Table 1

Autoimmunity versus autoinflammation

AutoimmunityAutoinflammation
Immune dysregulationAdaptive
Organ-specific
Innate
Not organ-specific
Genetic basisOften polygenicOften monogenic
Predominant effector mechanismsB cells → autoantibodies
Autoreactive T cells
IL-1β and other proinflammatory cytokines
Monocytes, macrophages, and neutrophils
Pathogenesis of organ damageAutoantibody- or autoantigen-specific T cell-mediatedNeutrophil-mediated or macrophage-mediated
Major therapeutic targetsB or T cells (eg, rituximab, alemtuzumab)IL-1β, IL-6, TNFα (eg, anakinra, tocilizumab, etanercept)
  • Adapted from Krainer et al.5