Abstract
Rheumatological conditions (also termed as collagen vascular diseases) are a group of disorders that affect mainly the joints (small or large or both types). Though the terms rheumatological conditions and collagen vascular diseases are used interchangeably, it may be mentioned here that it is better to use the term rheumatological conditions or systemic autoimmune diseases for conditions such as rheumatoid arthritis (RA), systemic lupus erythematosus (SLE or simply called as lupus), systemic sclerosis, and dermatomyositis The terms “collagen vascular disease” and “collagen-vascular disease,” has been in use since 1962 (and possibly earlier), are synonyms for systemic autoimmune disease. The term “collagen vascular disease” is a misnomer: these diseases affect many structures in addition to vascular structures, and they affect many molecules in addition to the collagen molecule. They are also referred to as connective tissue diseases. However, although the systemic autoimmune diseases affect connective tissue, they also affect many other tissue types, including muscle tissue and neural tissue. In addition, many connective tissue diseases (such as scurvy and Marfan’s syndrome) are not autoimmune in nature. Systemic lupus erythematosus and rheumatoid arthritis can cause vasculitis. However, these diseases affect many structures other than blood vessels.
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References
Burnet FM (1957) A modification of Jerne’s theory of antibody production using the concept of Clonal selection. Aust J Sci 20:67–69
Pike B, Boyd A, Nossal G (1982) Clonal anergy: the universally anergic B lymphocyte. Proc Natl Acad Sci U S A 79:2013–2017
Jerne N (1974) Towards a network theory of the immune system. Ann Immunol (Paris) 125C:373–389
Edwards JC, Cambridge G, Abrahams VM (1999) Do self perpetuating B lymphocytes drive human autoimmune disease? Immunology 97:1868–1876
Graham RR, Ortmann W, Rodine P, Espe K, Langefeld C, Lange E, Williams A, Beck S, Kyogoku C, Moser K, Gaffney P, Gregersen PK, Criswell LA, Harley JB, Behrens TW (2007) Specific combinations of HLA-DR2 and DR3 class II haplotypes contribute graded risk for disease susceptibility and autoantibodies in human SLE. Eur J Hum Genet 15:823–830
Mulcahy B, Waldron-Lynch F, McDermott MF, Adams C, Amos CI, Zhu DK, Ward RH, Clegg DO, Shanahan F, Molloy MG, O’Gara F (1996) Genetic variability in the tumor necrosis factor-lymphotoxin region influences susceptibility to rheumatoid arthritis. Am J Hum Genet 59:676–683
Newton J, Brown MA, Milicic A, Ackerman H, Darke C, Wilson JN, Wordsworth BP, Kwiatkowski D (2003) The effect of HLA-DR on susceptibility to rheumatoid arthritis is influenced by the associated lymphotoxin alpha-tumor necrosis factor haplotype. Arthritis Rheum 48:90–96
Zhang X, Llamado L, Pillay I, Price P, Will R (2002) Interleukin-1 gene polymorphism disease activity and bone mineral metabolism in rheumatoid arthritis. Chin Med J (Engl) 115:46–49
Cantagrel A, Navaux F, Loubet-Lescoulié P, Nourhashemi F, Enault G, Abbal M, Constantin A, Laroche M, Mazières B (1999) Interleukin-1beta, interleukin-1 receptor antagonist, interleukin-4, and interleukin-10 gene polymorphisms: relationship to occurrence and severity of rheumatoid arthritis. Arthritis Rheum 42:1093–1100
Paradowska-Gorycka A, Wojtecka-Lukasik E, Trefler J, Wojciechowska B, Lacki JK, Maslinski S (2010) Association between IL-17F gene polymorphisms and susceptibility to and severity of rheumatoid arthritis (RA). Scand J Immunol 72:134–141
Paradowska-Gorycka A, Trefler J, Maciejewska-Stelmach J, Łacki JK (2010) Interleukin-10 gene promoter polymorphism in Polish rheumatoid arthritis patients. Int J Immunogenet 37:225–231
Ying B, Shi Y, Pan X, Song X, Huang Z, Niu Q, Cai B, Wang L (2011) Association of polymorphisms in the human IL-10 and IL-18 genes with rheumatoid arthritis. Mol Biol Rep 38:379–385
Santos LL, Morand EF (2009) Macrophage migration inhibitory factor: a key cytokine in RA, SLE and atherosclerosis. Clin Chim Acta 399:1–7
