The skin can serve as an interstitial Na reservoir. Local tissue Na accumulation increases with age, inflammation and infection. This increased local Na availability favors pro-inflammatory immune cell function and dampens their anti-inflammatory capacity. In this review, we summarize available data on how NaCl affects various immune cells. We particularly focus on how salt promotes pro-inflammatory macrophage and T cell function and simultaneously curtails their regulatory and anti-inflammatory potential. Overall, these findings demonstrate that local Na availability is a promising novel regulator of immunity. Hence, the modulation of tissue Na levels bears broad therapeutic potential: increasing local Na availability may help in treating infections, while lowering tissue Na levels may be used to treat, for example, autoimmune and cardiovascular diseases.
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http://dx.doi.org/10.1007/s00467-016-3349-x | DOI Listing |
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Endocrinology, Diabetology and Nutrition Department, CHU Larrey, 24 chemin de Pouvourville, TSA 30030, 31059 Toulouse, France. Electronic address:
The choice of therapeutic method for the management of primary hyperparathyroidism depends on the severity of the disease and its complications at the time of diagnosis, the specific situation of each patient and his/her natural history, and assessment of the risk/benefit ratio for each method (surgery, local destruction or drugs). This chapter summarizes the indications for the treatment of primary hyperparathyroidism, based on the international literature available as of December 31, 2023.
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Department of Forest Mycology and Plant Pathology, Uppsala BioCenter, Swedish University of Agricultural Sciences, Uppsala, Sweden.
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