950 results match your criteria: "Department of Internal Medicine and Clinical Immunology[Affiliation]"

Article Synopsis
  • PET/CT is a diagnostic imaging tool gaining traction for identifying large-vessel vasculitis, particularly giant cell arteritis (GCA).
  • It effectively highlights inflammation in large arteries like the aorta, demonstrating its frequent involvement and the risk of serious complications like aneurysms.
  • Despite its benefits, challenges and uncertainties remain regarding the overall effectiveness of PET/CT in diagnosing and monitoring GCA, which this review aims to address.
View Article and Find Full Text PDF

Efferocytosis dysfunction in CXCL4-induced M4 macrophages: phenotypic insights in systemic sclerosis and .

Front Immunol

October 2024

INSERM, EHESP, IRSET (Institut de Recherche en Santé, Environnement et Travail) - UMR_S 1085, Univ Rennes, Rennes, France.

Introduction: Systemic sclerosis (SSc) is an autoimmune disease characterized by antinuclear antibody production, which has been linked to an excess of apoptotic cells, normally eliminated by macrophages through efferocytosis. Additionally, circulating levels of CXCL4, a novel SSc biomarker, correlate with more severe fibrotic manifestations of the disease. Considering the defective efferocytosis of macrophages in SSc and the CXCL4-related M4 macrophage phenotype, we hypothesized that CXCL4 could be involved in the alteration of phagocytic functions of macrophages in SSc, including LC3-associated phagocytosis (LAP), another phagocytic process requiring autophagy proteins and contributing to immune silencing.

View Article and Find Full Text PDF

French protocol for diagnosis and management of Cogan's syndrome.

Rev Med Interne

October 2024

Service de médecine interne, hôpital Saint-Antoine, AP-HP, Sorbonne université, 184, rue du Faubourg-Saint-Antoine, 75012 Paris, France. Electronic address:

Article Synopsis
  • * It typically affects Caucasians equally across genders and can also be associated with other autoimmune diseases like polyarteritis nodosa.
  • * While ocular symptoms often have a good prognosis with potential recovery of vision, cochleo-vestibular issues can lead to serious and irreversible hearing loss, and treatment options are not well-established due to the condition's rarity.
View Article and Find Full Text PDF

CRISPR-Based Therapy for Hereditary Angioedema.

N Engl J Med

October 2024

From Amsterdam Cardiovascular Sciences, Amsterdam University Medical Center, University of Amsterdam, Amsterdam (D.M.C., R.S.P); Cambridge University Hospitals, NHS Foundation Trust, Cambridge, United Kingdom (P.G.); the Institute of Allergology, Charité-Universitätsmedizin Berlin, Freie Universität Berlin and Humboldt-Universität zu Berlin, and Immunology and Allergology, Fraunhofer Institute for Translational Medicine and Pharmacology ITMP, Berlin (M.M.), and the Department of Children and Adolescents, University Hospital Frankfurt, Goethe University Frankfurt, Frankfurt (E.A.-P.) - all in Germany; the Department of Medicine, Campbelltown Hospital and Western Sydney University, Sydney (C.H.K.); University of Lille, U1286-INFINITE-Institute for Translational Research in Inflammation, F-59000, INSERM, and the Department of Internal Medicine and Clinical Immunology, CHU Lille, National Reference Center for Angioedema (CREAK), Lille (D.L.), and CREAK, Angioedema Center of Reference and Excellence (ACARE), Grenoble Alpes University Hospital, and the Translational Research in Autoimmunity and Inflammation Arm (T-RAIG), French National Center for Scientific Research (CNRS), Grenoble (L.B.) - all in France; Intellia Therapeutics, Cambridge, MA (D.M., J.S.B., M.Y.S., A.G., Y.X., A.M.A., D.L.); and the Department of Immunology, Auckland City Hospital, and the Department of Medicine, University of Auckland - both in Auckland, New Zealand (K.L., H.J.L.).

Background: Hereditary angioedema is a rare genetic disease characterized by severe and unpredictable swelling attacks. NTLA-2002 is an in vivo gene-editing therapy that is based on clustered regularly interspaced short palindromic repeats (CRISPR)-CRISPR-associated protein 9. NTLA-2002 targets the gene encoding kallikrein B1 ().

View Article and Find Full Text PDF

Difficult-to-treat Takayasu arteritis: a case-based review.

