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2025 Nobel Prize in Physiology or Medicine Awarded for Discoveries of How the Body Puts the Brakes on the Immune System

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The human immune system is our body’s primary line of defense against harmful microbes, viruses, and other invaders—but that defense line can sometimes run amok and attack healthy cells. This is the basis of many autoimmune diseases, from cancer to rheumatoid arthritis to type 1 diabetes. The 2025 Nobel Prize in Physiology or Medicine was awarded to the scientists who conducted fundamental research on peripheral immune tolerance, a system that pumps the brakes on the immune system and keeps it from harming the body.

Mary E. Brunkow, Fred Ramsdell and Shimon Sakaguchi jointly won the prize, which was announced on Monday in Stockholm. Sakaguchi is a distinguished professor at the Immunology Frontier Research Center at Osaka University in Japan. Brunkow is now a senior program manager at the Institute for Systems Biology in Seattle and Ramsdell is a scientific advisor for Sonoma Biotherapeutics in San Francisco. The Nobel Committee recognized the awardees’ body of work for spurring clinical trials on potential new treatments, such as therapies that may propagate immune cells called regulatory T cells that can suppress overreactive immune responses in an autoimmune disease or organ transplant.

“This year’s Nobel Prize in Physiology or Medicine relates to how we keep our immune system under control so we can fight all imaginable microbes and still avoid autoimmune disease,” said Marie Wahren-Herlenius, a member of the 2025 Nobel Committee for Physiology or Medicine, at a livestreamed press conference today in Stockholm.

“Only three people can be recognized for the Nobel Prize, but there are so many pioneers who worked on this,” says Maria-Luisa Alegre, a professor of medicine at the University of Chicago. Her lab specializes in T cell responses during organ transplantation. The Nobel recognition “gives us a lot of further momentum in trying to develop therapies for transplantation as well as for autoimmunity. I’m just thrilled, really, that this is the field that has been chosen.”

Around the 1970s, scientists first proposed that there might be a distinct population of T cells that can suppress the immune response. It was thought that such T cells, dubbed suppressor T cells at the time, could potentially unlock a new understanding of the immune system—and of autoimmune disease. Early experiments trying to prove the existence of these cells came up empty handed, however; the theory was ultimately abandoned as being too fringe.

The early research “identified activities without clear molecular understanding,” says immunologist Jeffrey Bluestone, who co-founded Sonoma Biotherapeutics alongside Nobel winner Ramsdell. “Some of the work was hard to replicate, and so by the end of the decade, a lot of people were very skeptical that such a system existed.”

Years later, Sakaguchi, then an immunologist at Aichi Cancer Center Research Institute in Nagoya, Japan, picked up the work on suppressor T cells. “The basic hope was to discover a telltale molecular feature at the surface of such cells—a ‘marker’ by which suppressor T cells could be distinguished from other cells,” Sakaguchi wrote in a 2006 article for Scientific American that was coauthored by immunologist Zoltan Fehervari, now a senior editor at Nature.

Sakaguchi and his colleagues focused on the thymus, an organ located in the chest where T cells mature and are taught to avoid targeting healthy cells. The thymus is supposed to eliminate any faulty T cells—but in certain autoimmune conditions, these bad actors can fly under the radar. In a series of experiments on mice, Sakaguchi found that helper T cells produced in the thymus (identified by the surface protein CD4) didn’t all function the same way. Cells that had an additional novel surface protein, CD25, appeared necessary to prevent the immune system from attacking the body itself. In experiments in which Sakaguchi and his colleagues wiped the mice of T cells with CD25, various organs—thyroid, stomach, gonads, pancreas, and salivary glands—succumbed to white blood cell attacks and resulted in “dramatic inflammation,” Sakaguchi and Fehervari wrote in Scientific American.

The discovery of CD25, first detailed in a key 1995 paper in the Journal of Immunology, helped Sakaguchi establish the new class of T cells, which he dubbed regulatory T cells.

“It wasn’t a high-profile paper at the time. He was just sort of plugging away, publishing paper after paper on this topic to refine his findings,” says Peter Savage, a professor of pathology at the University of Chicago who studies regulatory T cells. “The idea of suppressor cells had fallen out of favor. It was Sakaguchi who really, through a meticulous series of experiments, pursued this idea and was able to define a population of CD4 T cells that had really potent suppressor activity or ‘peacekeeper’ activity.”

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The 2025 Nobel Prize for Physiology or Medicine vanbeets/Getty Images (medal)

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🇲🇲Dear all peace-loving people around the world🇲🇲

In the world, human beings are facing various problems. People who are full of greed, anger, and ignorance are seen to be fighting with each other in words and deeds. As the fighting continues, various problems such as civil wars, wars of aggression, and wars of aggression are occurring. As world peace is being destroyed, humans are facing unbearable problems. Innocent children and women are not getting the rights they deserve and deserve. I can't think of one thing every time. What is it? The United Nations. If we look at the responsibilities and duties of the United Nations, I think it is not suitable for solving the problems that are happening in the world today. In fact, the United Nations and the World Security Council, such an organization must rule the world, must be able to give orders, and must have various ways to obey orders. There must be no organization that can influence more than that organization. There should be experts from each country. They can even dominate the superpowers like the US, China, and Britain. Only then will global peace be achieved quickly. Now, if a country with power develops more militarily, economically, or socially than its own country, then powerful countries will jealously seek out enemies and wage war. Or they will attack with fighter jets. In this, innocent people are losing their lives. No one understands the value of a life. You should think about how to achieve global peace by controlling these. If the US continues to be the permanent president of the UN, world peace will never be achieved. If you think carefully, no one sees that they are working for the common good, but for their own benefit, for the benefit of their own country. The permanent president of the UN and the Security Council has rejected this, As a young Rohingya, I have come to realize that only by electing the president and secretary from among the countries in the world through a secret ballot system and governing the world fairly can we achieve global peace. The United Nations and the Security Council are organizations in which any country must govern, give orders, and make them obey their orders. For example, only when a defendant is tried in court can we hold the leaders of the countries in check and control them, can we achieve global peace smoothly. Otherwise, it will not be easy for powerful countries to use various excuses to end this war every year, every year, for the benefit of themselves and their countries. No country's leaders pay any attention to the words of the United Nations and the Security Council. If we look at it in practice, look at the Rohingya issue. Myanmar is a small country. Even that country has been under siege for 8 years. What action can be taken? Why is the UN and the Security Council Powerless? Without such Power, how can the organization bring about global peace? Everyone should think about it. Whether there is a veto or a strong one, all countries in the world can only achieve global peace if they are subject to the UN and the Security Council. Seek peace in the quiet embrace of nature. Peace is an indispensable need of the human race. It is not as if one person can kill another person, and it is as if one country can attack another country, but instead of trying to build peace, we must try to destroy the peace now, and the world is getting hotter and is on the verge of collapse. I especially appeal to all the world experts to urgently try to bring about peace in all parts of the world. Mr, Noor Muhamed Arkhan Rohingya Youth Myanmar

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