Why the study?
Activation of innate immune receptors by double-stranded RNA protects against viral infection but can trigger autoimmunity if engaged by endogenous RNA, highlighting the need to understand how ADAR1 balances immune activation and self-tolerance.
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Design
Review
ADAR1 modulation may inform therapies for autoimmunity, viral infections, and cancer; leaves open prospective validation before clinical adoption.
Specialized receptors that recognize molecular patterns such as double stranded RNA duplexes-indicative of viral replication-are potent triggers of the innate immune system. Although their activation is beneficial during viral infection, RNA transcribed from endogenous mobile genetic elements may also act as ligands potentially causing autoimmunity. Recent advances indicate that the adenosine deaminase ADAR1 through RNA editing is involved in dampening the canonical antiviral RIG-I-like receptor-, PKR-, and OAS-RNAse L pathways to prevent autoimmunity. However, this inhibitory effect must be overcome during viral infections. In this review we discuss ADAR1's critical role in balancing immune activation and self-tolerance.
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Lamers et al. (2019) studied this question.
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