Rheumatol Int

December 2024

Department of Internal Medicine, Inflammation-Immunopathology-Biotherapy, Assistance Publique - Hôpitaux de Paris, Hôpital Saint-Antoine Paris, Paris, France.

Takayasu arteritis is a rare chronic inflammatory large vessel vasculitis which affects the aorta and its large branches. The diagnosis is based on the 2022 ACR/EULAR classification criteria for Takayasu arteritis. The management of this vasculitis is challenging.

View Article and Find Full Text PDF

Infliximab versus Cyclophosphamide for Severe Behçet's Syndrome.

NEJM Evid

November 2024

Department of Internal Medicine and Clinical Immunology, Sorbonne Universités, Assistance Publique-Hôpitaux de Paris, Pitié-Salpêtrière University Hospital, Centre national de références Maladies Autoimmunes et systémiques rares, National Reference Centre for Rare Autoinflammatory Diseases and Inflammatory Amyloidosis, INSERM, UMR S959, Immunology-Immunopathology-Immunotherapy, Paris.

Article Synopsis
  • A study compared the effectiveness and safety of infliximab and cyclophosphamide as induction therapies for severe Behçet's syndrome involving major vascular or CNS issues.
  • Infliximab showed a higher complete response rate (81%) compared to cyclophosphamide (56%), indicating it may be more effective.
  • Additionally, infliximab had fewer adverse events (29.6%) compared to cyclophosphamide (64%), suggesting it may also be safer for patients.
View Article and Find Full Text PDF

Real-World Safety and Effectiveness of Infliximab in 255 Patients with Intestinal, Neurological, and Vascular Behçet's Disease: A Post-Marketing Surveillance.

Adv Ther

December 2024

Department of Internal Medicine and Clinical Immunology, Yokohama City University, Graduate School of Medicine, 22-2, Seto, Kanazawa-ku, Yokohama-shi, Kanagawa, 236-0027, Japan.

Article Synopsis
  • Behçet's disease (BD) significantly affects the intestines, nervous system, and blood vessels, and while infliximab is approved for treatment in Japan, limited effectiveness and safety data exist.
  • A 2-year study was conducted to assess the safety and effectiveness of infliximab in patients with intestinal, neurological, or vascular manifestations of BD who didn't respond to other treatments.
  • Among 255 patients treated, infliximab demonstrated a good safety profile with no new safety issues, and 68.8% of patients with intestinal BD showed improvement, while those with chronic NBD and VBD remained stable.
View Article and Find Full Text PDF
Article Synopsis
  • A team updated the 2017 EULAR treatment recommendations for systemic sclerosis (SSc) to include new evidence and therapy options.
  • They conducted a systematic literature review and developed 22 recommendations across 8 clinical areas, focusing mainly on skin fibrosis and interstitial lung disease (ILD).
  • The updated guidelines now suggest new treatments like mycophenolate mofetil and rituximab and emphasize a research agenda for future therapies targeting various aspects of SSc.
View Article and Find Full Text PDF

Indeterminate DC histiocytosis is distinct from LCH and often associated with other hematopoietic neoplasms.

Blood Adv

November 2024

Department of Pathology, Ambroise-Paré Hospital, Assistance Publique-Hôpitaux de Paris (AP-HP), & EA4340-Biomarkers and clinical trials in Cancerology and Onco-Hematology, Versailles SQY University, Paris-Saclay University, Boulogne, France.

Article Synopsis
  • Indeterminate dendritic cell histiocytosis (IDCH) is a rare condition marked by a buildup of specific histiocytes, with particular immunophenotypic features and clinical presentations, mostly in older adults.
  • The study analyzed 43 cases, showing that many patients had skin or lymph node involvement, and a significant number had related blood cancers or other histiocytic diseases.
  • Genetic analyses identified common mutations (like KRAS and BRAF) and unique gene fusions, helping to clarify IDCH's molecular profile and its potential impact on diagnosis and treatment strategies.
View Article and Find Full Text PDF

Conception in women with primary Sjögren's disease.

RMD Open

October 2024

Department of Rheumatology, Hôpital Bicêtre, Assistance Publique-Hôpitaux de Paris, Le Kremlin-Bicetre, France

View Article and Find Full Text PDF

Inflammatory myopathies in 2024: Better classify them to better treat them.