Zou YQ, Lu LJ, Li SJ, Zeng T, Wang XD, Bao CD, Chen SL, Yang CD (2008) The levels of macrophage migration inhibitory factor as an indicator of disease activity and severity in adult-onset Still’s disease. Clin Biochem 41:519–524
Ayoub S, Hickey MJ, Morand EF (2008) Mechanisms of disease: macrophage migration inhibitory factor in SLE, RA and atherosclerosis. Nat Clin Pract Rheumatol 4:98–105
Cutolo M, Brizzolara R, Atzeni F, Capellino S, Straub RH, Puttini PC (2010) The immunomodulatory effects of estrogens: clinical relevance in immune-mediated rheumatic diseases. Ann N Y Acad Sci 1193:36–42
Stewart JJ (1999) Theory and treatment of the X-inactivation chimera in female-prevalent autoimmune disease. Arch Immunol Ther Exp (Warsz) 47:355–359
Brix TH, Knudsen GP, Kristiansen M, Kyvik KO, Orstavik KH, Hegedüs L (2005) High frequency of skewed X-chromosome inactivation in females with autoimmune thyroid disease: a possible explanation for the female predisposition to thyroid autoimmunity. J Clin Endocrinol Metab 90:5949–5953
Selmi C, Invernizzi P, Gershwin ME (2006) The X chromosome and systemic sclerosis. Curr Opin Rheumatol 18:601–605
Lu Q, Wu A, Tesmer L, Ray D, Yousif N, Richardson B (2007) Demethylation of CD40LG on the inactive X in T cells from women with lupus. J Immunol 179:6352–6358
Uz E, Mustafa C, Topaloglu R, Bilginer Y, Dursun A, Kasapcopur O, Ozen S, Bakkaloglu A, Ozcelik T (2009) Increased frequency of extremely skewed X chromosome inactivation in juvenile idiopathic arthritis. Arthritis Rheum 60:3410–3412
Saunders K, Raine T, Cooke A, Lawrence C (2007) Inhibition of autoimmune type 1 diabetes by gastrointestinal helminth infection. Infect Immun 75:397–407
Wållberg M, Harris R (2005) Co-infection with Trypanosoma brucei brucei prevents experimental autoimmune encephalomyelitis in DBA/1 mice through induction of suppressor APCs. Int Immunol 17:721–728
Walsh KP, Brady MT, Finlay CM, Boon L, Mills KH (2009) Infection with a helminth parasite attenuates autoimmunity through TGF-beta-mediated suppression of Th17 and Th1 responses. J Immunol 183:1577–1586
Bang SY, Lee KH, Cho SK, Lee HS, Lee KW, Bae SC (2010) Smoking increases rheumatoid arthritis susceptibility in individuals carrying the HLA-DRB1 shared epitope, regardless of rheumatoid factor or anti-cyclic citrullinated peptide antibody status. Arthritis Rheum 62:369–377
Linn-Rasker SP, van der Helm-van Mil AH, van Gaalen FA, Kloppenburg M, de Vries RR, le Cessie S, Breedveld FC, Toes RE, Huizinga TW (2006) Smoking is a risk factor for anti-CCP antibodies only in rheumatoid arthritis patients who carry HLA-DRB1 shared epitope alleles. Ann Rheum Dis 65:366–371
Criswell LA, Merlino LA, Cerhan JR, Mikuls TR, Mudano AS, Burma M, Folsom AR, Saag KG (2002) Cigarette smoking and the risk of rheumatoid arthritis among postmenopausal women: results from the Iowa Women’s Health Study. Am J Med 112:465–471
Weigle WO (1981) Self-nonself recognition by T and B lymphocytes and their roles in autoimmune phenomena. Arthritis Rheum 24:1044–1053
Blossom S, Gilbert KM (1999) Antibody production in autoimmune BXSB mice. I. CD40L-expressing B cells need fewer signals for polyclonal antibody synthesis. Clin Exp Immunol 118:147–153
Bouzahzah F, Jung S, Craft J (2003) CD4+ T cells from lupus-prone mice avoid antigen-specific tolerance induction in vivo. J Immunol 170:741–748
Choe JY, Crain B, Wu SR, Corr M (2003) Interleukin 1 receptor dependence of serum transferred arthritis can be circumvented by toll-like receptor 4 signaling. J Exp Med 197:537–542
Le Saout C, Mennechet S, Taylor N, Hernandez J (2008) Memory-like CD8+ and CD4+ T cells cooperate to break peripheral tolerance under lymphopenic conditions. Proc Natl Acad Sci U S A 105:19414–19419
Green EA, Wong FS, Eshima K, Mora C, Flavell RA (2000) Neonatal tumor necrosis factor alpha promotes diabetes in nonobese diabetic mice by CD154-independent antigen presentation to CD8(+) T cells. J Exp Med 191:225–238
Hillion S, Garaud S, Devauchelle V, Bordron A, Berthou C, Youinou P, Jamin C (2007) Interleukin-6 is responsible for aberrant B-cell receptor-mediated regulation of RAG expression in systemic lupus erythematosus. Immunology 122:371–380
