{"id":28928,"date":"2025-10-08T12:27:19","date_gmt":"2025-10-08T10:27:19","guid":{"rendered":"https:\/\/opentalk.iit.it\/?p=28928"},"modified":"2025-10-14T12:02:40","modified_gmt":"2025-10-14T10:02:40","slug":"the-nobel-prize-in-medicine-2025-t-cells-and-the-balance-of-immune-system","status":"publish","type":"post","link":"https:\/\/opentalk.iit.it\/en\/the-nobel-prize-in-medicine-2025-t-cells-and-the-balance-of-immune-system\/","title":{"rendered":"The Nobel Prize in Medicine 2025 \u2013 T cells and the balance of immune system"},"content":{"rendered":"<div>\n<h4><em><span lang=\"EN-US\">By Velia Siciliano, PI of Synthetic and Systems Biology for Biomedicine Lab, IIT<\/span><\/em><\/h4>\n<\/div>\n<p><!--more--><\/p>\n<div>\n<p><span lang=\"EN-US\">How does the body know what is safe, when to defend? How does it know when to stop once the attack has mounted?<\/span> <span lang=\"EN-US\">In a healthy immune system, balance is everything. <\/span><\/p>\n<\/div>\n<div>\n<p><span lang=\"EN-US\">The body must attack pathogens yet avoid turning its weapons against itself. This delicate equilibrium depends on<span class=\"apple-converted-space\">\u00a0<\/span><strong>regulatory T cells (Tregs)<\/strong><b>,<\/b> a specialized subset of T immune cells that suppress excessive or misdirected immune responses. T cells are named with a T, because they mature in the thymus gland. Without them, the immune system\u2019s brakes fail, leading to<span class=\"apple-converted-space\">\u00a0<\/span><strong>autoimmune diseases<\/strong><span class=\"apple-converted-space\">\u00a0<\/span>such as type 1 diabetes, multiple sclerosis, and IPEX syndrome (a genetic condition where the immune system attacks its own body organs).<\/span><\/p>\n<\/div>\n<div>\n<p><span lang=\"EN-US\">The existence of these \u201cpeacekeeping\u201d cells was first uncovered by<span class=\"apple-converted-space\">\u00a0<\/span><strong>Shimon Sakaguchi<\/strong>, who showed that removing a small subset of T cells caused catastrophic autoimmunity in mice.<\/span><\/p>\n<\/div>\n<div>\n<p><span lang=\"EN-US\">His work showed that the immune system has active self-regulation mechanisms even outside the thymus, preventing immune cells from attacking the body\u2019s own tissues. This discovery revolutionized the understanding of immune tolerance and, as a result, reshaped the entire field of immunology.<\/span><\/p>\n<\/div>\n<div>\n<p><span lang=\"EN-US\">Years later,<span class=\"apple-converted-space\">\u00a0<\/span><strong>Mary E. Brunkow<\/strong><span class=\"apple-converted-space\">\u00a0<\/span>and<span class=\"apple-converted-space\">\u00a0<\/span><strong>Fred Ramsdell<\/strong><span class=\"apple-converted-space\">\u00a0<\/span>identified the missing genetic piece:<span class=\"apple-converted-space\">\u00a0<\/span><strong>FOXP3<\/strong>, a transcription factor whose mutation caused the fatal<span class=\"apple-converted-space\">\u00a0<\/span><strong>IPEX syndrome<\/strong>. Their discoveries demonstrated that FOXP3 is the master regulator of Treg development and function, the molecular signature of the immune system\u2019s restraining arm.<\/span><\/p>\n<\/div>\n<div>\n<p><span lang=\"EN-US\">Together, Sakaguchi\u2019s identification of Tregs and Brunkow and Ramsdell\u2019s elucidation of FOXP3 formed the foundation of modern immune tolerance research, t<\/span><span lang=\"EN-US\">he branch that studies the ability of the immune system to recognize the body\u2019s own cells and tissues as \u201cself\u201d and therefore not attack them<\/span><span lang=\"EN-US\">. Their collective work not only explained why autoimmunity occurs when regulation fails, but also opened new therapeutic frontiers, from restoring tolerance in autoimmune disorders and transplants to modulating it in cancer immunotherapy.<\/span><\/p>\n<\/div>\n<div>\n<p><span lang=\"EN-US\">Today, that insight underpins a new generation of<span class=\"apple-converted-space\">\u00a0<\/span><strong>cell therapies<\/strong>. By isolating and expanding a patient\u2019s own Tregs, or even engineering them with specific antigen receptors, scientists can selectively<span class=\"apple-converted-space\">\u00a0<\/span><strong>turn down harmful immune responses<\/strong>, offering hope for autoimmune diseases, organ transplants, and inflammatory disorders. Conversely, in cancer or chronic infection, where the immune system becomes overly restrained, the same pathways explain<span class=\"apple-converted-space\">\u00a0<\/span><strong>T-cell exhaustion<\/strong>, a state of dysfunction driven by persistent suppression.<\/span><\/p>\n<\/div>\n<div>\n<div>\n<p><span lang=\"EN-US\">Thus, the molecular logic uncovered by these three laureates bridges basic immunology and modern medicine: understanding how to<span class=\"apple-converted-space\"><b>\u00a0<\/b><\/span><strong>apply the immune system\u2019s brakes or release them<\/strong><span class=\"apple-converted-space\"><b>\u00a0<\/b><\/span>now defines some of the most promising frontiers in therapy.<\/span><\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\" wp-image-28958 aligncenter\" src=\"https:\/\/opentalk.iit.it\/wp-content\/uploads\/2025\/10\/558862542_1207425988085895_8252170036940531416_n.jpg\" alt=\"\" width=\"636\" height=\"628\" \/><\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>By Velia Siciliano, PI of Synthetic and Systems Biology for Biomedicine Lab, IIT<\/p>\n","protected":false},"author":31,"featured_media":28925,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5039],"tags":[],"class_list":["post-28928","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news-en"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - 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