Immune cells harbor their own microbiome-derived metabolome: a new layer of immunometabolic regulation

Current models of microbiome, immune crosstalk center on extracellular receptor-mediated signaling, yet a critical observation challenges this paradigm: intracellular concentrations of gut-derived bacterial metabolites (GDBMs) in CD4+ T cells do not co…

“From inflammation to fibrosis: a proposed role of mucosal-associated invariant T cells in lichen sclerosus – a conceptual framework”

Lichen sclerosus (LS) is a chronic inflammatory and fibrosing dermatosis with a well-documented autoimmune background and a dominant Th1/Th17-driven immune response. Despite growing insight into its immunopathogenesis, the mechanisms linking persistent…

The central role of IL-6 in the differential effects of GLP-1 receptor agonists and metformin across multiple health conditions

An earlier publication suggested that elevated TGF-β1 together with IL-1β and IL-6 drives neutrophilic asthma, increases cancer risk, and is associated with metabolic dysregulation. This article examines how these cytokines shape the therapeutic effica…

Energetic stability states in mast cell activation syndrome: operationalizing reserve, pressure, and threshold collapse

Mast cell activation syndrome (MCAS) is characterized by pronounced heterogeneity, fluctuating severity, delayed post-perturbation crashes analogous to those documented in post-exertional malaise, and highly variable clinical trajectories that are poor…

The alarmin–ILC2 axis as a candidate mechanism for persistent olfactory dysfunction in allergic rhinitis

BackgroundAllergic rhinitis (AR) is an underrecognized contributor to olfactory dysfunction (OD). Although smell loss in AR is commonly attributed to conductive obstruction, some patients exhibit persistent or disproportionate hyposmia despite improvem…

DPP-4 inhibitors in drug-resistant epilepsy: a hypothesized mechanism via the gut microbiota-short-chain fatty acids-glucagon-like peptide-1 axis

BackgroundDrug-resistant epilepsy (DRE) affects approximately one-third of patients with epilepsy and remains a major therapeutic challenge.Recent studies have demonstrated significant gut microbiota dysbiosis in patients with DRE, and certain interven…

Bioelectronic modulation of the thymic “genetic mirror”: 448 kHz radiofrequency stimulation as a novel strategy for immune tolerance induction in type 1 diabetes

BackgroundType 1 Diabetes Mellitus (T1DM) arises from a fundamental breakdown of central immune tolerance within the thymus. Medullary thymic epithelial cells (mTECs) express the Autoimmune Regulator (AIRE) protein, which drives the promiscuous transcr…

The enigma of inverted lymph node architecture in pigs: insights into immune function and vaccination design

It has been known for decades that pigs, as well as some other mammals, possess a peculiar lymph node architecture commonly referred to as “inverted”. Although some direct consequences of this structure have been described, such as the altered circulat…

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