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Apart from its role in MHC class I antigen processing, the immunoproteasome has recently been implicated in the modulation of T helper cell differentiation under polarizing conditions in vitro and in the pathogenesis of autoimmune diseases in vivo. In this study, we investigated the influence of LMP7 on T helper cell differentiation in response to the fungus Candida albicans. We observed a strong effect of ONX 0914, an LMP7-selective inhibitor of the immunoproteasome, on IFN-γ and IL-17A production by murine splenocytes and human peripheral blood mononuclear cells (PBMCs) stimulated with C. albicans in vitro. Using a murine model of systemic candidiasis, we could confirm reduced generation of IFN-γ- and IL-17A-producing cells in ONX 0914 treated mice in vivo. Interestingly, ONX 0914 treatment resulted in increased susceptibility to systemic candidiasis, which manifested at very early stages of infection. Mice treated with ONX 0914 showed markedly increased kidney and brain fungal burden which resulted in enhanced neutrophil recruitment and immunopathology. Together, these results strongly suggest a role of the immunoproteasome in promoting proinflammatory T helper cells in response to C. albicans but also in affecting the innate antifungal immunity in a T helper cell-independent manner.

"People are willing to collaborate," Gibson agrees, "and it is only by linking patient-focused research with laboratory discoveries and evidence-based medicine that we are able to get these broad insights into disease."

Schuit, K. E. Phagocytosis and intracellular killing of pathogenic yeasts by human monocytes and neutrophils. Infect. Immun. 24, 932–938 (1979).

Ge, L. et al. Three-dimensional paper-based electrochemiluminescence immunodevice for multiplexed measurement of biomarkers and point-of-care testing. Biomaterials 33, 1024–1031 (2012).

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We continue completely unnecessarily to recreate a hostile world, and then feel justified in using our primitive tendency to huddle in groups for protection. It did work for our ancestors for the purpose of physical survival but not much else. Our mammal brain doesn’t care if we are happy or fulfilled, or if we behave justly towards others. It also cannot plan ahead or think rationally and compassionately. It is busy keeping us alive for one purpose only: the survival of the species.

O’Brien, G. C., Wang, J. H. & Redmond, H. P. Bacterial lipoprotein induces resistance to Gram-negative sepsis in TLR4-deficient mice via enhanced bacterial clearance. J. Immunol. 174, 1020–1026 (2005).

Although it is clear that this study is funded by a company hoping to market a new blood test and that most of the quotes come from company employees, the release should have explained the relationship between the company and the principal investigator. Did the company just provide funding for the study? Were there direct payments to the researchers, including consulting or lecturing fees outside of the study budget? What was the role of the company in designing the study and reporting the results?

An acute myopathy complicating life-threatening asthma has been reported with increasing frequency. We present a further 3 patients with this complication. Each patient had nerve conduction studies, electromyography and muscle biopsy performed. The records of a cohort of 12 patients, ventilated in an intensive care unit over a 16 month period, were reviewed. Eleven out of the 12 patients developed an elevated creatine kinase level (median 1311 U/L, range 185-9973 U/L) and 4 developed symptomatic weakness. The myopathy of status asthmaticus is not a homogeneous clinicopathological entity. Although myopathy is the predominant feature, there is a neuropathic component in some patients. Full recovery is usual. The combination of corticosteroids and neuromuscular blocking agents has been proposed as the possible cause of the complication.

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(iv) Panel 2.4: sera without seroconversion (n = 33) and with nonspecific IgM on Architect (n = 23).The 10 negative or equivocal sera (0.35 < IgM < 0.59 AU/ml) were negative according to the ICT and immunocapture assays. Concerning the 23 other sera (IgM positive by Architect), we conclude that all of these corresponded to false-positive results, since the IgG follow-up did not show the appearance of IgG and increasing IgM. Ten out of 23 sera tested positive on the Architect system and negative by immunocapture and ICT test, which indicates a false-positive result on Architect. Eleven out of 23 samples yielded positive immunocapture and Architect results but negative ICT results and corresponded to false-positive results on both the Architect system and immunocapture assay. We found that 2/23 sera tested positive for IgM with the three techniques.

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Another recent study has evaluated this new technique (9). The methodological approach is different and complementary (in relation to our work). This study uses 180 sera: 115 chronically infected persons with known serotype (48 serotype II, 14 serotype I-III, serotype I-IIIa, and 28 serotype atypical, haplogroup 12), 51 seronegative samples, and 13 samples from recently infected persons. In this study, the ICT test had 100% sensitivity and specificity. The authors also developed the theme of economic considerations, and we agree that the ICT test offers new options for improved prenatal care in low- and middle-income countries; it facilitates early identification and diagnosis, with similar or better sensitivity and specificity than automated techniques.

Andy Murray said he has had hip resurfacing surgery and had a metal joint implanted. The three-time major champion posted a message Tuesday on Instagram saying he had the operation Monday in London. Murray said he is "feeling a bit battered and bruised." The post includes two pictures — one shows Murray in a hospital bed, the other shows an X-ray. He has dealt with hip pain for years and already had an operation in January 2018. After losing in the first round of the Australian Open two weeks ago, Murray said he would decide quickly whether to have surgery again. He said at a news conference before the Australian Open that it might be the last tournament of his career.


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