inducible, intracellular     seems to get wrong (21).
      count for some of these issues (see Viewpoint    or secreted, or even a part of the extracellular
      by Medzhitov and Janeway in this issue)          matrix. Because cells dying by normal pro-          Danger Signals: Common Ground for
      (19), suggesting, for example, that viral dou-   grammed processes are usually scavenged             the INS and Danger Models?
      ble-stranded mRNA is a signature of foreign-     before they disintegrate, whereas cells that        Although they differ greatly in detail, both
      ness. What then of viruses that do not gener-    die necrotically release their contents, any        the INS and the Danger models assume that
      ate double-stranded RNA, adjuvants that do       intracellular product could potentially be a        resting APCs can be activated by signals
      not incorporate bacterial products, trans-       danger signal when released. Inducible alarm        from their immediate environment. The INS
      plants, and autoimmunity? Even with all of       signals could include any substance made, or        model has found support in the recent discov-
      the modifications that SNS/INS models have       modified, by distressed or injured cells. The       ery of the evolutionarily conserved membrane-
      undergone over the years, they still have dif-   important feature is that danger/alarm signals      bound Toll-like receptors (TLRs), which act as
      ficulty with some of these fundamental pro-      should not be sent by healthy cells or by cells     PRRs for components of bacteria and fungi,
      cesses.                                          undergoing normal physiological deaths.             and initiate immune responses in organisms
                                                           Although this may seem to be just one more      as distant as flies and mammals (22–26 ).
      The Danger Model                                 step down the path of slowly increasingly com-      There are presently 10 known mammalian
      Standing on the shoulders of the SNS models,     plex cellular interactions, this small step drops   TLRs, which bind a wide range of biological




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      the Danger model added another layer of          us off a cliff, landing us in a totally different   molecules and awaken resting APCs (27 ).
      cells and signals (2), proposing that APCs are   viewpoint, in which the “foreignness” of a              The Danger model has been supported by
      activated by danger/alarm signals from in-       pathogen is not the important feature that trig-    the discovery of endogenous, nonforeign alarm
      jured cells, such as those exposed to patho-     gers a response, and “self-ness” is no guarantee    signals (9), including mammalian DNA (28),
      gens, toxins, mechanical damage, and so          of tolerance. The surprising explanatory and        RNA, heat shock proteins (Hsps), interferon-




                                                                                              Fig. 1. A history of immunological models.




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REFLECTIONS ON SELF: IMMUNITY AND BEYOND
(an inducible protein often made by virus-in-       cific for a bacterial LPS, cellular Hsp70 pro-      nals, and the microbes subsequently evolved
fected cells), interleukin-1 , CD40-L (a surface    tein, and hyaluron?                                 mechanisms to use these receptors to enhance
molecule on activated platelets and activated T          One possibility is that we may be looking at   their own survival. From this vantage point, it
cells), and breakdown products of hyaluron          the PRRs completely backwards (7). Perhaps          may no longer be surprising that the TLRs
(made when vessels are damaged).                    PRRs have not evolved to bind to pathogens at       bind to so many different kinds of molecule,
    There is no reason why APCs should not          all. Perhaps the pathogens have evolved to bind     as each type of pathogen will have evolved its
respond to both endogenous and exogenous            to them! Many cell surface molecules involved       own way of binding to a TLR.
signals. Vertebrates and bacteria have shared       in normal physiological functions are targeted          S. Y. Seong has suggested the even more
eons of evolutionary time and space, and thus       by pathogens. Human immunodeficiency virus,         intriguing possibility (34) that the same
receptors for endogenous and exogenous sig-         for example, binds to CD4, CCR5, and CxCR4,         alarm signals may be used by many different
nals may have evolved simultaneously. In-           and Toxoplasma also seems to bind to CCR5           organisms. Because life evolved in water, any
deed, there is evidence that these receptors        (30), whereas Staphylococcus and Streptococ-        hydrophobic portion (Hyppo) of a given mol-
are often the same molecules. For example,          cus bind to a conserved loop on T cell receptors    ecule is usually buried in the depths of that
TLR4 is a receptor for the bacterial product        and to the Fc portion of antibodies. Coxsackie      molecule, or hidden in the lipid membrane of
lipopolysaccharide (LPS), the endogenous            virus binds to intracellular cell adhesion mole-    the cell, and could act as an alarm signal if
cellular molecule Hsp70, and the extracellu-        cule–1 (ICAM-1), rabies to N-CAM, and Ep-           exposed (34 ). For example, the hydrophobic
lar breakdown products of hyaluron; TLR2            stein-Barr virus to complement receptor 2, thus     part of LPS is crucial for its immunostimu-
binds bacterial lipoproteins and Hsp 60; and        activating a B cell as it enters. No one suggests   lating properties, yet LPS is normally an in-
TLR9 binds to DNA CpG sequences (found              that these molecules have evolved to act as         tegral bacterial membrane molecule and its




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in all living creatures). Thus, it appears that     receptors for pathogens. We assume instead          Hyppos are hidden in the membrane. How-
the TLRs can recognize both endogenous and          that the pathogen’s ability to bind to these        ever, when released by damaged or dead
exogenous molecules. The binding character-         molecules serves the pathogen’s agenda, not         bacteria, the newly exposed Hyppos could act
istics of a newly discovered family of intra-       ours. Similarly, the PRRs may be misnamed.          as a bacterial alarm signal (or perhaps a type
cellular proteins, called nucleotide-binding        For example, CD14, which recognizes ap-             of quorum sensor (35), perhaps signaling the
oligomerization domain (NOD) receptors, are         optotic cells (31), has been called a PRR           surviving bacteria to sporulate or otherwise
not yet as well worked out, but it is beginning     because it also binds to bacterial LPS (32).        change their behavior. Plant and animal cells
to appear that they too can respond to both         However, mice lacking CD14 resist Gram-             also have an abundant supply of hidden Hyp-
injury/pathogen-related signals and normal          negative bacteria more vigorously than              pos in their membranes and cytoplasm. Dur-
physiological signals involved with apoptosis       their normal littermates (33), suggesting           ing protein synthesis, Hsps and other chaper-
(29). Indeed, one of the puzzling features of       that the LPS-CD14 interaction is more fa-           ones bind to the Hyppos of nascent proteins
TLRs and NODs is that each one can bind to          vorable to the bacterium than to the host.          to prevent their aggregation. Should a cell be
many different kinds of molecules. How can               Thus, perhaps TLRs and NODs originally         disrupted, the Hyppos of both the nascent
one receptor—TLR4, for example— be spe-             evolved as receptors for injury-related sig-        proteins and their chaperones would be ex-
                                                                                                        posed. Future evidence may show that our
Fig. 2. Partitioning the                                                                                immune systems may thus be using TLRs and
universe of antigens.                                                                                   other receptors to respond to truly ancient
SNS models split all                                                                                    multipurpose signals of distress that cross
antigens into two sets:
self and nonself (sets
                                                                                                        species barriers.
