The Nobel Prize in Physiology or Medicine 2025 was awarded jointly to Mary E. Brunkow (USA), Fred Ramsdell (USA) and Shimon Sakaguchi (Japan) for their fundamental discoveries relating to peripheral immune tolerance. The announcement was made on October 6, 2025 by the Nobel Assembly at Karolinska Institutet in Stockholm.

The laureates identified 'regulatory T cells' (Tregs), which act as the immune system's security guards, preventing immune cells from attacking the body's own tissues. Shimon Sakaguchi first identified these cells and their crucial role in preventing autoimmune disease. Mary Brunkow and Fred Ramsdell then discovered that mutations in the FOXP3 gene in both mice and humans result in severe autoimmune disease. Sakaguchi later linked these discoveries by showing that the development and function of regulatory T cells depend on FOXP3.

Their work has opened new avenues for treating autoimmune conditions such as multiple sclerosis, type 1 diabetes, and rheumatoid arthritis. The prize amount was 11 million Swedish kronor, shared equally among the three laureates.