Daridon C, Devauchelle V, Hutin P, Le Berre R, Martins-Carvalho C, Bendaoud B, Dueymes M, Saraux A, Youinou P, Pers JO (2007) Aberrant expression of BAFF by B lymphocytes infiltrating the salivary glands of patients with primary Sjögren’s syndrome. Arthritis Rheum 56:1134–1144
Liossis SN, Kovacs B, Dennis G, Kammer GM, Tsokos GC (1996) B cells from patients with systemic lupus erythematosus display abnormal antigen receptor-mediated early signal transduction events. J Clin Invest 98:2549–2557
Guilherme L, Kalil J (2010) Rheumatic fever and rheumatic heart disease: cellular mechanisms leading autoimmune reactivity and disease. J Clin Immunol 30:17–23
Root-Bernstein R, Vonck J, Podufaly A (2009) Antigenic complementarity between coxsackie virus and streptococcus in the induction of rheumatic heart disease and autoimmune myocarditis. Autoimmunity 42:1–16
Faé KC, Diefenbach da Silva D, Bilate AM, Tanaka AC, Pomerantzeff PM, Kiss MH, Silva CA, Cunha-Neto E, Kalil J, Guilherme L (2008) PDIA3, HSPA5 and vimentin, proteins identified by 2-DE in the valvular tissue, are the target antigens of peripheral and heart infiltrating T cells from chronic rheumatic heart disease patients. J Autoimmun 31:136–141
Chen QY, Rowley MJ, Mackay IR (1999) Anti-idiotypic antibodies to anti-PDC-E2 in primary biliary cirrhosis and normal subjects. Hepatology 29:624–631
Stefanescu M, Onu A, Matache C, Ramos-Morales F, Fischer S, Szegli G (1995) Naturally occurring anti-idiotypic antibodies to anti-phosphotyrosine in systemic lupus erythematosus interact with SRC-homology 2 domains. Autoimmunity 22:81–86
Nordling C, Kleinau S, Klareskog L (1992) Down-regulation of a spontaneous arthritis in male DBA/1 mice after administration of monoclonal anti-idiotypic antibodies to a cross-reactive idiotope on anti-collagen antibodies. Immunology 77:144–146
Romagnani S (1991) Type 1 T helper and type 2 T helper cells: functions, regulation and role in protection and disease. Int J Clin Lab Res 21:152–158
Dorshkind K, Klimpel GR, Rosse C (1980) Natural regulatory cells in murine bone marrow: inhibition of in vitro proliferative and cytotoxic responses to alloantigens. J Immunol 124:2584–2588
Poojary KV, Kong YC, Farrar MA (2010) Control of th2-mediated inflammation by regulatory T cells. Am J Pathol 177:525–531
Murai M, Krause P, Cheroutre H, Kronenberg M (2010) Regulatory T-cell stability and plasticity in mucosal and systemic immune systems. Mucosal Immunol 3:443–449
Shalaby KH, Martin JG (2010) Overview of asthma; the place of the T cell. Curr Opin Pharmacol 10:218–225
Gandhi R, Farez MF, Wang Y, Kozoriz D, Quintana FJ, Weiner HL (2010) Cutting edge: human latency-associated peptide+ T cells: a novel regulatory T cell subset. J Immunol 184:4620–4624
Carrier Y, Yuan J, Kuchroo VK, Weiner HL (2007) Th3 cells in peripheral tolerance. I. Induction of Foxp3-positive regulatory T cells by Th3 cells derived from TGF-beta T cell-transgenic mice. J Immunol 178:179–185
Carrier Y, Yuan J, Kuchroo VK, Weiner HL (2007) Th3 cells in peripheral tolerance. II. TGF-beta-transgenic Th3 cells rescue IL-2-deficient mice from autoimmunity. J Immunol 178:172–178
Weiner HL (2001) Oral tolerance: immune mechanisms and the generation of Th3-type TGF-beta-secreting regulatory cells. Microbes Infect 3:947–954
Korn T, Bettelli E, Oukka M, Kuchroo VK (2009) IL-17 and Th17 cells. Annu Rev Immunol 27:485–517
Ghilardi N, Ouyang W (2007) Targeting the development and effector functions of TH17 cells. Semin Immunol 19:383–393
Bettelli E, Korn T, Kuchroo VK (2007) Th17: the third member of the effector T cell trilogy. Curr Opin Immunol 19:652–657
Korn T, Oukka M, Kuchroo V, Bettelli E (2007) Th17 cells: effector T cells with inflammatory properties. Semin Immunol 19:362–371
Toh ML, Kawashima M, Hot A, Miossec P, Miossec P (2010) Role of IL-17 in the Th1 systemic defects in rheumatoid arthritis through selective IL-12Rbeta2 inhibition. Ann Rheum Dis 69:1562–1567
Shen H, Goodall JC, Hill Gaston JS (2009) Frequency and phenotype of peripheral blood Th17 cells in ankylosing spondylitis and rheumatoid arthritis. Arthritis Rheum 60:1647–1656
Li X, Yuan FL, Lu WG, Zhao YQ, Li CW, Li JP, Xu RS (2010) The role of interleukin-17 in mediating joint destruction in rheumatoid arthritis. Biochem Biophys Res Commun 397:131–135