a and b). The INS
model divides anti-                                                                                     Dangerous Self and Harmless Foreign:
gens into “noninfec-                                                                                    The Uncommon Ground Between the
tious self ” (set a) and                                                                                Two Models
“infectious nonself ”                                                                                   Although the INS version of the SNS models
(set f ), suggesting the
                                                                                                        and the Danger model have some common
existence of patho-
gen-associated molec-                                                                                   features, their basic assumptions about what
ular patterns (PAMPs)                                                                                   initiates immunity are fundamentally differ-
that are evolutionarily                                                                                 ent. Is it microbial nonself or is it danger? As
conserved on patho-                                                                                     nonself is sometimes dangerous, the defini-
gens that are evolu-                                                                                    tions overlap, but they are not identical (Fig.
tionarily very distant
                                                                                                        2). For dangerous foreign pathogens (Fig. 2,
from their hosts, and
that the host APCs can                                                                                  sets d and e) or harmless self (Fig. 2, set a),
therefore have germ                                                                                     the two models make the same predictions.
line– encoded pattern                                                                                   However, some things (Fig. 2, sets b and f)
recognition receptors                                                                                   are foreign but harmless (e.g., fetuses),
(PRRs) to detect them.                                                                                  whereas others (Fig. 2, set c) are self but
It tends to ignore the
subsets b and f. The
                                                                                                        harmful (e.g., some mutations). For these en-
Danger model parti-                                                                                     tities lying outside the overlapping sets, the
tions antigens into                                                                                     INS and Danger models make different pre-
those associated with                                                                                   dictions, and these are therefore the interest-
dangerous entities or                                                                                   ing test cases. Below I will briefly cover a
harmless ones, defin-                                                                                    few of these (10).
ing as dangerous anything that induces stress or nonphysiological death of a cell. Dangerous
entities may be self (set c), such as mutations that lead to stress or inappropriate cell death or
                                                                                                            Foreign entities that are not associated with
inefficient scavenging; or nonself, such as pathogens (set e), environmental toxins (set d), and such.   microbes include transplants and fetuses. Why
Set f would contain evolutionarily distant organisms that have PAMPs, but that are not dangerous        should the former be rejected and the latter not?
(e.g., symbiotic organisms, well-adapted viruses).                                                      Although the INS model would suggest that

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REFLECTIONS ON SELF: IMMUNITY AND BEYOND
      neither should be rejected because they are not    teresting aspect of the Danger model has been a       because they respond to stress-induced self mol-
      associated with microbial stimulators, and the     deep-rooted shift in thinking that it inspired. The   ecules rather than to the foreign entities seen by
      old SNS models would suggest that both should      shift came in two phases that abruptly expanded       the “adaptive” lymphocytes (45). These cells
      be rejected because they are nonself, the Dan-     the model’s explanatory range. Originally con-        have no place in the SNS and INS models, and
      ger model suggests that healthy fetuses should     ceived to answer the first question the immune        they have remained on the fringe of respectabil-
      not be rejected because they do not send alarm     system must consider when faced with a poten-         ity. But, seen from the standpoint that immunity
      signals. Transplants, however, cannot be per-      tial threat—namely, whether to respond—the            is governed by the tissues, these self-reactive
      formed without surgical and/or ischemic dam-       model now also offers a suggestion for the next       cells do not seem so odd (7), and Bendelac calls
      age. Thus, to induce the acceptance of trans-      question—having decided to respond, what              this “autoimmunity by design” (45). For exam-
      plants without lifelong immunosuppression, we      kind of response should it make? How does the         ple, the dendritic epidermal T cells ( T cells)
      should mimic the body’s own way of inducing        immune system know whether to generate killer         found in mouse and bovine skin all express
      tolerance, i.e., by blocking the endogenous        T cells to eliminate a virus or immunoglobulin E      exactly the same receptor (46), arise late in fetal
      alarm and/or costimulatory signals. Most of the    (IgE) antibody to catch a worm? In immunolog-         life, and emigrate in one wave to the skin, where
      current immunosuppressive drug protocols en-       ical terms, how does it determine the effector        they settle quietly. When stimulated by the ap-
      deavor to block Signal One (antigen recogni-       “class” of the response?                              pearance of stress-induced molecules on kera-
      tion). Although this effectively blindfolds the        The first shift came from the realization         tinocytes (47), they produce epidermal cell
      lymphocytes, it also prevents them from be-        that the immune system may not be the ulti-           growth factor, IL-2, and IFN- . These cells are
      coming tolerant, and consequently the drugs        mate controller of immunity. Like most im-            clearly not the kind of lymphocytes we are
      must be given for life. In contrast, studies in    munologists, I had thought that immunity is           accustomed to. They seem to be there to pro-




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      rodents and monkeys (36–38) have shown that        controlled by the cells of the “adaptive” im-         duce cytokines that heal damaged skin by in-
      short-term treatment with costimulation block-     mune system (lymphocytes) or the more an-             ducing cell growth and nudging local immunity
      ers, or blockers of alarm signaling (39), can      cient “innate” immune system (such as mac-            toward a DTH. In human gut, T cells expressing
      lead to long-term graft acceptance in the ab-      rophages, dendritic cells, and the complement         self-reactive V 6 receptors also respond to
      sence of long-term immunosuppression. Per-         system). I now believe that the ultimate pow-         stress-induced molecules (48). Many other T
      haps the lower extent of damage can explain        er lies with the tissues. When healthy, tissues       cells may be similar, responding to endogenous
      why kidneys from living donors are accepted        induce tolerance. When distressed, they stim-         stress signals rather than to foreign antigens.
      more easily than those from cadavers (4). Sim-     ulate immunity, and (continuing down this                 T cells bearing / receptors can also be
      ilarly, fetuses should not elicit immunity, in     path) they may also determine the effector            usefully self-reactive. The thymus, bone mar-
      spite of being foreign, as long as they are        class of a response. Although it has long been        row, and liver contain NK1 T cells specific for
      healthy and do not send alarm signals (10).        thought that the effector class is tailored to        the ancient MHC-like molecule, CD1, which is
          Tumors are entities for which both the INS     the targeted pathogen (e.g., virus or worm), I        expressed by activated but not resting APCs
      and the Danger models have the same predic-        now think that it is tailored to the tissue in        (49). Activated NK1 T cells from the thymus
      tion, namely, that tumors should not stimulate     which the response occurs.                            produce copious amounts of IL-4, a cytokine
      immunity, either (INS) because they are not            Different tissues seem to have different          that skews local immune responses away from
      associated with microbial stimulators, or (Dan-    means of determining the effector class of a          a DTH and toward the production of IgG1 and
      ger) because they are healthy growing cells that   response. For example, the class of response          IgE. Furthermore, T cells specific for brain
      do not send alarm signals. Thus, to eradicate a    that occurs most often in the skin (e.g., after       proteins can lessen the secondary damage that
      tumor, we should infect it (40), or cause it       exposure to poison ivy, TB tests, or subcutane-       follows neural injury (50).
