The mucosal immune microenvironment in chronic pharyngitis: epithelial barrier dysfunction, inflammatory persistence, and therapeutic perspectives

Chronic pharyngitis is a clinically heterogeneous condition in which persistent throat symptoms, visible mucosal abnormalities, and underlying biological processes do not necessarily coincide. This critical narrative review synthesizes evidence from hu…

SPOCK2-mediated phenotype switch of vascular smooth muscle cells contributes to aortic aneurysm in Kawasaki disease

BackgroundCoronary artery aneurysm is a major cardiovascular complication of Kawasaki disease (KD). The phenotype switch of vascular smooth muscle cells (VSMCs) plays a crucial role in pathological vascular wall remodeling in KD; however, the molecular…

Immune–chondrocyte ligand–receptor axes in osteoarthritis: microenvironmental control of inflammation, matrix remodeling, and chondrocyte fate

Osteoarthritis (OA) is increasingly recognized as a whole-joint disease shaped by chronic low-grade inflammation, matrix damage, mechanical stress, and failed tissue repair. Beyond the traditional view of cartilage wear, emerging evidence indicates tha…

Bringing translational structure to complex immune-mediated conditions: the ACT (Activation–Constraint–Tissue Context) framework for divergent phenotypes

Immune-mediated outcomes diverge across individuals with similar genetic backgrounds and environmental exposures, reflecting trajectories through a dynamic, context-dependent, and partially stochastic state space rather than fixed molecular endpoints. …

Monocyte-macrophage sensing of calciprotein particles in CKD-associated vascular calcification: lysosomal stress and inflammasome activation

Chronic kidney disease (CKD) exposes the circulation to sustained calcium-phosphate stress. Calciprotein particles (CPPs) buffer mineral supersaturation and, alongside mineral and bone disorder, uremic toxins, oxidative stress, and inflammation, are an…

Distinct metabolic signatures define key HIV-1 clinical phenotypes and reveal targets beyond viral suppression

IntroductionDespite effective antiretroviral therapy (ART), metabolic dysfunction persists in people with HIV (PWH) and may contribute to immune dysregulation and non-AIDS comorbidities. However, the metabolomic profiles associated with untreated infec…

Carbonic anhydrase 4 restrains dual TLR4–NF-κB/IRF3 innate immune signaling and epithelial-mesenchymal transition in methotrexate-induced pulmonary fibrosis

BackgroundMethotrexate (MTX)-induced pulmonary fibrosis (MTX-PF) is the most severe and frequently irreversible manifestation of MTX pulmonary toxicity, yet the molecular target and signaling circuitry linking drug exposure to fibrosis remain undefined…

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