Autoimmune Disease

More than 15 million people in the United States live with at least one autoimmune disease, according to a 2024 report. These chronic diseases are driven by the immune system and occur when a person’s immune cells mistakenly attack the body’s own tissues.

There are more than 100 autoimmune diseases. Many of these autoimmune diseases feature attacks against specific tissues, as seen in cases of type 1 diabetes (pancreas), multiple sclerosis (brain), atopic dermatitis (skin),  inflammatory bowel disease (intestine), and rheumatoid arthritis (joints). Other autoimmune diseases are “systemic,” which means immune cells attack many tissues throughout the body. Lupus is an example of a systemic autoimmune disease.

In most cases, the exact origins of autoimmune diseases are a mystery; they appear to be triggered by some combination of genetics, environment, or even infection. Adding to the puzzle, researchers have found that most autoimmune diseases are far more prevalent in women, compared with men.

Scientists have developed therapies to lessen the symptoms of many autoimmune diseases, but it has proven difficult to develop any lasting cures.

Our Approach

Scientists at La Jolla Institute for Immunology (LJI) are investigating what causes immune cells to turn on the body—and how we can intervene.

Where does autoimmunity begin?

Many autoimmune immune diseases are caused by T cells, which normally fight threats such as viruses, bacteria, and even cancers. T cells develop in an organ called the thymus, where they learn to recognize threats.

LJI Professor Hilde Cheroutre, Ph.D., is studying this T cell education process. Her lab is interested in how autoreactive T cells learn to target “self.” These “educated” autoreactive T cells are actually helpful sometimes. They can even help the body by regulating immune responses to cancer cells or infected cells. But under the wrong circumstances, a naïve T cell may encounter a specific target (called a self-antigen) and spark an autoimmune response.

Dr. Cheroutre and her team are working with doctors at Rady Children’s Hospital-San Diego to better understand how this process goes wrong. The team hopes to be able to identify the signs that an infant might be susceptible to autoimmune diseases and perhaps even prevent autoimmunity altogether.

LJI scientists have also received significant support from the Global Autoimmune Institute (GAI) to investigate the beginnings of autoimmune disease processes. In 2024, GAI granted funding to LJI faculty member Sam Myers, Ph.D., who now serves as LJI’s Global Autoimmune Institute Assistant Professor.

Investigating important genes

LJI scientists are also using cutting-edge tools to understand links between our genes and autoimmune disease. In 2025, LJI Professor Anjana Rao, Ph.D., and her colleagues investigated how cell function is manipulated by small pieces of DNA called “transposable elements.” These pieces of the genome are normally silent in healthy cells, but under many pathological conditions they can “wake up” and occasionally even “jump” into our regular genetic code. Rao’s study showed how cells assemble a protein network to suppress transposable elements. These protein networks may help protect against harmful genetic rearrangements and prevent the development of autoimmune disease.

Meanwhile, LJI Professor, President & CEO Erica Ollmann Saphire, Ph.D., MBA, is zooming into HERVs, which are pieces of viral DNA that got trapped in the human genome long ago in our evolutionary past. These viral genes can “awaken” during autoimmune disease development and may contribute to immune cell dysfunction. Dr. Saphire’s lab is advancing research into HERVs through structural studies that reveal the 3D architecture of viral proteins. This work is an important step toward developing therapies that may counteract immune cell dysfunction.

A closer look at specific autoimmune diseases

LJI Associate Professor Sonia Sharma, Ph.D., is studying inflammatory and autoimmune diseases that affect the vascular endothelium, the cells lining the blood vessels. Her laboratory integrates cutting-edge genetics, biochemistry, cell biology, computational and translational approaches to define the key genetic mechanisms regulating cellular innate immunity—and determine how these factors can trigger autoimmune disease.

LJI Professor Michael Croft, Ph.D., studies molecules involved in causing atopic dermatitis, severe asthma and fibrotic diseases caused by chronic inflammation. He has partnered successfully with several companies and his work has led to clinical trials for asthma and atopic dermatitis. 

LJI Professor Mitchell Kronenberg, Ph.D., is investigating how surface molecules and intracellular signaling pathways regulate immune cells that reside in the intestine.  These immune cells have a unique challenge because they must co-exist with a highly diverse microbiome. He studies how these cells maintain this peaceful co-existence while responding to pathogens. The loss of tolerance of good bacteria is a key step involved in the pathogenesis of inflammatory bowel diseases (IBD), such as Crohn’s disease and ulcerative colitis.

LJI Professor Alessandro Sette, Dr.Biol.Sci., has also teamed up with LJI Professor Bjoern Peters, Ph.D., to build the Immune Epitope Database (IEDB), a publicly available online resource that includes data from researchers around the world. The IEDB is a valuable tool for studying the chemical aspects of what immune cells recognize when they make an immune response, including when they mistakenly target a person’s own organs in different autoimmune diseases.