      repeated damage to alert the local APCs [as Bill   ous vaccinations), called “delayed type hyper-            All of these tissue-localized cells appear
      Coley did in the late 1800s (41, 42)], or we       sensitivity” (DTH), is characterized by swell-        to be useful self-reactive cells involved in
      should vaccinate repeatedly with a tumor vac-      ing, redness, an influx of macrophages, and the       local immunity, and there may be many other
      cine that stimulates immunity.                     production of tumor necrosis factor (TNF) and         localized and/or circulating cells doing simi-
          For autoimmunity, the Danger model of-         interferon- (IFN- ). Unlike skin, however,            lar jobs. For example, a lot of effort has gone
      fers a unique suggestion that would not arise      both the gut and the eye can be destroyed by          into the search for the foreign ligands recog-
      from the SNS or the INS models. Starting           DTH responses, and the most common re-                nized by circulating        T cells. After more
      with the view that “bad” death or cell stress      sponse in these organs is the production of IgA,      than a decade, very few have been found, and
      can elicit an immune response, the model           an antibody found at high levels in tears, saliva,    these include such ubiquitous cellular mole-
      suggests that some autoimmune diseases may         milk, and gut secretions. To ensure that IgA is       cules as polyprenyl pyrophosphate (51) and
      be caused by mutations in genes governing          made, and TNF and IFN- are not, the cells of          phosphorylated nucleotides (52).
      the normal physiological death and clearance       the anterior chamber of the eye produce vaso-             Perhaps, if we move from the idea that
      processes, or by environmental pathogens or        active intestinal peptide (VIP) and transforming      every lymphocyte should be directed against
      toxins that cause cellular stress or death. In     growth factor– (TGF- ), two cytokines that            non-self antigens whose appearance stimulates
      these cases, the immune system is not at fault;    are also made by the gut and that promote a           the response, and consider instead the possibil-
      it is doing its job of responding to alarm         switch to IgA and suppress the DTH response           ity that immunity is controlled by an internal
      signals (but, in these cases, to the detriment     (43, 44). Thus, local tissue cells strongly influ-    conversation between tissues and the cells of
      of the host). If we could pinpoint these mu-       ence the local immune response.                       the immune system (53), we may regain a
      tations or environmental agents, we might be           The second shift came from the realization        renewed sense of the self that we have lost.
      able to reduce the incidence of autoimmune         that tossing out the idea that the immune system
      diseases.                                          uses SNS discrimination to decide whether to             References and Notes
                                                                                                                1. D. E. Koshland Jr., Science 248, 1273 (1990).
                                                         respond leaves us free to use self-recognition in      2. P. Matzinger, Annu. Rev. Immunol. 12, 991 (1994.)
      A Renewed Sense of Self: Expanding                 a positive way to control other aspects of the         3. The model arose from 2 years of discussions with
      the Horizons of the Danger Model                   response. Many organs harbor special popula-              Ephraim Fuchs (54).
      There is inherent beauty in a model that uses      tions of lymphocytes that appear to be evolu-          4. A. M. D’Alessandro et al., Surgery 124, 604 (1998).
                                                                                                                5. P. J. Heidt, J. M. Vossen, J. Med. 23, 161 (1992).
      very few assumptions to explain a wide variety     tionarily old, often have limited receptor diver-      6. G. R. Hill et al., Blood 90, 3204 (1997).
      of phenomena. However, for me, the most in-        sity, and have been called “innate lymphocytes”        7. P. Matzinger, Semin. Imunol. 10, 399 (1998).


304                                              12 APRIL 2002 VOL 296 SCIENCE www.sciencemag.org
REFLECTIONS ON SELF: IMMUNITY AND BEYOND
 8. P. Matzinger, Scand. J. Immunol. 54, 4 (2001).                    gen in house dust mite, is a protease that attacks the      43. J. Stavnezer, J. Immunol. 155, 1647 (1997).
 9. S. Gallucci, P. Matzinger, Curr. Opin. Immunol. 13,               surface of B cells and lung epithelium. Likewise, bee       44. H. Kimata, M. Fujimoto, Eur. J. Immunol. 24, 2262
    114 (2001).                                                       venom is not an innocuous substance. From the stand-            (1994).
10. Supplementary material is available on Science On-                point of the Danger model, it is not surprising that the    45. K. Benlagha, A. Bendelac, Semin. Immunol. 12, 537
    line at www.sciencemag.org/cgi/content/full/296/                  immune system responds to allergens. What is not clear,         (2000).
    5566/301/DC1.                                                     however, is why some individuals make IgG whereas           46. R. Boismenu, W. L. Havran, Curr. Opin. Immunol. 9,
11. F. M. Burnet, The Clonal Selection Theory of Acquired             others make IgE (the antibody associated with allergy).         57 (1997).
    Immunity (Vanderbilt Univ. Press, Nashville, TN,            22.   B. Lemaitre, E. Nicolas, L. Michaut, J. M. Reichhart,       47. M. Girardi et al., Science 294, 605 (2001).
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12. R. Owen, Science 102, 400 (1945).                                                                                             49. A. Bendelac et al., Annu. Rev. Immunol. 15, 535 (1997).
                                                                23.   R. Medzhitov, P. Preston-Hurlburt, C. A. Janeway Jr.,
13. R. E. Billingham, L. Brent, P. B. Medawar, Nature 172,                                                                        50. M. Schwartz, J. Mol. Med. 78, 594 (2001).
                                                                      Nature 388, 394 (1997).
    603 (1953).                                                                                                                   51. C. T. Morita et al., Res. Immunol. 147, 347 (1996).
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14. P. Bretscher, M. Cohn, Science 169, 1042 (1970).                  (2000).
15. K. J. Lafferty, A. Cunningham, Aust. J. Exp. Biol. Med.                                                                       53. The Network model, which proposed that “self ” is
                                                                25.   D. A. Kimbrell, B. Beutler, Nature Rev. Genet. 2, 256
    Sci. 53, 27 (1975).                                                                                                               defined in a positive way, also emphasized the idea of
                                                                      (2001).
16. M. K. Jenkins, R. H. Schwartz, J. Exp. Med. 165, 302                                                                              connectedness. The idea was that lymphocytes react
                                                                26.   A. Aderem, R. J. Ulevitch, Nature 406, 782 (2000).
    (1987).                                                     27.   S. Akira, K. Takeda, T. Kaisho, Nature Immunol. 2, 675          against each other’s antigen-specific receptors and
17. C. A. Janeway Jr., Cold Spring Harbor Symp. Quant.                (2001).                                                         maintain a balance of self-reactive and foreign-reactive
    Biol. 54, 1 (1989).                                         28.   K. Ishii et al., J. Immunol. 167, 2602 (2001).                  cells (55). The proponents of the network have been
18.          , Immunol. Today 13, 11 (1992).                    29.   N. Inohara, G. Nunez, Oncogene 20, 6473 (2001).                 arguing for years that the study of single lymphocytes
19. R. Medzhitov, C. A. Janeway Jr., Science 296, 298 (2001).   30.   J. Aliberti et al., Nature Immunol. 1, 83 (2000).               is an inappropriate way to study the immune system,
20. Like physicists, who deduced the need for a new particle    31.   A. Devitt et al., Nature 392, 505 (1998).                       but that we should study the connectivity between cells
    based on the behavior of the system, Bretscher and          32.   J. Pugin et al., Immunity 1, 509 (1994).                        (56) Finally, after years of finding the model intriguing,
    Cohn (14) and Lafferty and Cunningham (15) postulat-        33.   A. Haziot et al., Immunity 4, 407 (1996).                       but narrow, I agree. However, I think that we should not




                                                                                                                                                                                                   Downloaded from www.sciencemag.org on October 1, 2009
    ed cells and/or signals for which, at the time, there was   34.   S. Y. Seong, personal communication.                            limit the study to interactions between lymphocytes
    no evidence. Later experiments showed resoundingly          35.   C. Fuqua, M. R. Parsek, E. P. Greenberg, Annu. Rev.             but expand it to include their conversations with all the
    that they were correct. In a similar vein, Janeway pos-           Genet. 35, 439 (2001).                                          bodily tissues, which have the ultimate say.
    tulated a new state for a previously known cell, the APC.   36.   C. P. Larsen et al., Nature 381, 434 (1996).                54. M. Matzinger, E. Fuchs, J. NIH Res. 8, 35 (1996).
