Mechanistic considerations linking SARS-CoV-2 infection, inflammation, and the loss of immune tolerance

Curr Opin Immunol. 2025 May 22;95:102567. doi: 10.1016/j.coi.2025.102567. Online ahead of print. ABSTRACT The immune response to SARS-CoV-2 has been implicated in the onset of multiple, seemingly unrelated, autoimmune diseases. The immune response to SARS-CoV-2 has also been implicated in the unmasking and/or production of multiple autoantibodies, even in the absence of clinical disease. Despite … Read more

‘Can we cure IgG4-related diseases?’

Curr Opin Immunol. 2025 May 20;95:102564. doi: 10.1016/j.coi.2025.102564. Online ahead of print. ABSTRACT IgG4-related disease (IgG4-RD), recognized as a novel clinical entity, is a rare, chronic, immune-mediated systemic fibroinflammatory disorder of unknown origin with either synchronous or metachronous multi-organ involvement. Although the pathogenic mechanism remains unclear, possible multipathogenic factors such as genetic backgrounds, disease-specific or … Read more

SARS-CoV-2: lessons in virus mutation prediction and pandemic preparedness

Curr Opin Immunol. 2025 May 15;95:102560. doi: 10.1016/j.coi.2025.102560. Online ahead of print. ABSTRACT The COVID-19 pandemic has prompted an unprecedented global response. In particular, extraordinary efforts have been dedicated toward monitoring and predicting variant emergence due to its huge impact, particularly for vaccine escape. Broadly, we classify such methods into two categories: forward mutation prediction, … Read more

Can we cure rheumatoid arthritis?

Curr Opin Immunol. 2025 May 12;94:102561. doi: 10.1016/j.coi.2025.102561. Online ahead of print. ABSTRACT Rheumatoid arthritis (RA) persists as a chronically progressive autoimmune disorder, notwithstanding significant advancements in early intervention and precision-targeted therapeutics. While treat-to-target paradigms and disease-modifying antirheumatic drugs ameliorate clinical outcomes, sustained drug-free remission (SDFR) or even cure remains elusive, underscoring the need for … Read more

Immunological insights into the re-emergence of human metapneumovirus

Curr Opin Immunol. 2025 May 12;94:102562. doi: 10.1016/j.coi.2025.102562. Online ahead of print. ABSTRACT Human metapneumovirus (hMPV) is a seasonal respiratory virus that typically causes mild, flu-like symptoms. In some cases, it can lead to severe respiratory complications, such as pneumonia, bronchitis, and bronchiolitis, often requiring hospitalization. Recently, a surge in hMPV cases has been reported … Read more

Dupilumab-associated lymphoproliferative disorders: a comprehensive review on clinicohistopathologic features and underlying mechanisms

Curr Opin Immunol. 2025 May 10;94:102563. doi: 10.1016/j.coi.2025.102563. Online ahead of print. ABSTRACT Dupilumab, a monoclonal antibody targeting interleukin 4 receptor, has shown significant efficacy in treating atopic dermatitis (AD). However, emerging case reports indicate that it may unmask or cause cutaneous T cell lymphoma (CTCL). This review analyzes 29 studies involving 124 patients who … Read more

Advances in genetic-immunological targeted therapies for psoriasis

Curr Opin Immunol. 2025 Apr 30;94:102559. doi: 10.1016/j.coi.2025.102559. Online ahead of print. ABSTRACT Psoriasis is a common chronic immune-mediated inflammatory skin disease, with its pathogenesis involving genetic susceptibility, abnormal immune responses, and environmental factors. In recent years, targeted immunotherapy has become a prominent treatment approach. Various drugs targeting cytokines, such as interleukin-17, interleukin-23, and tumor … Read more

Autoimmunity in inflammatory bowel disease: a holobiont perspective

Curr Opin Immunol. 2025 Apr 18;94:102557. doi: 10.1016/j.coi.2025.102557. Online ahead of print. ABSTRACT Adaptive immunity towards self-antigens (autoimmunity) and intestinal commensal microbiota is a key feature of inflammatory bowel disease (IBD). Considering mucosal adaptive immunity from a holobiont perspective, where the host and its microbiome form a single physiological unit, emphasises the challenge of avoiding … Read more

Drivers and shapers of macrophages specification in the developing brain

Curr Opin Immunol. 2025 Apr 15;94:102558. doi: 10.1016/j.coi.2025.102558. Online ahead of print. ABSTRACT The brain harbors two major macrophage populations: microglia reside within the brain parenchyma, while border-associated macrophages (BAMs) are situated at central nervous system (CNS) interfaces. BAMs can be further classified into distinct subsets based on their localization: perivascular macrophages surround blood vessels, … Read more

Autoimmune-related adverse events induced by immune checkpoint inhibitors

Curr Opin Immunol. 2025 Apr 11;94:102556. doi: 10.1016/j.coi.2025.102556. Online ahead of print. ABSTRACT Targeted immunotherapies, particularly immune checkpoint inhibitors (ICIs), have transformed cancer treatment by significantly improving patient response and survival rates. However, ICIs could disrupt self-tolerance, inducing the development of immune-related adverse events (irAEs). Most irAEs are classified as autoimmune conditions mediated by ICI-activated … Read more

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