Autoimmunity and neurodegenerative diseases

LJI Professor Alessandro Sette, Dr. Biol. Sci., has uncovered clues that ALS and Parkinson’s disease are driven by autoimmunity.

Dr. Sette’s lab has shown that autoreactive T cells target misfolded clumps of alpha-synuclein protein in the brain’s of patients with Parkinson’s disease. This T cell attack may trigger damage to vulnerable brain cells very early in Parkinson’s disease onset.

In 2025, Dr. Sette showed that tracking T cell responses may make it possible to someday detect Parkinson’s disease before the onset of debilitating motor symptoms—and potentially intervene with therapies to slow the disease progression. His recent work has shown differences in T cell activity between women and men with Parkinson’s disease.

Sex-based differences in autoimmune disease

Dr. Sharma and many researchers in LJI’s Center for Sex-Based Differences in the Immune System are working to understand why many autoimmune diseases affect men and women differently.

LJI Professor Pandurangan Vijayanand, M.D. Ph.D., and LJI Assistant Professor Benjamin J. Schmiedel, Ph.D., are studying genomic data from patients to see which commonly found genetic variants are more prevalent in people with different autoimmune diseases. Dr. Vijayanand and his LJI colleagues have built a database called DICE (Database of Immune Cell Expression, Expression of quantitative trait loci, and Epigenomics), which scientists can use to study the effects of different genetic variants in different immune cells.

In 2018, the team published data from 91 healthy donors showing profiles of genetic activity for the 15 most abundant types of immune cells found in human blood. Because autoimmune diseases usually arise from combinations of variants in many different genes, some of which are common and also found in individuals without autoimmune disease, the database gives scientists a guide for comparing variants more often associated with health compared to disease-associated variants. In 2022, Vijayanand’s team reported the discovery of new subsets of CD4+ ‘helper’ T cells linked to autoimmunity and that appear to vary in men and women.

Dr. Vijayanand has also teamed up with Drs. Cheroutre and Kronenberg to investigate why an autoimmune disease called primary biliary cholangitis (PBC) is around ten times more common in women than men.

New ties between viral infections and autoimmune disease

LJI scientists are also investigating how immune responses to viral infections may lead to persistent symptoms of autoimmune disease. In 2025, LJI Assistant Professor Daniela Weiskopf, Ph.D., published a first look at how T cells defend the body from a mosquito-borne virus called Chikungunya. Her lab discovered that CD4+ T cells step up to fight the virus—and cause chronic inflammation in the process. This discovery may help explain why some people infected with Chikungunya virus develop severe joint pain.

Learn more:

Related News

Annual La Jolla Immunology Conference establishes "Cheroutre Frontier Lecture"
Researchers show how inflammatory T cells target the brain and trigger cell death
The Schmiedel Lab investigates how genetic variation affects disease risk

Research Projects

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Labs

Hilde Cheroutre, Ph.D.
Professor
Center for Autoimmunity and Inflammation
Center for Cancer Immunotherapy
Hilde Cheroutre, Ph.D., and her team study the development, function, and regulation of T lymphocytes, a type of white blood cells.
Michael Croft, Ph.D.
Director, Academic Affairs
Professor, Center for Autoimmunity and Inflammation,
Center for Vaccine Innovation
Michael Croft, Ph.D., and his team focus on a number of molecules that are members of the tumor necrosis factor (TNF) and tumor necrosis factor receptor (TNFR) family.
Patrick Hogan, Ph.D.
Professor
Center for Autoimmunity and Inflammation
Center for Cancer Immunotherapy
Patrick Hogan, Ph.D., studies cells at the nano level – seeking to understand how protein-protein interactions on the submicroscopic scale can have gargantuan impacts on human health and disease.
Mitchell Kronenberg, Ph.D.
Professor, President Emeritus
Center for Autoimmunity and Inflammation
Center for Vaccine Innovation
Mitchell Kronenberg, Ph.D., and his team study T cells – white blood cells responsible for recognizing and responding to foreign invaders, such as microbes.
Sam Myers, Ph.D.
Global Autoimmune Institute Assistant Professor
Laboratory for Immunochemical Circuits
Center for Autoimmunity and Inflammation
Center for Sex-based Differences in the Immune System
Samuel Myers, Ph.D., studies the signaling circuits that drive the behavior of individual immune cells and ultimately orchestrate systemic immune responses.
Anjana Rao, Ph.D.
Professor
Center for Autoimmunity and Inflammation
Center for Cancer Immunotherapy
Center for Sex-based Differences in the Immune System
Anjana Rao, Ph.D., focuses on understanding how signaling pathways control gene expression, using T cells and other cells of the immune system as models.

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