    Up to that time, APCs were thought to be constitutively     37.   D. J. Lenschow et al., Transplantation 60, 1171 (1995).     55. N. Jerne, Ann. Immunol. (Paris) 125C, 373 (1974).
    active, but a seemingly small glitch in the behavior of     38.   A. D. Kirk et al., Proc. Natl. Acad. Sci. U.S.A. 94, 8789   56. A. Coutinho, Scand. J. Immunol. 42, 3 (1995).
    the system (the need for adjuvant) led him to suggest             (1997).                                                     57. I thank past and present members of the ghost lab (S.
    that they were normally quiescent and needed to be          39.   J. C. J Thomas et al., Transplantation 68, 1660 (1999).         Gallucci, J. Wright, S. Wolf, K. Abdi, E. Bachelder, O.
    activated. These insights showed that theoretical biol-     40.   J. Lindenmann, P. A. Klein, J. Exp. Med. 126, 93                Alpan, P. Rohwer-Nutter, A. Perez, R. Massey, and D.
    ogy and physics may have more in common than is                   (1967).                                                         Culp), as well as H. Arnheiter and Y. Rosenberg for
    sometimes thought.                                          41.   W. B. Coley, JAMA (20 August 1898), p. 389.                     comments on the manuscript. I would also like to
21. Allergy, for example, is a partial conundrum. Many aller-   42.   S. S. Hall, A Commotion in the Blood (Holt, NY, 1998),          send a kiss to the anonymous referee who placed a
    gens are dangerous substances. Der-p1, the major aller-           p. 198.                                                         heavy but appropriate boot in the right place.



                                                                                    VIEWPOINT


                             Recognition and Rejection of Self
                                  in Plant Reproduction
                                                                                 June B. Nasrallah

        Plant self-incompatibility (SI) systems are unique among self/nonself                                                     ments that are tolerated and do not elicit a
        recognition systems in being based on the recognition of self rather than                                                 response. In SI, self is the condition that
        nonself. SI in crucifer species is controlled by highly polymorphic and                                                   elicits the response and is inhibited, where-
        co-evolving genes linked in a complex. Self recognition is based on                                                       as nonself is the condition that is ignored
        allele-specific interactions between stigma receptors and pollen ligands                                                   and does not elicit a response.
        that result in the arrest of pollen tube development. Commonalities and
        differences between SI and other self/nonself discrimination systems are                                                  A Variety of Plant SI Systems
        discussed.                                                                                                                As an advantageous outbreeding device, SI
                                                                                                                                  is widely distributed in flowering plants
The concept of self/nonself discrimination                      outcome, namely the inhibition of self-related                    (2). It evolved independently in several
was elaborated by Burnet (1) as a way to                        pollen tube development and, consequently,                        lineages, and the SI systems adopted by
describe specificity in the immune response                     the prevention of sperm cell delivery to the                      different plant families vary with respect to
and is most often associated with the field of                  ovules.                                                           site and mechanism of self inhibition. In
immunology. It is perhaps less well known                           SI systems are said to discriminate be-                       self-incompatible species of the crucifer
that, in the plant kingdom, sophisticated self-                 tween self and nonself because they pro-                          family (e.g., Brassica species and close
recognition systems have evolved that allow                     duce different outcomes in self- and cross-                       relatives of Arabidopsis thaliana), SI dis-
plants with perfect (hermaphroditic) flowers                    pollinations. Specificity in SI is typically                      rupts hydration and germination of a pollen
to avoid inbreeding. These intraspecific                        controlled by one or more highly polymor-                         grain on the stigma epidermis, thus pre-
prefertilization mating barriers are collective-                phic genetic loci. In the context of SI, self                     venting growth of pollen tubes into the
ly known as self-incompatibility (SI). This                     and nonself mean, respectively, genetic                           subepidermal tissues of the pistil. In other
term encompasses several systems that are                       identity and nonidentity at the SI locus (or                      families, SI acts after pollen germination
mechanistically distinct but have the same                      loci) in pistils and pollen. The outcome of                       and pollen tube ingress into the pistil, either
                                                                this discrimination is the converse of that of                    within the stigmatic zone (as in the poppy
Department of Plant Biology, Cornell University,                the immune response, in which case self                           family), or later, within the style (as in the
Ithaca, NY 14853, USA. *E-mail: jbn2@cornell.edu                has been classically defined as those ele-                        tobacco, rose, and snapdragon families).

                                                       www.sciencemag.org SCIENCE VOL 296 12 APRIL 2002                                                                                           305

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The Danger Model

  • 1. REFLECTIONS ON SELF: IMMUNITY AND BEYOND VIEWPOINT The Danger Model: A Renewed Sense of Self Polly Matzinger For over 50 years immunologists have based their thoughts, experiments, the discovery that activated B lymphocytes and clinical treatments on the idea that the immune system functions by hypermutate, creating new, potentially self- making a distinction between self and nonself. Although this paradigm has reactive cells. Realizing that autoimmunity often served us well, years of detailed examination have revealed a would be rare if immunity required the coop- number of inherent problems. This Viewpoint outlines a model of immu- eration of two cells, Bretscher and Cohn (14 ) nity based on the idea that the immune system is more concerned with added a new cell (the helper, later found to be entities that do damage than with those that are foreign. a T cell) and a new signal (help), proposing that the B cell would die if it recognized First, do no harm. been incorporated into previous models [for antigen in the absence of help (Fig. 1B). In –Hippocratic oath example, why major histocompatibility com- 1975, Lafferty and Cunningham (15) dealt plex (MHC)–mismatched kidney transplants with the finding that T cells respond more Downloaded from www.sciencemag.org on October 1, 2009 Of all the mysteries in modern science, the from living donors often perform better than strongly against foreign cells of their own mechanisms of self versus nonself recognition MHC-compatible kidneys from cadavers (4); species than against cells of another species, in the immune system ranks at or near the why liver transplants are rejected less vigor- by adding another cell