Innate immune dysregulation in celiac disease and refractory celiac disease: mechanisms, management and emerging therapies

Celiac disease is traditionally regarded as T-cell mediated autoimmune disorder driven by gluten-specific adaptive immune responses. In this review, we synthesise recent data showing how epithelial stress, IL-15 driven innate circuits and intraepitheli…

Anti-CD19 CAR T-cell therapy for autoimmune diseases: from exploratory clinical trials to quantitative pharmacodynamic modeling development

Anti-CD19 CAR T-cell therapy has produced major advances in treating hematologic malignancies. Recently, researchers have explored its use in autoimmune diseases. However, the complex pathogenesis and high heterogeneity of these disorders create substa…

Targeting the remodeled peritoneal ecosystem: a paradigm shift from tumor cells to the microenvironment in gastric cancer peritoneal metastasis

Peritoneal metastasis (PM) is the most common form of organ-specific metastasis in advanced gastric cancer (GC), and is driven by the dynamic interplay between cancer cells and the tumor microenvironment (TME). This review elaborates on the mechanisms …

Immunomodulatory properties of umbilical cord mesenchymal stromal cells in immune disorders: immunoregulatory functions, therapeutic progress, and engineering strategies for enhanced efficacy

Immune disorders remain a major global health challenge, as conventional immunosuppressive therapies are often hampered by severe side effects and unsatisfactory long-term efficacy. Umbilical cord-derived mesenchymal stromal cells (UC-MSCs) have emerge…

Incidence and implications of anti-rituximab antibodies in nephropathies and other immune-mediated diseases: a narrative review

Rituximab is a chimeric anti-CD20 monoclonal antibody widely used in immune-mediated and hematologic diseases, but its efficacy may be limited by the development of anti-rituximab antibodies (ADAs). This narrative review summarizes current evidence on …

Systemic immune programming in the life course of childhood asthma: a new perspective on monocyte pre-activation and trained immunity

BackgroundChildhood asthma has traditionally been characterized as a localized chronic airway inflammatory disease, with structural remodeling viewed merely as a downstream consequence of persistent inflammation. However, clinical evidence revealing si…

WWP2 in immune surveillance and antigen presentation: context-dependent roles in B cells, T cells, and tumor immune escape

WWP2 is a NEDD4-family HECT E3 ubiquitin ligase with emerging relevance to immune regulation and cancer immunity. Although WWP2 has been widely studied in tumor growth, fibrosis, and cell signaling, its immune functions are less consistently integrated…

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