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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.…
Review Article
Medical Progress: Alopecia Areata
The impact of certain skin diseases on the lives of those affected tends to be underestimated or even dismissed as simply a "cosmetic problem." Alopecia areata exemplifies such a condition, owing to its substantial disease burden and its often devastating effects on the patient's quality of life…
- CME
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…
Original Article
Brief Report: Immunologic Correlates of the Abscopal Effect in a Patient with Melanoma
The abscopal effect refers to a rare phenomenon of tumor regression at a site distant from the primary site of radiotherapy. Localized radiotherapy has been shown to induce abscopal effects in several types of cancer, including melanoma, lymphoma, and renal-cell carcinoma.– The biologic…
Review Article
Mechanisms of Disease: IgG4-Related Disease
IgG4-related disease is a newly recognized fibroinflammatory condition characterized by tumefactive lesions, a dense lymphoplasmacytic infiltrate rich in IgG4-positive plasma cells, storiform fibrosis, and, often but not always, elevated serum IgG4 concentrations. The disease was not recognized as…
Original Article
Cold Urticaria, Immunodeficiency, and Autoimmunity Related to PLCG2 Deletions
The genetic dissection of unique inflammatory phenotypes can identify and elucidate immunologic pathways and mechanisms. Such investigations have ultimately led to findings whose significance extends beyond the monogenic diseases harboring the mutations. Examples include the recognition that FOXP3…
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…
Review Article
Mechanisms of Disease: The Pathogenesis of Rheumatoid Arthritis
Rheumatoid arthritis is a common autoimmune disease that is associated with progressive disability, systemic complications, early death, and socioeconomic costs. The cause of rheumatoid arthritis is unknown, and the prognosis is guarded. However, advances in understanding the pathogenesis of the…
Original Article
Regulatory T-Cell Responses to Low-Dose Interleukin-2 in HCV-Induced Vasculitis
Interleukin-2 has been identified for its capacity to stimulate T cells in vitro and has been used to boost effector immune responses in patients with cancers and infectious diseases. It is a registered indication when used as an adjunct for the treatment of renal-cell carcinoma, but there is a…
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…
Editorial
The Yin and Yang of Interleukin-2–Mediated Immunotherapy
In this issue of the Journal, the findings of two case series suggest that in vivo treatment with interleukin-2 can suppress immune-mediated diseases. In one study, Koreth et al. found that low-dose interleukin-2 was associated with reversal of glucocorticoid-refractory chronic graft-versus-host…
Original Article
Interleukin-2 and Regulatory T Cells in Graft-versus-Host Disease
Allogeneic hematopoietic stem-cell transplantation (HSCT) invokes donor-derived immune responses that can result in therapeutic graft-versus-tumor activity and toxic graft-versus-host disease (GVHD). Chronic GVHD, a systemic inflammatory disorder with pleomorphic autoimmune manifestations that is…
Editorial
Eliminating Cells Gone Astray
The therapeutic use of cells from healthy donors or patients is increasing. Decades ago, transfusion medicine and bone marrow transplantation provided the first successful cell therapeutics and established the foundations for cell delivery. Clinical investigation soon uncovered the double-edged…
Original Article
Inducible Apoptosis as a Safety Switch for Adoptive Cell Therapy
Although cellular therapies may be effective in cancer treatment, their potential for expansion, damage of normal organs,– and malignant transformation is a source of concern. In contrast, the toxic effects of small molecules usually diminish once the drugs are withdrawn. One approach to…
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Review Article
Genomic Medicine: Genomics and the Multifactorial Nature of Human Autoimmune Disease
The major autoimmune diseases, including rheumatoid arthritis, systemic lupus erythematosus, multiple sclerosis, type 1 diabetes mellitus, psoriasis, and inflammatory bowel disease, share epidemiologic, clinical, and therapeutic features. In each of these diseases, chronic and often intermittent…
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Original Article
Brief Report: Inflammatory Skin and Bowel Disease Linked to ADAM17 Deletion
Inflammatory disorders of the skin and gut, including eczema, psoriasis, and celiac disease, have been linked to changes in barrier function and immune responses, by means of genetic and functional studies. Large case–control studies combined with genomewide association studies have identified…
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Correspondence
Acute Leprosy in Ohio during Treatment of HIV–AIDS
To the Editor: Borderline tuberculoid leprosy with type 1 reaction can have an acute presentation in persons infected with HIV. This reaction may develop as part of the immune reconstitution inflammatory syndrome after the initiation of effective antiretroviral therapy.– Despite advances in…
- Free Full Text
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
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…