and another signal. top. ously than hearts; why women seem to be They proposed that T cells also need a second –D. E. Koshland Jr. (1) more susceptible than men to certain autoim- signal (named “costimulation”), which they As a graduate student, I was taught that mune diseases; why Rh disease of the new- receive from “stimulator” cells [now called the immune system functions by discriminat- born is a problem in the second pregnancy, antigen-presenting cells (APCs)], and sug- ing between self (defined early in life) and but not the first; why graft-versus-host dis- gested that this signal is species specific (Fig. nonself (anything that comes later), tolerating ease is less severe in recipients that have had 1C). self and attacking nonself. Although this el- gentle rather than harsh preconditioning treat- egantly simple idea seemed to make a lot of ments (5, 6 ); and so on] without adding The Infectious-Nonself (INS) Model sense, it had problems from the beginning special new situation-specific assumptions. The need for costimulation posed a major and has failed over the years to explain a This Viewpoint will first trace the history problem for SNS models. If, as they assumed, great number of findings. For example, what of the self-nonself (SNS) model, showing the decision to respond is made by antigen- happens when “self ” changes? How do or- how it had to be modified over the years to specific cells, and if self-reactive ones are ganisms go through puberty, metamorphosis, accommodate new data, then give a brief deleted, then immunity can be directed pregnancy, and aging without attacking new- description of the Danger model, and show against nonself. If, however, responses are ly changed tissues? Why do mammalian how it is leading us to a new way of thinking initiated by APCs, which are not antigen mothers not reject their fetuses or attack their about self-recognition. Those readers who specific (they capture all sorts of self and newly lactating breasts, which produce milk may already have encountered some of these foreign substances), then immunity cannot be proteins that were not part of earlier “self ”? concepts (2, 7–9) will find more details in the directed only against nonself. The concept of Why do we fail to make immune responses to supplementary Web material on Science On- costimulation was therefore essentially ig- vaccines composed of inert foreign proteins line (10). nored until it was rediscovered experimental- unless we add noxious substances, collective- ly by Jenkins and Schwartz in 1986 (16 ). In ly known as “adjuvants”? Why do we fail to The Self-Nonself Models 1989, Janeway offered an ingenious solution reject tumors, even when many clearly ex- Burnet’s original model (11) suggested (Fig. (17), suggesting that APCs have their own press new or mutated proteins? Why do most 1) that (i) each lymphocyte expresses multi- form of SNS discrimination and can recog- of us harbor autoreactive lymphocytes with- ple copies of a single surface receptor specif- nize evolutionarily distant pathogens. He pro- out any sign of autoimmune disease, while a ic for a foreign entity, (ii) signaling through posed that APCs are quiescent (a very impor- few individuals succumb? this surface antibody initiates the immune tant and previously unappreciated point) until To answer some of these questions, I pro- response, and (iii) the self-reactive lympho- they are activated via a set of germ line– posed the Danger model, which suggests that cytes are deleted early in life [based on encoded pattern recognition receptors (PRRs) the immune system is more concerned with Owen’s discovery that nonidentical cattle that recognize conserved pathogen-associated damage than with foreignness, and is called twins were mutually tolerant of each other’s molecular patterns (PAMPs) on bacteria. On into action by alarm signals from injured blood cells (12)]. This straightforward model activation, APCs up-regulate costimulatory tissues, rather than by the recognition of non- gained general acceptance when Medawar et signals, process the bacterial antigens, and self (2, 3). In the intervening 7 years, in al. found that adult mice would accept for- present them to passing T cells (Fig. 1D). The conversations with a wide variety of people, I eign skin grafts if they had been injected as PRRs, he wrote, allow APCs to discriminate discovered that this simple idea not only of- babies with cells from the donors (13). In between “infectious-nonself ” and “noninfec- fers answers to broad immunological ques- 1960, Burnet and Medawar shared the Nobel tious-self ” (18). tions, it also covers many details that had not Prize for their work, and the SNS discrimi- Although the essence of SNS recognition nation model has dominated the field ever was temporarily saved, Janeway’s infectious- since. nonself (INS) model created new complexi- Ghost Lab, Laboratory for Cellular and Molecular Im- munology, National Institute of Allergy and Infectious The original SNS model has changed, ties while solving old problems. It could not Diseases, National Institutes of Health, Bethesda, MD however, to accommodate incompatible new explain why viruses stimulate immunity, why 20892, USA. E-mail: pcm@helix.nih.gov findings. It was first modified in 1969, after transplants are rejected, what induces autoim- www.sciencemag.org SCIENCE VOL 296 12 APRIL 2002 301
  • 2. REFLECTIONS ON SELF: IMMUNITY AND BEYOND munity, why tumors are sometimes spontane- forth (Fig. 1e). Although purely theoretical at predictive power of this model provides insight ously rejected, or how nonbacterial adju- the time (20), many alarm signals have since into many of the things that the immune system vants, such as alum, work. Over the years, been empirically revealed (9). Alarm signals does right, as well as many of the things it Janeway’s model has been modified to ac- can be constitutive or inducible, intracellular seems to get wrong (21). count for some of these issues (see Viewpoint or secreted, or even a part of the extracellular by Medzhitov and Janeway in this issue) matrix. Because cells dying by normal pro- Danger Signals: Common Ground for (19), suggesting, for example, that viral dou- grammed processes are usually scavenged the INS and Danger Models? ble-stranded mRNA is a signature of foreign- before they disintegrate, whereas cells that Although they differ greatly in detail, both ness. What then of viruses that do not gener- die necrotically release their contents, any the INS and the Danger models assume that ate double-stranded RNA, adjuvants that do intracellular product could potentially be a resting APCs can be activated by signals not incorporate bacterial products, trans- danger signal when released. Inducible alarm from their immediate environment. The INS plants, and autoimmunity? Even with all of signals could include any substance made, or model has found support in the recent discov- the modifications that SNS/INS models have modified, by distressed or injured cells. The ery of the evolutionarily conserved membrane- undergone over the years, they still have dif- important feature is that danger/alarm signals bound Toll-like receptors (TLRs), which act as ficulty with some of these fundamental pro- should not be sent by healthy cells or by cells PRRs for components of bacteria and fungi, cesses. undergoing normal physiological deaths. and initiate immune responses in organisms Although this may seem to be just one more as distant as flies and mammals (22–26 ). The Danger Model step down the path of slowly increasingly com- There are presently 10 known mammalian Standing on the shoulders of the SNS models, plex cellular interactions, this small step drops TLRs, which bind a wide range of biological Downloaded from www.sciencemag.org on October 1, 2009 the Danger model added another layer of us off a cliff, landing us in a totally different molecules and awaken resting APCs (27 ). cells and signals (2), proposing that APCs are viewpoint, in which the “foreignness” of a The Danger model has been supported by activated by danger/alarm signals from in- pathogen is not the important feature that trig- the discovery of endogenous, nonforeign alarm jured cells, such as those exposed to patho- gers a response, and “self-ness” is no guarantee signals (9), including mammalian DNA (28), gens, toxins, mechanical damage, and so of tolerance. The surprising explanatory and RNA, heat shock proteins (Hsps), interferon- Fig. 1. A history of immunological models. 302 12 APRIL 2002 VOL 296 SCIENCE www.sciencemag.org
