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…

Beyond priming: a sequential, feedback-guided adjuvant framework for therapeutic cancer peptide vaccines in immunologically cold tumors

Therapeutic cancer vaccines can generate measurable antigen-specific immune responses in humans, yet tumor regression is often incomplete, inconsistent, or short-lived. In immunologically cold tumors, this pattern may reflect not an absolute inability …

A dynamic vascular–inflammatory–fibrotic loop in systemic sclerosis: an integrative immuno-vascular framework

BackgroundSystemic sclerosis (SSc) is characterized by a complex and heterogeneous interplay between vascular dysfunction, immune activation, and progressive fibrosis. Despite advances in molecular characterization, therapeutic responses remain inconsi…

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