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The development of an autoimmune reaction may be caused by molecular mimicry (similarity of antigenic structures/epitopes present on pathogen cells and the bodys own cells), disturbances in the regulation of the response to own antigens (related e.g., to the dominance of Th1 or Th2 cytokines), polyclonal activation (some of them are capable of this, such as microorganisms that can cause activation of specific immune cells regardless of the TCR receptor), modification of autoantigens by microorganisms, metals, or drugs (this may be related to the absorption of foreign molecules on the surface of body cells or a reaction of foreign molecules with cell surface antigens affecting the change in immunogenicity), abolition of anatomical/molecular sequestration of self-antigens, disorders of immunological regulation (disorders of idiotypic regulation or disorders related to T or B lymphocyte anergy) [234]

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2010 Jan;51(1):2108

Am J Clin Nutr, 72(2 Suppl), 618S-623S