Figure 3 Multi-hit model for autoimmune diseases

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Figure 3 Multi-hit model for autoimmune diseases Figure 3 | Multi-hit model for autoimmune diseases. Clinical symptoms that occur after the initial hits in the development of autoimmune rheumatic disease still wane, whereas accumulation of hits leads to stable irreversible disease. Immune checkpoint inhibition (not shown) can be considered as a hit in this context, as checkpoint-blocking therapies cause immune-related adverse effects that resemble autoimmune phenomena in some patients. van der Vlist, M. et al. (2016) Immune checkpoints and rheumatic diseases: what can cancer immunotherapy teach us? Nat. Rev. Rheumatol. doi:10.1038/nrrheum.2016.131