
Nobel Prize in Physiology or Medicine 2025
- The 2025 Nobel Prize in Physiology or Medicine was awarded for their groundbreaking discoveries concerning peripheral immune tolerance that prevents the immune system from harming the body.
- Shimon Sakaguchi (Japan) received the award for discovering regulatory T-cells.
- Mary E. Brunkow and Fred Ramsdell (USA) were honoured for identifying the Foxp3 gene, which controls immune regulation.
About Nobel Prize in Physiology or Medicine
- The Nobel Prize in Physiology or Medicine is awarded by the Nobel Assembly at the Karolinska Institute in Stockholm, Sweden, for outstanding contributions to medical research.
- First Laureate: In 1901, Emil von Behring received it for developing serum therapy to treat diphtheria.
- Indian–Origin Laureate: In 1968, Har Gobind Khorana became the first Indian winner for decoding the genetic code guiding protein synthesis.
Peripheral Immune Tolerance
- Scientists previously believed that the immune system prevented self-damage solely through central tolerance, which occurs in the thymus and bone marrow.
- Some self-reactive T cells that escape central tolerance are restrained in peripheral tissues (e.g., lymph nodes, spleen). This stops them from mistakenly attacking healthy tissue.
- Shimon Sakaguchi‘s pioneering work (in the mid-1990s) challenged prevailing views by demonstrating the existence of a subtype of T-cells called regulatory T-cells (Tregs) that identify and suppress these escaped self-reactive T-cells.
- Mary Brunkow and Fred Ramsdell further advanced the field by identifying the FOXP3 gene. They showed that mutations in the FOXP3 gene disable regulatory T-cells, causing uncontrolled immune activation and loss of self-tolerance.
- Together, their work elucidated how regulatory T cells enforce peripheral immune tolerance, thereby protecting the body from autoimmune damage while still allowing immune responses to pathogens.
- Therapeutic Value: Insights into regulatory T-cells can guide new treatments for autoimmune diseases, organ transplants, and cancer immunotherapy.
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