Do positive and negative selection occur simultaneously?
Posted August 24, 2023
Answer
No, positive selection occurs first and is followed by negative selection.
During positive selection, only T cells that can bind to MHC (Major Histocompatibility Complex) molecules pass the selection test are kept alive and go on to differentiate into mature functional T cells. T cells that cannot bind to MHC are effectively non-functional and are killed by an apoptotic signal to prevent them from entering the body and crowding out functional T cells. Negative selection, which follows positive selection, prevents the development of T cells that might recognize and attack the body's own healthy cells, causing autoimmune diseases.
Additional resources
Positive and negative selection of the T cell repertoire: what thymocytes see and don't see