Paradowska-Gorycka A, Grzybowska-Kowalczyk A, Wojtecka-Lukasik E, Maslinski S (2010) IL-23 in the pathogenesis of rheumatoid arthritis. Scand J Immunol 71:134–145
Li Q, Cong B, Shan B, Zhang J, Chen H, Wang T, Ma C, Qin J, Wen D, Yu F (in press) Cholecystokinin octapeptide exerts its therapeutic effects on collagen-induced arthritis by suppressing both inflammatory and Th17 responses. Rheumatol Int
Wei B, Pei G (2010) microRNAs: critical regulators in Th17 cells and players in diseases. Cell Mol Immunol 7:175–181
Crispín JC, Tsokos GC (2010) Interleukin-17-producing T cells in lupus. Curr Opin Rheumatol 22:499–503
Ma J, Yu J, Tao X, Cai L, Wang J, Zheng SG (2010) The imbalance between regulatory and IL-17-secreting CD4(+) T cells in iupus patients. Clin Rheumatol 29:1251–1258
Henriques A, Inês L, Couto M, Pedreiro S, Santos C, Magalhães M, Santos P, Velada I, Almeida A, Carvalheiro T, Laranjeira P, Morgado JM, Pais ML, da Silva JA, Paiva A (2010) Frequency and functional activity of Th17, Tc17 and other T-cell subsets in systemic lupus erythematosus. Cell Immunol 264:97–103
Staudt V, Bothur E, Klein M, Lingnau K, Reuter S, Grebe N, Gerlitzki B, Hoffmann M, Ulges A, Taube C, Dehzad N, Becker M, Stassen M, Steinborn A, Lohoff M, Schild H, Schmitt E, Bopp T (2010) Interferon-regulatory factor 4 is essential for the developmental program of T helper 9 cells. Immunity 33:192–202
Nowak EC, Noelle RJ (2010) Interleukin-9 as a T helper type 17 cytokine. Immunology 131:169–173
Beriou G, Bradshaw EM, Lozano E, Costantino CM, Hastings WD, Orban T, Elyaman W, Khoury SJ, Kuchroo VK, Baecher-Allan C, Hafler DA (2010) TGF-beta induces IL-9 production from human Th17 cells. J Immunol 185:46–54
Ozaki Y, Ito T, Son Y, Amuro H, Shimamoto K, Sugimoto H, Katashiba Y, Ogata M, Miyamoto R, Murakami N, Amakawa R, Fukuhara S (2010) Decrease of blood dendritic cells and increase of tissue-infiltrating dendritic cells are involved in the induction of Sjögren’s syndrome but not in the maintenance. Clin Exp Immunol 159:315–326
Khan S, Greenberg JD, Bhardwaj N (2009) Dendritic cells as targets for therapy in rheumatoid arthritis. Nat Rev Rheumatol 5:566–571
Baldwin HM, Ito-Ihara T, Isaacs JD, Hilkens CM (2010) Tumour necrosis factor alpha blockade impairs dendritic cell survival and function in rheumatoid arthritis. Ann Rheum Dis 69:1200–1207
Marti L, Golmia R, Golmia AP, Paes AT, Guilhen DD, Moreira-Filho CA, Scheinberg M (2009) Alterations in cytokine profile and dendritic cells subsets in peripheral blood of rheumatoid arthritis patients before and after biologic therapy. Ann N Y Acad Sci 1173:334–342
Voynova E, Tchorbanov A, Prechl J, Nikolova M, Baleva M, Erdei A, Vassilev T (2008) An antibody-based construct carrying DNA-mimotope and targeting CR1(CD35) selectively suppresses human autoreactive B-lymphocytes. Immunol Lett 116:168–173
Singh RR, Hahn BH (1998) Reciprocal T-B determinant spreading develops spontaneously in murine lupus: implications for pathogenesis. Immunol Rev 164:201–208
Das UN (1991) Interaction(s) between essential fatty acids, eicosanoids, cytokines, growth factors and free radicals: relevance to new therapeutic strategies in rheumatoid arthritis and other collagen vascular diseases. Prostaglandins Leukot Essent Fatty Acids 44:201–210
Mageed RA, Isenberg DA (2002) Tumour necrosis factor alpha in systemic lupus erythematosus and anti-DNA autoantibody production. Lupus 11:850–855
Mok MY (2010) The immunological basis of B-cell therapy in systemic lupus erythematosus. Int J Rheum Dis 13:3–11
Shah D, Kiran R, Wanchu A, Bhatnagar A (2010) Oxidative stress in systemic lupus erythematosus: relationship to Th1 cytokine and disease activity. Immunol Lett 129:7–12
Pan HF, Tao JH, Ye DQ (2010) Therapeutic potential of IL-27 in systemic lupus erythematosus. Expert Opin Ther Targets 14:479–484
Wozniacka A, Lesiak A, Boncela J, Smolarczyk K, McCauliffe DP, Sysa-Jedrzejowska A (2008) The influence of antimalarial treatment on IL-1beta, IL-6 and TNF-alpha mRNA expression on UVB-irradiated skin in systemic lupus erythematosus. Br J Dermatol 159:1124–1130
