The global clinical trial landscape of PD-1-containing bispecific antibodies for gastric cancer: current status and future directions of targeting immune tolerance

Gastric cancer (GC) remains a leading cause of cancer-related death worldwide, and PD-1 monotherapy offers limited clinical benefit due to intrinsic and acquired immune tolerance. PD-1-containing bispecific antibodies (BsAbs) represent an emerging immu…

From thresholds to trajectories: a perspective on reframing alloimmune risk for computational modeling in solid organ transplantation

Immunological risk prediction in solid organ transplantation has long depended on threshold-based representation of histocompatibility data: donor-specific antibodies (DSA) reported as positive or negative, mean fluorescence intensity (MFI) assessed by…

Influence of blood-brain barrier and intestinal barrier on microglial phenotypes: a perspective of clinical and prognostic implications

Microglia are highly specialized immune cells of the central nervous system (CNS). These cells exhibit remarkable plasticity, enabling them to adopt distinct phenotypes and functional profiles in response to changes in their microenvironment. Biologica…

Divergent immune cascades activated by metabolic versus mechanical exercise intensity: revisiting cytokine heterogeneity in “moderate-intensity exercise”

“Moderate-intensity exercise” is widely regarded as anti-inflammatory; however, meta-analyses of key cytokines have yielded highly inconsistent results. We argue that this inconsistency reflects not mere statistical noise, but a fundamental conceptual …

Persistent residual inflammatory risk at 1 month after contemporary PCI: rationale for routine hsCRP reassessment and dual-target therapy

Despite major advances in lipid-lowering therapy and stent technology, a substantial proportion of patients undergoing contemporary percutaneous coronary intervention (PCI) experience recurrent major adverse cardiovascular events (MACE) driven by persi…

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