  • 3. REFLECTIONS ON SELF: IMMUNITY AND BEYOND (an inducible protein often made by virus-in- cific for a bacterial LPS, cellular Hsp70 pro- nals, and the microbes subsequently evolved fected cells), interleukin-1 , CD40-L (a surface tein, and hyaluron? mechanisms to use these receptors to enhance molecule on activated platelets and activated T One possibility is that we may be looking at their own survival. From this vantage point, it cells), and breakdown products of hyaluron the PRRs completely backwards (7). Perhaps may no longer be surprising that the TLRs (made when vessels are damaged). PRRs have not evolved to bind to pathogens at bind to so many different kinds of molecule, There is no reason why APCs should not all. Perhaps the pathogens have evolved to bind as each type of pathogen will have evolved its respond to both endogenous and exogenous to them! Many cell surface molecules involved own way of binding to a TLR. signals. Vertebrates and bacteria have shared in normal physiological functions are targeted S. Y. Seong has suggested the even more eons of evolutionary time and space, and thus by pathogens. Human immunodeficiency virus, intriguing possibility (34) that the same receptors for endogenous and exogenous sig- for example, binds to CD4, CCR5, and CxCR4, alarm signals may be used by many different nals may have evolved simultaneously. In- and Toxoplasma also seems to bind to CCR5 organisms. Because life evolved in water, any deed, there is evidence that these receptors (30), whereas Staphylococcus and Streptococ- hydrophobic portion (Hyppo) of a given mol- are often the same molecules. For example, cus bind to a conserved loop on T cell receptors ecule is usually buried in the depths of that TLR4 is a receptor for the bacterial product and to the Fc portion of antibodies. Coxsackie molecule, or hidden in the lipid membrane of lipopolysaccharide (LPS), the endogenous virus binds to intracellular cell adhesion mole- the cell, and could act as an alarm signal if cellular molecule Hsp70, and the extracellu- cule–1 (ICAM-1), rabies to N-CAM, and Ep- exposed (34 ). For example, the hydrophobic lar breakdown products of hyaluron; TLR2 stein-Barr virus to complement receptor 2, thus part of LPS is crucial for its immunostimu- binds bacterial lipoproteins and Hsp 60; and activating a B cell as it enters. No one suggests lating properties, yet LPS is normally an in- TLR9 binds to DNA CpG sequences (found that these molecules have evolved to act as tegral bacterial membrane molecule and its Downloaded from www.sciencemag.org on October 1, 2009 in all living creatures). Thus, it appears that receptors for pathogens. We assume instead Hyppos are hidden in the membrane. How- the TLRs can recognize both endogenous and that the pathogen’s ability to bind to these ever, when released by damaged or dead exogenous molecules. The binding character- molecules serves the pathogen’s agenda, not bacteria, the newly exposed Hyppos could act istics of a newly discovered family of intra- ours. Similarly, the PRRs may be misnamed. as a bacterial alarm signal (or perhaps a type cellular proteins, called nucleotide-binding For example, CD14, which recognizes ap- of quorum sensor (35), perhaps signaling the oligomerization domain (NOD) receptors, are optotic cells (31), has been called a PRR surviving bacteria to sporulate or otherwise not yet as well worked out, but it is beginning because it also binds to bacterial LPS (32). change their behavior. Plant and animal cells to appear that they too can respond to both However, mice lacking CD14 resist Gram- also have an abundant supply of hidden Hyp- injury/pathogen-related signals and normal negative bacteria more vigorously than pos in their membranes and cytoplasm. Dur- physiological signals involved with apoptosis their normal littermates (33), suggesting ing protein synthesis, Hsps and other chaper- (29). Indeed, one of the puzzling features of that the LPS-CD14 interaction is more fa- ones bind to the Hyppos of nascent proteins TLRs and NODs is that each one can bind to vorable to the bacterium than to the host. to prevent their aggregation. Should a cell be many different kinds of molecules. How can Thus, perhaps TLRs and NODs originally disrupted, the Hyppos of both the nascent one receptor—TLR4, for example— be spe- evolved as receptors for injury-related sig- proteins and their chaperones would be ex- posed. Future evidence may show that our Fig. 2. Partitioning the immune systems may thus be using TLRs and universe of antigens. other receptors to respond to truly ancient SNS models split all multipurpose signals of distress that cross antigens into two sets: self and nonself (sets species barriers. a and b). The INS model divides anti- Dangerous Self and Harmless Foreign: gens into “noninfec- The Uncommon Ground Between the tious self ” (set a) and Two Models “infectious nonself ” Although the INS version of the SNS models (set f ), suggesting the and the Danger model have some common existence of patho- gen-associated molec- features, their basic assumptions about what ular patterns (PAMPs) initiates immunity are fundamentally differ- that are evolutionarily ent. Is it microbial nonself or is it danger? As conserved on patho- nonself is sometimes dangerous, the defini- gens that are evolu- tions overlap, but they are not identical (Fig. tionarily very distant 2). For dangerous foreign pathogens (Fig. 2, from their hosts, and that the host APCs can sets d and e) or harmless self (Fig. 2, set a), therefore have germ the two models make the same predictions. line– encoded pattern However, some things (Fig. 2, sets b and f) recognition receptors are foreign but harmless (e.g., fetuses), (PRRs) to detect them. whereas others (Fig. 2, set c) are self but It tends to ignore the subsets b and f. The harmful (e.g., some mutations). For these en- Danger model parti- tities lying outside the overlapping sets, the tions antigens into INS and Danger models make different pre- those associated with dictions, and these are therefore the interest- dangerous entities or ing test cases. Below I will briefly cover a harmless ones, defin- few of these (10). ing as dangerous anything that induces stress or nonphysiological death of a cell. Dangerous entities may be self (set c), such as mutations that lead to stress or inappropriate cell death or Foreign entities that are not associated with inefficient scavenging; or nonself, such as pathogens (set e), environmental toxins (set d), and such. microbes include transplants and fetuses. Why Set f would contain evolutionarily distant organisms that have PAMPs, but that are not dangerous should the former be rejected and the latter not? (e.g., symbiotic organisms, well-adapted viruses). Although the INS model would suggest that www.sciencemag.org SCIENCE VOL 296 12 APRIL 2002 303