Hoi AY, Iskander MN, Morand EF (2007) Macrophage migration inhibitory factor: a therapeutic target across inflammatory diseases. Inflamm Allergy Drug Targets 6:183–190
Graham KL, Lee LY, Higgins JP, Steinman L, Utz PJ, Ho PP (2010) Treatment with a toll-like receptor inhibitory GpG oligonucleotide delays and attenuates lupus nephritis in NZB/W mice. Autoimmunity 43:140–155
Visentini M, Conti V, Cagliuso M, Tinti F, Siciliano G, Trombetta AC, Mitterhofer AP, Fiorilli M, Quinti I (2009) Regression of systemic lupus erythematosus after development of an acquired toll-like receptor signaling defect and antibody deficiency. Arthritis Rheum 60:2767–2771
Wong CK, Wong PT, Tam LS, Li EK, Chen DP, Lam CW (2010) Elevated production of B cell chemokine CXCL13 is correlated with systemic lupus erythematosus disease activity. J Clin Immunol 30:45–52
Das UN (2006) Clinical laboratory tools to diagnose inflammation. Adv Clin Chem 41:189–229
Padma M, Das UN (1996) Effect of cis-unsaturated fatty acids on cellular oxidant stress in macrophage tumor (AK-5) cells in vitro. Cancer Lett 109:63–75
Das UN (1991) Arachidonic acid as a mediator of some of the actions of phorbolmyristate acetate, a tumor promotor and inducer of differentiation. Prostaglandins Leukot Essent Fatty Acids 42:241–244
Das UN, Padma M, Sangeetha P et al (1990) Stimulation of free radical generation in human leukocytes by various stimulants including tumor necrosis factor is a calmodulin dependent process. Biochem Biophys Res Commun 167:1030–1036
Serhan CN (2005) Lipoxins and aspirin-triggered 15-epi-lipoxins are the first lipid mediators of endogenous anti-inflammation and resolution. Prostaglandins Leukot Essent Fatty Acids 73:141–162
Claria J, Serhan CN (1995) Aspirin triggers previously undescribed bioactive eicosanoids by human endothelial cell-leukocyte interactions. Proc Natl Acad Sci U S A 92:9475–9479
Das UN (2005) COX-2 inhibitors and metabolism of essential fatty acids. Med Sci Monit 11:RA233–RA237
Leng RX, Pan HF, Chen GM, Wang C, Qin WZ, Chen LL, Tao JH, Ye DQ (2010) IL-23: a promising therapeutic target for systemic lupus erythematosus. Arch Med Res 41:221–225
Mantovani A, Sozzani S, Introna M (1997) Endothelial activation by cytokines. Ann N Y Acad Sci 832:93–116
Robak E, Sysa-Jeorzejewska A, Dziankowska B, Torzecka D, Chojnowski K, Robak T (1998)Association of interferon gamma, tumor necrosis factor alpha and interleukin-6 serum levels with systemic lupus erythematosus activity. Arch Immunol Ther Exp (Warsz) 46:375–380
Tucci M, Calvani N, Richards HB, Aro CQ, Silvestris F (2005) The interplay of chemokines and dendritic cells in the pathogenesis of lupus nephritis. Ann N Y Acad Sci 1051:421–432
Falk RJ, Jennette JC (1988) Anti-neutrophil cytoplasmic autoantibodies with specificity for myeloperoxidase in patients with systemic vasculitis and idiopathic necrotizing and crescentic glomerulonephritis. N Engl J Med 318:1651–1657
Shen JY, Chen SL, Wu YX, Tao RQ, Gu YY, Bao CD, Wang Q (1999) Pulmonary hypertension in systemic lupus erythematosus. Rheumatol Int 18:147–151
Willeke P, Schluter B, Schotte H, Erren M, Mickholz E, Domschke W, Gaubitz M (2004) Increased frequency of GM-CSF secreting PBMC in patients with active systemic lupus erythematosus can be reduced by immunoadsorption. Lupus 13:57–62
Williams RC Jr, Harmon ME, Burlingame R, Du Clos TW (2005) Studies of serum C-reactive protein in systemic lupus erythematosus. J Rheumatol 32:454–461
Lindsey NJ, Henderson FI, Malia R, Milford-Ward MA, Graves M, Hughes P (1994) Inhibition of prostacyclin release by endothelial binding anticardiolipin antibodies in thrombosis-prone patients with systemic lupus erythematosus and the antiphospholipid syndrome. Br J Rheumatol 33:20–26
Das UN (1995) Beneficial action(s) of eicosapentaenoic acid/docosahexaenoic acid and nitric oxide in systemic lupus erythematosus. Med Sci Res 23:723–726
Mohan IK, Das UN (1997) Oxidant stress, anti-oxidants and essential fatty acids in systemic lupus erythematosus. Prostaglandins Leukot Essent Fatty Acids 56:193–198
