The Immunological Purity Theory: a testable framework linking peri-menstrual endometrial immune transition to receptivity and implantation, with exploratory implications for neurodevelopment

The transition from menstruation to endometrial regeneration is a dynamic biological interval involving inflammatory resolution, immune-cell regulation, epithelial repair, vascular remodeling, and endocrine-dependent tissue renewal. Although these proc…

Spatial oligonucleotide immuno-reprogramming model (SOIRM): a testable framework linking bone marrow resistance states and oligonucleotide therapeutics in multiple myeloma

This narrative review presents SOIRM as a conceptual and testable research framework rather than a systematic review, a report of new experimental data, or an established treatment model. It distinguishes findings supported by multiple myeloma studies …

Metabolic–epigenetic imprinting of macrophages in endometriosis: a working model for lesion persistence and treatment

Endometriosis is an estrogen-dependent inflammatory disorder that often persists or returns even after visible lesions have been removed. The behavior of peritoneal macrophages may help explain this clinical durability. These cells participate in lesio…

ADAMTS13 as a thromboinflammatory brake at the vascular-immune interface: from viral immunothrombosis to the tumor microenvironment

ADAMTS13 is conventionally regarded as the protease whose severe deficiency causes thrombotic thrombocytopenic purpura (TTP). By cleaving shear-unfolded ultra-large and high-molecular-weight von Willebrand factor (VWF), ADAMTS13 limits a platelet- and …

Intrinsically disordered regions in the NLRP family of receptors act as regulatory hubs for inflammasome condensation and activation

Inflammasomes are multiprotein complexes that orchestrate immune responses to pathogenic and sterile insults by regulating the maturation of inflammatory cytokines and pyroptotic cell death. While inflammasome activation is well-characterized at the bi…

Synovial immune control failure in osteoarthritis: from maintenance of tissue homeostasis to inflammatory niche formation

Osteoarthritis (OA) is a whole-joint disease involving cartilage, synovium, subchondral bone, and neurovascular structures. Synovitis, damage-associated molecular patterns, and interactions between macrophages and fibroblast-like synoviocytes have been…

Awakening antitumour immunity in the multimorbid host: a hypothesis coupling cryoablation-induced immunogenic cell death with multi-target Traditional Chinese Medicine

Most patients with cancer are older adults living with several other chronic illnesses, and both the tumour and its commonest companions—cardiometabolic disease, type 2 diabetes and depression—are sustained by a shared, immunosuppressive inflammatory m…

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