  • 4. REFLECTIONS ON SELF: IMMUNITY AND BEYOND neither should be rejected because they are not teresting aspect of the Danger model has been a because they respond to stress-induced self mol- associated with microbial stimulators, and the deep-rooted shift in thinking that it inspired. The ecules rather than to the foreign entities seen by old SNS models would suggest that both should shift came in two phases that abruptly expanded the “adaptive” lymphocytes (45). These cells be rejected because they are nonself, the Dan- the model’s explanatory range. Originally con- have no place in the SNS and INS models, and ger model suggests that healthy fetuses should ceived to answer the first question the immune they have remained on the fringe of respectabil- not be rejected because they do not send alarm system must consider when faced with a poten- ity. But, seen from the standpoint that immunity signals. Transplants, however, cannot be per- tial threat—namely, whether to respond—the is governed by the tissues, these self-reactive formed without surgical and/or ischemic dam- model now also offers a suggestion for the next cells do not seem so odd (7), and Bendelac calls age. Thus, to induce the acceptance of trans- question—having decided to respond, what this “autoimmunity by design” (45). For exam- plants without lifelong immunosuppression, we kind of response should it make? How does the ple, the dendritic epidermal T cells ( T cells) should mimic the body’s own way of inducing immune system know whether to generate killer found in mouse and bovine skin all express tolerance, i.e., by blocking the endogenous T cells to eliminate a virus or immunoglobulin E exactly the same receptor (46), arise late in fetal alarm and/or costimulatory signals. Most of the (IgE) antibody to catch a worm? In immunolog- life, and emigrate in one wave to the skin, where current immunosuppressive drug protocols en- ical terms, how does it determine the effector they settle quietly. When stimulated by the ap- deavor to block Signal One (antigen recogni- “class” of the response? pearance of stress-induced molecules on kera- tion). Although this effectively blindfolds the The first shift came from the realization tinocytes (47), they produce epidermal cell lymphocytes, it also prevents them from be- that the immune system may not be the ulti- growth factor, IL-2, and IFN- . These cells are coming tolerant, and consequently the drugs mate controller of immunity. Like most im- clearly not the kind of lymphocytes we are must be given for life. In contrast, studies in munologists, I had thought that immunity is accustomed to. They seem to be there to pro- Downloaded from www.sciencemag.org on October 1, 2009 rodents and monkeys (36–38) have shown that controlled by the cells of the “adaptive” im- duce cytokines that heal damaged skin by in- short-term treatment with costimulation block- mune system (lymphocytes) or the more an- ducing cell growth and nudging local immunity ers, or blockers of alarm signaling (39), can cient “innate” immune system (such as mac- toward a DTH. In human gut, T cells expressing lead to long-term graft acceptance in the ab- rophages, dendritic cells, and the complement self-reactive V 6 receptors also respond to sence of long-term immunosuppression. Per- system). I now believe that the ultimate pow- stress-induced molecules (48). Many other T haps the lower extent of damage can explain er lies with the tissues. When healthy, tissues cells may be similar, responding to endogenous why kidneys from living donors are accepted induce tolerance. When distressed, they stim- stress signals rather than to foreign antigens. more easily than those from cadavers (4). Sim- ulate immunity, and (continuing down this T cells bearing / receptors can also be ilarly, fetuses should not elicit immunity, in path) they may also determine the effector usefully self-reactive. The thymus, bone mar- spite of being foreign, as long as they are class of a response. Although it has long been row, and liver contain NK1 T cells specific for healthy and do not send alarm signals (10). thought that the effector class is tailored to the ancient MHC-like molecule, CD1, which is Tumors are entities for which both the INS the targeted pathogen (e.g., virus or worm), I expressed by activated but not resting APCs and the Danger models have the same predic- now think that it is tailored to the tissue in (49). Activated NK1 T cells from the thymus tion, namely, that tumors should not stimulate which the response occurs. produce copious amounts of IL-4, a cytokine immunity, either (INS) because they are not Different tissues seem to have different that skews local immune responses away from associated with microbial stimulators, or (Dan- means of determining the effector class of a a DTH and toward the production of IgG1 and ger) because they are healthy growing cells that response. For example, the class of response IgE. Furthermore, T cells specific for brain do not send alarm signals. Thus, to eradicate a that occurs most often in the skin (e.g., after proteins can lessen the secondary damage that tumor, we should infect it (40), or cause it exposure to poison ivy, TB tests, or subcutane- follows neural injury (50). repeated damage to alert the local APCs [as Bill ous vaccinations), called “delayed type hyper- All of these tissue-localized cells appear Coley did in the late 1800s (41, 42)], or we sensitivity” (DTH), is characterized by swell- to be useful self-reactive cells involved in should vaccinate repeatedly with a tumor vac- ing, redness, an influx of macrophages, and the local immunity, and there may be many other cine that stimulates immunity. production of tumor necrosis factor (TNF) and localized and/or circulating cells doing simi- For autoimmunity, the Danger model of- interferon- (IFN- ). Unlike skin, however, lar jobs. For example, a lot of effort has gone fers a unique suggestion that would not arise both the gut and the eye can be destroyed by into the search for the foreign ligands recog- from the SNS or the INS models. Starting DTH responses, and the most common re- nized by circulating T cells. After more with the view that “bad” death or cell stress sponse in these organs is the production of IgA, than a decade, very few have been found, and can elicit an immune response, the model an antibody found at high levels in tears, saliva, these include such ubiquitous cellular mole- suggests that some autoimmune diseases may milk, and gut secretions. To ensure that IgA is cules as polyprenyl pyrophosphate (51) and be caused by mutations in genes governing made, and TNF and IFN- are not, the cells of phosphorylated nucleotides (52). the normal physiological death and clearance the anterior chamber of the eye produce vaso- Perhaps, if we move from the idea that processes, or by environmental pathogens or active intestinal peptide (VIP) and transforming every lymphocyte should be directed against toxins that cause cellular stress or death. In growth factor– (TGF- ), two cytokines that non-self antigens whose appearance stimulates these cases, the immune system is not at fault; are also made by the gut and that promote a the response, and consider instead the possibil- it is doing its job of responding to alarm switch to IgA and suppress the DTH response ity that immunity is controlled by an internal signals (but, in these cases, to the detriment (43, 44). Thus, local tissue cells strongly influ- conversation between tissues and the cells of of the host). If we could pinpoint these mu- ence the local immune response. the immune system (53), we may regain a tations or environmental agents, we might be The second shift came from the realization renewed sense of the self that we have lost. able to reduce the incidence of autoimmune that tossing out the idea that the immune system diseases. uses SNS discrimination to decide whether to References and Notes 1. D. E. Koshland Jr., Science 248, 1273 (1990). respond leaves us free to use self-recognition in 2. P. Matzinger, Annu. Rev. Immunol. 12, 991 (1994.) A Renewed Sense of Self: Expanding a positive way to control other aspects of the 3. The model arose from 2 years of discussions with the Horizons of the Danger Model response. Many organs harbor special popula- Ephraim Fuchs (54). There is inherent beauty in a model that uses tions of lymphocytes that appear to be evolu- 4. A. M. D’Alessandro et al., Surgery 124, 604 (1998). 5. P. J. Heidt, J. M. Vossen, J. Med. 23, 161 (1992). very few assumptions to explain a wide variety tionarily old, often have limited receptor diver- 6. G. R. Hill et al., Blood 90, 3204 (1997). of phenomena. However, for me, the most in- sity, and have been called “innate lymphocytes” 7. P. Matzinger, Semin. Imunol. 10, 399 (1998). 304 12 APRIL 2002 VOL 296 SCIENCE www.sciencemag.org