Zamora MR, O’Brien RF, Rutherford RF, Weil JV (1990) Serum endothelin-1 concentrations and cold provocation in primary Raynaud’s phenomenon. Lancet 336:1144–1147
Reimann J, Diamantstein T (1981) Interleukin-2 allows in vivo induction of anti-erythrocyte autoantibody production in nude mice associated with the injection of rat erythrocytes. Clin Exp Immunol 43:641–644
Schleusner HJ, Lassmann H (1986) Recombinant interleukin 2 (IL-2) promotes T cell line-mediated neuroautoimmune disease. J Neuroimmunol 11:87–91
Kolb H, Zielasek J, Treichel U, Freytag G, Wrann M, Kiesel U (1986) Recombinant interleukin 2 enhances spontaneous insulin-dependent diabetes in BB rats. Eur J Immunol 16:209–212
Folkman J, Klagsbrun M (1987) Angiogenic factors. Science 235:442–449
Redini R, Galera A, Mauriel A, Layan G, Pujol J-P (1988) Transforming growth factor-beta stimulates collagen and glycosaminoglycan biosynthesis in cultured rabbit articular chondrocytes. FEBS Lett 234:172–176
Falanga V, Julien JM (1990) In: Piez KA, Sporn MB (eds) Observations in the potential role of transforming growth factor-beta in cutaneous fibrosis. Ann N Y Acad Sci 593:161–171
Letterio JJ, Roberts AB (1998) Regulation of immune responses by TGF-beta. Annu Rev Immunol 16:137–161
Geiser AG, Letterio JJ, Kulkarni AB, Karlsson S, Roberts AB, Sporn MB (1993) Transforming growth factor-beta1 (TGF-beta1) controls expression of major histocompatibility genes in the postnatal mouse-aberrant histocompatibility antigen expression in the pathogenesis of the TGF-beta1 null mouse phenotype. Proc Natl Acad Sci U S A 90:9944–9948
Dang H, Geiser AG, Letterio JJ, Nakabayashi T, Kong L, Fernandes G, Talal N (1995) SLE-like autoantibodies and Sjogren’s syndrome-like lymphoproliferation in TGF-beta knockout mice. J Immunol 155:3205–3212
Ohtsuka K, Gray JD, Stimmler MM, Toro B, Horwitz DA (1998) Decreased production of TGF-beta by lymphocytes from patients with systemic lupus erythematosus. J Immunol 160:2539–2545
Ohtsuka K, Gray JD, Quismorio FP Jr, Lee W, Horwitz DA (1999) Cytokine-mediated down-regulation of B cell activity in SLE: effects of interleukin-2 and transforming growth factor-beta. Lupus 8:95–102
Jackson M, Ahmad Y, Bruce IN, Coupes B, Brenchley PEC (2006) Activation of transforming growth factor-β1 and early atherosclerosis in systemic lupus erythematosus. Arthritis Res Ther 8:R81
Foster MH, Kelley VR (1999) Lupus nephritis: update on pathogenesis and disease mechanisms. Semin Nephrol 19:173–181
Wong CK, Ho CY, Li EK, Lam CW (2000) Elevation of proinflammatory cytokine (IL-18, IL-17, IL-12) and Th2 cytokine (IL-4) concentrations in patients with systemic lupus erythematosus. Lupus 9:589–593
Horwitz DA, Gray JD, Behrendsen SC et al (1998) Decreased production of interleukin-12 and other Th1 type cytokines in patients with recent onset systemic lupus erythematosus. Arthritis Rheum 41:838–844
Takahashi S, Fossati L, Iwamoto M et al (1996) Imbalance towards Th1 predominance is associated with acceleration of lupus-like autoimmune syndrome in MRL mice. J Clin Invest 97:1597–1604
Peng SL, Szabo SJ, Glimcher LH (2002) T-bet regulates IgG class switching and pathogenic autoantibody production. Proc Natl Acad Sci U S A 99:5545–5550
Akahoshi M, Nakashima H, Tanaka Y et al (1999) Th1/Th2 balance of peripheral T helper cells in systemic lupus erythematosus. Arthritis Rheum 42:1644–1648
Chan RW, Tam LS, Li EK et al (2003) Inflammatory cytokine gene expression in the urinary sediment of lupus nephritis patients. Arthritis Rheum 48:1326–1331
Lighvani AA, Frucht DM, Jankovic D et al (2001) T-bet rapidly induced by interferon-gamma in lymphoid and myeloid cells. Proc Natl Acad Sci U S A 98:15137–15142
Lantelme E, Mantovani S, Palermo B, Campanelli R, Sallusto F, Giachino C (2001) Kinetics of GATA-3 gene expression in early polarizing and committed human T cells. Immunology 102:123–130
Lee HJ, Takemoto N, Kurata H et al (2000) GATA-3 induces T helper cell type 2 (Th2) cytokine expression and chromatin remodeling in committed Th1 cells. J Exp Med 192:105–115
Arbuckle MR, McClain MT, Rubertone MV, Scofield RH, Dennis GJ, James JA, Harley JB (2003) Development of autoantibodies before the clinical onset of systemic lupus erythematosus. N Engl J Med 349:1526–1533