Rev Neurol (Paris)

November 2024

UMR974, Sorbonne University, AP-HP, Paris, France; Department of Internal Medicine and Clinical Immunology, National Reference Centre for Inflammatory Myopathies, hôpital Pitié-Salpêtrière, Paris, France. Electronic address:

The discovery, over the last forty years or so, of specific myositis auto-antibodies (easily dosed in routine nowadays) and the fine clinically and pathologically phenotypic descriptions of affected patients have made it possible to review the classification of inflammatory myopathies. The arrival of "omic" techniques has also led to the discovery of different pathophysiological mechanisms among these different subgroups of myositis. Naturally, therapeutic approaches specifically targeting the representative abnormal pathways of each subgroup are being evaluated.

View Article and Find Full Text PDF
Article Synopsis
  • Neutrophils, the most common type of white blood cells, play a significant role in inflammation and are present in greater levels in patients with psoriatic arthritis (PsA), a chronic disease affecting joints and other body systems.
  • A study involving 31 PsA patients and 22 healthy controls investigated the function of neutrophils from blood samples; these neutrophils were tested for various activation and response characteristics.
  • Results showed that neutrophils from PsA patients had lower activation and effectiveness when responding to stimuli, along with elevated serum levels of inflammatory markers, suggesting a compromised immune response in these patients.
View Article and Find Full Text PDF
Article Synopsis
  • Advanced systemic mastocytosis (AdvSM) is a complex condition linked to poor outcomes, and while midostaurin is the first approved treatment, its long-lasting effectiveness is limited.
  • Various prognostic scoring systems like MARS, IPSM, and GPSM have been developed to assess patients' outcomes, but it's essential to tailor these scores to specific AdvSM subtypes for better accuracy.
  • A study of patients treated with midostaurin revealed that MARS and AdvSM subtype significantly predict overall survival, identifying five distinct patient subgroups with varying median survival times, highlighting the need for personalized management strategies.
View Article and Find Full Text PDF

Innovative cell therapies for systemic sclerosis: available evidence and new perspectives.

Expert Rev Clin Immunol

September 2024

Division of Rheumatology, Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA.

Introduction: Systemic sclerosis (SSc) is the rheumatic disease with the highest individual mortality rate with a detrimental impact on quality of life. Cell-based therapies may offer new perspectives for this disease as recent phase I trials support the safety of IV infusion of allogeneic mesenchymal stromal cells in SSc and case reports highlight the potential use of Chimeric Antigen Receptor (CAR)-T cells targeting CD19 in active SSc patients who have not responded to conventional immunosuppressive therapies.

Areas Covered: This narrative review highlights the most recent evidence supporting the use of cellular therapies in SSc as well as their potential mechanisms of action and discusses future perspectives for cell-based therapies in SSc.

View Article and Find Full Text PDF

Characteristics and outcomes associated with CD2 and CD25 expression on bone marrow mast cells in patients with systemic mastocytosis.

Haematologica

August 2024

Université Paris Cité, INSERM UMR-S1151, CNRS UMR-S8253, Institut Necker Enfants Malades, F-75015 Paris, France; Hôpital Necker Enfants-Malades, Laboratoire d'Onco-Hématologie, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris.

Not available.

View Article and Find Full Text PDF

French protocol for the diagnosis and management of systemic lupus erythematosus.

Rev Med Interne

September 2024

Department of Internal Medicine and Clinical immunology, Reference Centre of Autoimmune Systemic Rare Diseases of North and North-West of France (CeRAINO), Lille University, Inserm, University Hospital of Lille, Lille, France.

Because Systemic Lupus Erythematosus (SLE) is a rare disease, and due to the significant prognostic impact of early management, a diagnosis confirmed by a physician with experience in SLE is recommended, for example from an expert center. Once the diagnosis is confirmed, existing manifestations should be identified in particular, renal involvement by an assessment of proteinuria, disease activity and severity should be determined, potential complications anticipated, associated diseases searched for, and the patient's socioprofessional and family context noted. Therapeutic management of SLE includes patient education on recognizing symptoms, understanding disease progression as well as when they should seek medical advice.

View Article and Find Full Text PDF

Treatment modalities of marginal zone lymphoma and overall survival, haematological response, and underlying Sjögren's disease activity: a multicentre, retrospective, observational study.

