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00:00Scientists received Nobel for revealing how immune system avoids attacking itself.
00:06The 2025 Nobel Prize in Medicine honors Shimon Sakaguchi, Mary Brunkow, and Fred Ramsdell
00:12for discovering regulatory T-cells, which help the immune system balance defense and self-protection.
00:22The discovery centered on regulatory T-cells and the master gene FOXP3,
00:27which defines their identity and function.
00:34Regulatory T-cells are the core of peripheral tolerance,
00:37and their job is to limit damage without blunting necessary defense.
00:44Researchers selectively removed a subset of T-cells, marked by CD4 and CD25 from healthy mice.
00:53The animals then developed spontaneous autoimmune disease,
00:55which revealed that the missing cells normally suppress self-reactive responses.
01:03In 2001, researchers showed that mutations in human FOXP3 cause IPEX,
01:10which confirmed FOXP3 as the master regulator for TREG development.
01:19Autoimmune diseases arise when immune tolerance fails, causing attacks on healthy tissue.
01:24Studies show low-dose IL-2 boosts TREGs and improves conditions like lupus.
01:32Tumors exploit TREGs to evade immunity, so researchers target them locally or reprogram them,
01:39aiming to boost cancer therapy without triggering autoimmunity,
01:42a balance born from Nobel Insights.
01:44Car-TREG therapy engineers TREGs target grafts or autoimmune sites,
01:53aiming for precise immune suppression and fewer drugs,
01:56marking a shift toward engineered tolerance.
02:02Low-dose IL-2 remains the most direct lever for increasing TREGs pharmacologically,
02:07with several studies in lupus suggesting safety and clinical benefit.
02:15Doctors now frame autoimmunity as a failed restraint rather than only an excess attack.
02:21The immune system already uses TREGs to limit damage,
02:23so medicine is simply learning to help.
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