Thompson C, Powrie F (2004) Regulatory T cells. Curr Opin Pharmacol 4:408–414
Kammer GM, Perl A, Richardson BC, Tsokos GC (2002) Abnormal T cell signal transduction in systemic lupus erythematosus. Arthritis Rheum 46:1139–1154
Jiang H, Chess L (2004) An integrated view of suppressor T cell subsets in immuno-regulation. J Clin Invest 114:1198–1208
Nelson BH (2004) IL-2, regulatory T cells, and tolerance. J Immunol 172:3983–3988
Malek TR, Bayer AL (2004) Tolerance, not immunity, crucially depends on IL-2. Nat Rev Immunol 4:665–674
Lee JH, Wang LC, Lin YT, Yang YH, Lin DT, Chiang BL (2006) Inverse correlation between CD4+ regulatory T-cell population and autoantibody levels in paediatric patients with systemic lupus erythematosus. Immunology 117:280–286
Valencia X, Yarboro C, Illei G, Lipsky PE (2007) Deficient CD4+CD25high T regulatory cell function in patients with active systemic lupus erythematosus. J Immunol 178:2579–2588
Lyssuk EY, Torgashina AV, Soloviev SK, Nassaonov EL, Bykovskaia SN (2007) Reduced number and function of CD4+CD25highFoxP3+ regulatory T cells in patients with systemic lupus erythematosus. Adv Exp Med Biol 601:113–119
Lin SC, Chen KH, Lin CH, Kuo CC, Ling OD, Chan CH (2007) The quantitative analysis of peripheral blood FOXP3-expressing T cells in systemic lupus erythematosus and rheumatoid arthritis patients. Eur J Clin Invest 37:987–996
Shi YX, Zhang XS, Liu DG, Li YQ, Guan ZZ, Jiang WQ (2004) CD4+CD25+T regulatory cells in peripheral blood of B-NHL patients with or without chemotherapy. Ai Zheng 23:597–601
Zhang Q, Qian FH, Liu H, Huang M, Zhang XL, Yin KS (2008) Expression of surface markers on peripheral CD4+CD25high T cells in patients with atopic asthma: role of inhaled corticosteroid. Chin Med J (Engl) 121:205–212
Kawai M, Kitade H, Mathieu C, Waer M, Pirenne J (2005) Inhibitory and stimulatory effects of cyclosporine A on the development of regulatory T cells in vivo. Transplantation 79:1073–1077
Schwarz T (2008) 25 years of UV-induced immunosuppression mediated by T cells-from disregarded T suppressor cells to highly respected regulatory T cells. Photochem Photobiol 84:10–18
Kuhn A, Krammer PH, Kolb-Bachofen V (2006) Pathophysiology of cutaneous lupus erythematosus-novel aspects. Rheumatology 45:iii14–iii16
Kuhn A, Beissert S (2005) Photosensitivity in lupus erythematosus. Autoimmun 38:519–529
Miyara M, Amoura Z, Parizot C et al (2005) Global natural regulatory T cell depletion in active systemic lupus erythematosus. J Immunol 175:8392–8400
Hart PH, Townley SL, Grimbaldeston MA, Khalil Z, Finlay-Jones JJ (2002) Mast cells, neuropeptides, histamine, and prostaglandins in UV-induced systemic immunosuppression. Methods 28:79–89
Zhang Y, Ramos BF, Jakschik BA (1991) Augmentation of reverse arthus reaction by mast cells in mice. J Clin Invest 88:841–846
Danilewicz M, Wagrrowska-Danilewicz M (2001) Quantitative analysis of interstitial mast cells in lupus and non-lupus membranous glomerulopathy. Pol J Pathol 52:211–217
Eklund KK (2007) Mast cells in the pathogenesis of rheumatic diseases and as potential targets for anti-rheumatic therapy. Immunol Rev 217:38–52
Woolley DE, Tetlow LC (2000) Mast cell activation and its relation to proinflammatory cytokine production in the rheumatoid lesion. Arthritis Res 2:65–74
Shin K, Nigrovic PA, Crish J, Boilard E, McNeil HP, Larabee KS, Adachi R, Gurish MF, Gobezie R, Stevens RL, Lee DM (2009) Mast cells contribute to autoimmune inflammatory arthritis via their tryptase/heparin complexes. J Immunol 182:647–656
Bonventre JV (1992) Phospholipase A2 and signal transduction. J Am Soc Nephrol 3:128–150
Levy BD, Clish CB, Schmidt B, Gronert K, Serhan CN (2001) Lipid mediator class switching during acute inflammation: signals in resolution. Nat Immunol 2:612–619
Godson C, Mitchell S, Harvey K, Petasis NA, Hogg N, Brady HR (2000) Cutting edge: lipoxins rapidly stimulate nonphlogistic phagocytosis of apoptotic neutrophils by monocyte-derived macrophages. J Immunol 164:1663–1667
Gilroy DW Colville-Nash PR, Willis D, Chivers J, Paul-Clark MJ, Willoughby DA (1999) Inducible cyclooxygenase may have anti-inflammatory properties. Nat Med 5:698–701
