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Clinical Implications of Basic Research
Stem Cells and Spinal Cord Repair
For the past couple of decades, clinicians have watched the stem-cell field with a mixture of anticipation and skepticism. No group of patients has been more expectant than those with spinal cord injuries. Therapies for spinal cord injury have been promised almost since the dawning of the stem-cell…
Clinical Implications of Basic Research
The Monocyte in Atherosclerosis — Should I Stay or Should I Go Now?
Generations of evolutionary pressure have honed a human immune system that is well poised to combat infectious challenges. However, the very same system can turn against us when it is activated by certain noxious stimuli, as is the case with cholesterol-laden meals triggering atherosclerosis.…
Clinical Implications of Basic Research
A Muscular Twist on the Fate of Fat
Hippocrates observed that "walking is man's best medicine" and thus underscored the benefits of physical activity to health. More than two millennia later, the benefits of physical activity in lowering the risk of death from any cause and improving longevity have been well documented. Scientists…
Clinical Implications of Basic Research
Metabolic Health and Nuclear-Receptor Sensitivity
As the incidence of type 2 diabetes increases, new treatments are clearly needed. Many hormones and drugs that control metabolic pathways function as agonists or antagonists of nuclear receptors, which constitute a family of ligand-activated transcription factors. Included in this family, among…
Clinical Implications of Basic Research
Tumor-Cell Death, Autophagy, and Immunity
Effective, curative chemotherapy has been a goal of modern cancer medicine for half a century. Many newly developed agents have led to modest improvements in survival. However, few new curative treatments of advanced cancers have been developed during the past quarter century — perhaps because of…
Clinical Implications of Basic Research
The Histone Code and Treatments for Acute Myeloid Leukemia
Occasionally, two research disciplines converge at precisely the right moment and propel each other forward. Such is the case with a screen for growth regulators in acute myeloid leukemia and a small molecule synthesized to disrupt protein recognition of the histone code, recently reported by Zuber…
Clinical Implications of Basic Research
Sense in Antisense Therapy for Spinal Muscular Atrophy
The defining feature of autosomal recessive spinal muscular atrophy is the dying back of motor neurons, which causes generalized paresis and, in the most severe and common form of this disorder (type 1), results in fatal respiratory failure. A direct corollary of this outcome is that correction of…
Clinical Implications of Basic Research
Gene Therapy Meets Stem Cells
Stem cell–based therapies have the potential to repair and even correct the defects related to human diseases. Although tantalizing niche applications have moved forward in the clinical setting, progress seems to be slow, and ethical challenges have yet to be definitively addressed. The goal of…
Clinical Implications of Basic Research
Closing the Iron Gate
Genetic hemochromatosis is a prevalent iron-overload disease resulting from inadequate production of the iron-regulatory hormone hepcidin. Recently, Preza and colleagues developed an oral, biologically active hepcidin mimic that offers a new experimental approach to treating hemochromatosis and…
Clinical Implications of Basic Research
Diet and Intestinal Immunity
"You are what you eat." A couple of recent studies underscore the relevance of this adage to the immune system. New studies by Kiss et al. and Li et al. show how certain dietary components derived from vegetables interact with intestinal immune receptors and thereby regulate the organogenesis of…
Clinical Implications of Basic Research
Diabetic Stem-Cell “Mobilopathy”
Hematopoietic stem-cell (HSC) transplantation remains the primary curative treatment for patients with a variety of hematologic cancers. Transplantation of either autologous or allogeneic stem cells requires the acquisition of sufficient numbers of HSCs to ensure rapid and consistent trilineage…
Clinical Implications of Basic Research
Microtubules, Axonal Transport, and Neuropathy
A physical dimension of a cell is seldom its Achilles' heel. Yet for the neurons that are affected in most kinds of peripheral neuropathy, it is the length of their axons that best accounts for their selective vulnerability. As shown in Figure 1, the axon is contiguous with its cell soma. The soma…
Clinical Implications of Basic Research
Suppressing Immunosuppression after Stroke
Pneumonia is a major cause of death after acute cerebral ischemia. A recent study by Wong and colleagues provides some insight into susceptibility to infection after stroke. Specifically, they found that infections after stroke are promoted by noradrenergic-mediated dysfunction of a small subset of…
Clinical Implications of Basic Research
Beta-Cell Failure, Stress, and Type 2 Diabetes
Type 2 diabetes mellitus is caused by a combination of genetic and environmental factors that result in decreased insulin function at sites of insulin action and a reduced ability of pancreatic beta cells to elevate insulin secretion in response to increased blood glucose levels. The variant genes…
Clinical Implications of Basic Research
Calcium Handling in the Failing Heart and SUMO — Weighing the Evidence
A key abnormality in heart failure is defective handling of calcium ions by cardiomyocytes. In the healthy heart, the action potential leads to an increase in the level of intracellular calcium (and subsequent systole) through two mechanisms. First, extracellular calcium enters the cell through L…
Clinical Implications of Basic Research
Stalking Influenza Diversity with a Universal Antibody
The back-and-forth battle between influenza viruses and humans is defined by diversity. We fight previously unseen pathogens with a diverse repertoire of antibodies, and influenza viruses evade our immune system by presenting us with diverse surface-protein sequences. Corti and colleagues have…
Clinical Implications of Basic Research
Can Age-Associated Memory Decline Be Treated?
Many older adults believe that their memory is not as good as it was when they were younger. An epidemiologic study in Finland documented that 76% of persons over the age of 60 years reported problems with their memory. Age-associated memory decline has been well studied and refers to changes in…
Clinical Implications of Basic Research
Eliciting Mucosal Immunity
Sometimes simple things are hard to handle. This is true of infectious diarrhea, which remains one of the leading causes of death in children worldwide and a major factor in long-term morbidity. Some gut infections rapidly become systemic, with deadly effects even in adults, as evidenced by the…
Clinical Implications of Basic Research
Illuminating Immune Privilege — A Role for Regulatory T Cells in Preventing Rejection
Bone marrow transplantation has had a substantive therapeutic impact on survival, but its usefulness can be limited by the lack of matched donors, as well as by the risks of graft rejection and graft-versus-host disease (GVHD). Current strategies attempt to address these issues with conditioning…
Clinical Implications of Basic Research
Systemic Lupus Erythematosus and the Neutrophil
Most physicians can identify B lymphocytes and T lymphocytes, and perhaps dendritic cells, as the cells involved in the pathogenesis of systemic lupus erythematosus (SLE). This systemic autoimmune disease is characterized by the loss of tolerance to nuclear antigens, the deposition of immune…