Lancet Rheumatol

October 2024

Department of Rheumatology, Hôpital Bicêtre, Assistance Publique-Hôpitaux de Paris, Université Paris-Saclay, Le Kremlin-Bicêtre, Paris, France; Center for Immunology of Viral Infections and Auto-Immune Diseases, INSERM UMR 1184, Université Paris-Saclay, Le Kremlin-Bicêtre, Paris, France. Electronic address:

Article Synopsis
  • Sjögren's disease is an autoimmune condition with a significant risk of developing lymphoma, but effective management strategies for this dual challenge are not well established.
  • A study was conducted involving 106 patients who had both Sjögren's disease and lymphoma, focusing on understanding treatment approaches and outcomes related to lymphoma progression and Sjögren's disease symptoms.
  • The findings highlighted that mucosa-associated lymphoid tissue lymphoma was the most common type in these patients, and specific factors were analyzed to assess their impact on patients’ prognosis and survival rates.
View Article and Find Full Text PDF

When and which second-line workup to perform for uveitis: a tertiary care center experience.

Can J Ophthalmol

August 2024

Department of Internal Medicine and Clinical Immunology, Nancy University Hospital, Nancy, France; UMR 7365, Ingénierie Moléculaire, Cellulaire et Physiopathologie, Lorraine University, Centre National de la Recherche Scientifique, Nancy, France. Electronic address:

Objective: Uveitis are inflammatory disorders of various etiologies. The first-line etiological workup is currently poorly codified, and some patients undergo sequential investigations. However, what leads the clinician to perform subsequent exams and the relevance of such exams remain to be determined.

View Article and Find Full Text PDF

Objectives: The aim of this study was to determine the association between different histological patterns and prognosis in patients with SSc and histologically proven muscle involvement.

Methods: A multicentre retrospective study was conducted of a cohort of scleroderma patients who had undergone muscle biopsy. The biopsies were reviewed in a coordinated manner to classify patients based on histological findings.

View Article and Find Full Text PDF

The innate immune system, composed of neutrophils, basophils, eosinophils, myeloid-derived suppressor cells (MDSCs), macrophages, dendritic cells (DCs), mast cells (MCs), and innate lymphoid cells (ILCs), is the first line of defense. Growing evidence demonstrates the crucial role of innate immunity in tumor initiation and progression. Several studies support the idea that innate immunity, through the release of pro- and/or anti-inflammatory cytokines and tumor growth factors, plays a significant role in the pathogenesis, progression, and prognosis of cutaneous malignant melanoma (MM).

View Article and Find Full Text PDF

Discovery of new myositis genetic associations through leveraging other immune-mediated diseases.

HGG Adv

October 2024

Cambridge Institute of Therapeutic Immunology and Infectious Disease (CITIID), University of Cambridge, Cambridge, UK; Department of Medicine, University of Cambridge, Cambridge, UK; MRC Biostatistics Unit, University of Cambridge, Cambridge, UK.

Article Synopsis
  • Genome-wide association studies (GWASs) are effective in linking genetic variants to various human traits and diseases, but they often require large sample sizes, making it tough to study rarer diseases like myositis, which severely affect patients' quality of life.
  • The researchers used a feature engineering method to leverage data from larger IMD GWASs, discovering 17 immune-mediated diseases genetically related to myositis, including conditions like systemic sclerosis and Sjögren's syndrome.
  • They identified seven potential new genetic links to myositis, hinting that immune system genes may play a role in the disease, and suggest this method could enhance genetic research in other rare conditions as well.
View Article and Find Full Text PDF

Tinzaparin, an alternative to subcutaneous unfractionated heparin, in patients with severe and end-stage renal impairment: a retrospective observational single-center study.

J Thromb Haemost

October 2024

Institut National de la Santé et de la Recherche Médicale (INSERM)-1059 SAnté INgéniérie BIOlogie St-Etienne (SAINBIOSE), Jean Monnet University, Mines Saint-Étienne, France; Department of Pharmacology, Saint-Étienne University Hospital, Saint-Etienne, France.

Article Synopsis
  • Tinzaparin may offer a more manageable treatment option than unfractionated heparin for patients with severe renal impairment, but there's limited data on its pharmacokinetics and complications in this group.
  • This study aimed to analyze the pharmacokinetics of tinzaparin and evaluate bleeding and thrombotic complications in patients with an estimated glomerular filtration rate (eGFR) under 30 mL.min⁻.
  • Results showed that tinzaparin's pharmacokinetics were similar to those in patients without renal impairment, with low rates of major bleeding and no thrombotic complications, indicating it could be a viable alternative for these patients.
View Article and Find Full Text PDF