  • 5. REFLECTIONS ON SELF: IMMUNITY AND BEYOND 8. P. Matzinger, Scand. J. Immunol. 54, 4 (2001). gen in house dust mite, is a protease that attacks the 43. J. Stavnezer, J. Immunol. 155, 1647 (1997). 9. S. Gallucci, P. Matzinger, Curr. Opin. Immunol. 13, surface of B cells and lung epithelium. Likewise, bee 44. H. Kimata, M. Fujimoto, Eur. J. Immunol. 24, 2262 114 (2001). venom is not an innocuous substance. From the stand- (1994). 10. Supplementary material is available on Science On- point of the Danger model, it is not surprising that the 45. K. Benlagha, A. Bendelac, Semin. Immunol. 12, 537 line at www.sciencemag.org/cgi/content/full/296/ immune system responds to allergens. What is not clear, (2000). 5566/301/DC1. however, is why some individuals make IgG whereas 46. R. Boismenu, W. L. Havran, Curr. Opin. Immunol. 9, 11. F. M. Burnet, The Clonal Selection Theory of Acquired others make IgE (the antibody associated with allergy). 57 (1997). Immunity (Vanderbilt Univ. Press, Nashville, TN, 22. B. Lemaitre, E. Nicolas, L. Michaut, J. M. Reichhart, 47. M. Girardi et al., Science 294, 605 (2001). 1959). J. A. Hoffmann, Cell 86, 973 (1996). 48. V. Groh et al., Science 279, 1737 (1998). 12. R. Owen, Science 102, 400 (1945). 49. A. Bendelac et al., Annu. Rev. Immunol. 15, 535 (1997). 23. R. Medzhitov, P. Preston-Hurlburt, C. A. Janeway Jr., 13. R. E. Billingham, L. Brent, P. B. Medawar, Nature 172, 50. M. Schwartz, J. Mol. Med. 78, 594 (2001). Nature 388, 394 (1997). 603 (1953). 51. C. T. Morita et al., Res. Immunol. 147, 347 (1996). 24. R. Medzhitov, C. Janeway Jr., Trends Microbiol. 8, 452 52. P. Constant et al., Science 264, 267 (1994). 14. P. Bretscher, M. Cohn, Science 169, 1042 (1970). (2000). 15. K. J. Lafferty, A. Cunningham, Aust. J. Exp. Biol. Med. 53. The Network model, which proposed that “self ” is 25. D. A. Kimbrell, B. Beutler, Nature Rev. Genet. 2, 256 Sci. 53, 27 (1975). defined in a positive way, also emphasized the idea of (2001). 16. M. K. Jenkins, R. H. Schwartz, J. Exp. Med. 165, 302 connectedness. The idea was that lymphocytes react 26. A. Aderem, R. J. Ulevitch, Nature 406, 782 (2000). (1987). 27. S. Akira, K. Takeda, T. Kaisho, Nature Immunol. 2, 675 against each other’s antigen-specific receptors and 17. C. A. Janeway Jr., Cold Spring Harbor Symp. Quant. (2001). maintain a balance of self-reactive and foreign-reactive Biol. 54, 1 (1989). 28. K. Ishii et al., J. Immunol. 167, 2602 (2001). cells (55). The proponents of the network have been 18. , Immunol. Today 13, 11 (1992). 29. N. Inohara, G. Nunez, Oncogene 20, 6473 (2001). arguing for years that the study of single lymphocytes 19. R. Medzhitov, C. A. Janeway Jr., Science 296, 298 (2001). 30. J. Aliberti et al., Nature Immunol. 1, 83 (2000). is an inappropriate way to study the immune system, 20. Like physicists, who deduced the need for a new particle 31. A. Devitt et al., Nature 392, 505 (1998). but that we should study the connectivity between cells based on the behavior of the system, Bretscher and 32. J. Pugin et al., Immunity 1, 509 (1994). (56) Finally, after years of finding the model intriguing, Cohn (14) and Lafferty and Cunningham (15) postulat- 33. A. Haziot et al., Immunity 4, 407 (1996). but narrow, I agree. However, I think that we should not Downloaded from www.sciencemag.org on October 1, 2009 ed cells and/or signals for which, at the time, there was 34. S. Y. Seong, personal communication. limit the study to interactions between lymphocytes no evidence. Later experiments showed resoundingly 35. C. Fuqua, M. R. Parsek, E. P. Greenberg, Annu. Rev. but expand it to include their conversations with all the that they were correct. In a similar vein, Janeway pos- Genet. 35, 439 (2001). bodily tissues, which have the ultimate say. tulated a new state for a previously known cell, the APC. 36. C. P. Larsen et al., Nature 381, 434 (1996). 54. M. Matzinger, E. Fuchs, J. NIH Res. 8, 35 (1996). Up to that time, APCs were thought to be constitutively 37. D. J. Lenschow et al., Transplantation 60, 1171 (1995). 55. N. Jerne, Ann. Immunol. (Paris) 125C, 373 (1974). active, but a seemingly small glitch in the behavior of 38. A. D. Kirk et al., Proc. Natl. Acad. Sci. U.S.A. 94, 8789 56. A. Coutinho, Scand. J. Immunol. 42, 3 (1995). the system (the need for adjuvant) led him to suggest (1997). 57. I thank past and present members of the ghost lab (S. that they were normally quiescent and needed to be 39. J. C. J Thomas et al., Transplantation 68, 1660 (1999). Gallucci, J. Wright, S. Wolf, K. Abdi, E. Bachelder, O. activated. These insights showed that theoretical biol- 40. J. Lindenmann, P. A. Klein, J. Exp. Med. 126, 93 Alpan, P. Rohwer-Nutter, A. Perez, R. Massey, and D. ogy and physics may have more in common than is (1967). Culp), as well as H. Arnheiter and Y. Rosenberg for sometimes thought. 41. W. B. Coley, JAMA (20 August 1898), p. 389. comments on the manuscript. I would also like to 21. Allergy, for example, is a partial conundrum. Many aller- 42. S. S. Hall, A Commotion in the Blood (Holt, NY, 1998), send a kiss to the anonymous referee who placed a gens are dangerous substances. Der-p1, the major aller- p. 198. heavy but appropriate boot in the right place. VIEWPOINT Recognition and Rejection of Self in Plant Reproduction June B. Nasrallah Plant self-incompatibility (SI) systems are unique among self/nonself ments that are tolerated and do not elicit a recognition systems in being based on the recognition of self rather than response. In SI, self is the condition that nonself. SI in crucifer species is controlled by highly polymorphic and elicits the response and is inhibited, where- co-evolving genes linked in a complex. Self recognition is based on as nonself is the condition that is ignored allele-specific interactions between stigma receptors and pollen ligands and does not elicit a response. that result in the arrest of pollen tube development. Commonalities and differences between SI and other self/nonself discrimination systems are A Variety of Plant SI Systems discussed. As an advantageous outbreeding device, SI is widely distributed in flowering plants The concept of self/nonself discrimination outcome, namely the inhibition of self-related (2). It evolved independently in several was elaborated by Burnet (1) as a way to pollen tube development and, consequently, lineages, and the SI systems adopted by describe specificity in the immune response the prevention of sperm cell delivery to the different plant families vary with respect to and is most often associated with the field of ovules. site and mechanism of self inhibition. In immunology. It is perhaps less well known SI systems are said to discriminate be- self-incompatible species of the crucifer that, in the plant kingdom, sophisticated self- tween self and nonself because they pro- family (e.g., Brassica species and close recognition systems have evolved that allow duce different outcomes in self- and cross- relatives of Arabidopsis thaliana), SI dis- plants with perfect (hermaphroditic) flowers pollinations. Specificity in SI is typically rupts hydration and germination of a pollen to avoid inbreeding. These intraspecific controlled by one or more highly polymor- grain on the stigma epidermis, thus pre- prefertilization mating barriers are collective- phic genetic loci. In the context of SI, self venting growth of pollen tubes into the ly known as self-incompatibility (SI). This and nonself mean, respectively, genetic subepidermal tissues of the pistil. In other term encompasses several systems that are identity and nonidentity at the SI locus (or families, SI acts after pollen germination mechanistically distinct but have the same loci) in pistils and pollen. The outcome of and pollen tube ingress into the pistil, either this discrimination is the converse of that of within the stigmatic zone (as in the poppy Department of Plant Biology, Cornell University, the immune response, in which case self family), or later, within the style (as in the Ithaca, NY 14853, USA. *E-mail: jbn2@cornell.edu has been classically defined as those ele- tobacco, rose, and snapdragon families). www.sciencemag.org SCIENCE VOL 296 12 APRIL 2002 305