Gilroy DW, Newson J, Sawmynaden P, Willoughby DA, Croxtall JD (2004) A novel role for phospholipase A2 isoforms in the checkpoint control of acute inflammation. FASEB J 18:489–498
Serhan CN, Hong S, Gronert K, Colgan SP, Devchand PR, Mirick G, Moussignac R-L (2002) Resolvins: a family of bioactive products of omega-3 fatty acid transformation circuits initiated by aspirin treatment that counter proinflammation signals. J Exp Med 196:1025–1037
Croxtall JD, Choudhury Q, Tokumoto H, Flower RJ (1995) Lipocortin-1 and the control of arachidonic acid release in cell signalling. Glucocorticoids inhibit G protein-dependent activation of cPLA2 activity. Biochem Pharmacol 50:465–474
Nakano T, Ohara O, Teraoka H, Arira H (1990) Glucocorticoids suppress group II phospholipase A2 production by blocking mRNA synthesis and post-transcriptional expression. J Biol Chem 205:12745–12748
Cominelli F, Nast CC, Llerena R, Dinarello CA, Zipser RD (1990) Interleukin 1 suppresses inflammation in rabbit colitis. Mediation by endogenous prostaglandins. J Clin Invest 85:582–586
Schwab JH, Anderle SK, Brown RR, Dalldorf FG, Thompson RC (1991) Pro- and anti-inflammatory roles of interleukin-1 in recurrence of bacterial cell wall-induced arthritis in rats. Infect Immun 59:4436–4442
Ichinose M, Hara N, Sawada M, Maeno T (1991) A flow cytometric assay reveals an enhancement of phagocytosis by platelet activating factor in murine peritoneal macrophages. Cell Immunol 156:508–518
Takano T, Panesar M, Papillon J, Cybulsky AV (2000) Cyclooxygenases-1 and 2 couple to cytosolic but not group IIA phospholipase A2 in COS-1 cells. Prostaglandins Other Lipid Mediat 60:15–26
Reddy ST, Herschman HR (1997) Prostaglandin synthase-1 and prostaglandin synthase-2 are coupled to distinct phospholipases for the generation of prostaglandin D2 in activated mast cells. J Biol Chem 272:3231–3237
Munck A, Guyre PM, Holbrook NJ (1984) Physiological function of glucocorticoids in stress and their relation to pharmacological actions. Endocr Rev 5:25–44
Walev I, Klein J, Husmann M, Valeva A, Strauch S, Wirtz H, Weichel O, Bhakdi S (2000) Potassium regulates IL-1 beta processing via calcium-independent phospholipase A2. J Immunol 164:5120–5124
Serhan CN, Clish CB, Brannon J, Colgan SP, Chiang N, Gronert K (2000) Novel functional sets of lipid-derived mediators with antiinflammatory actions generated from omega-3 fatty acids via cyclooxygenase 2-nonsteroidal antiinflammatory drugs and transcellular processing. J Exp Med 192:1197–1204
Wu C-C, Croxtall JD, Perretti M, Bryant CE, Thiemermann C, Flower RJ, Vane JR (1995) Lipocortin 1 mediates the inhibition by dexamethasone of the induction by endotoxin of nitric oxide synthase in the rat. Proc Natl Acad Sci U S A 92:3473–3477
Lasa M, Abraham SM, Boucheron C, Saklatvala J, Clark AR (2002) Dexamethasone causes sustained expression of mitogen-activated protein kinase (MAPK) phosphatase 1 and phosphatase-mediated inhibition of MAPK p38. Mol Cell Biol 22:7802–7811
Crafford LJ, Wilder RL, Ristimaki AP, Sano M, Remmers EF, Epps HR, Hla T (1994) Cyclooxygenase-1 and –2 expression in rheumatoid arthritis synovial tissues. J Clin Invest 93:109–1101
Radomski MW, Palmer RMJ, Moncada S (1990) Glucocorticoids inhibit the expression of an inducible, but not the constitutive, nitric oxide synthase in vascular endothelial cells. Proc Natl Acad Sci U S A 87:10043–10047
Hoeck WG, Ramesha CS, Chang DJ, Fan N, Heller RA (1993) Cytoplasmic phospholipase A2 activity and gene expression are stimulated by tumor necrosis factor: dexamethasone blocks the inducible synthesis. Proc Natl Acad Sci U S A 90:4475–4479
Kunicka JE, Talle MA, Denhardt GH, Brown M, Prince LA, Goldstein G (1993) Immunosuppression by glucocorticoids: inhibition of production of multiple lymphokines by in vivo administration of dexamethasone. Cell Immunol 149:39–49
Calandra T, Bernhagen J, Metz CN, Spiegel LA, Bacher M, Donnelly T, Cerami A, Bucala R (1995) MIF as a glucocorticoid-induced modulator of cytokine production. Nature 377:68–71
Salvemini D, Seibert K, Masferrer JL, Misko TP, Currie MG, Needleman P (1994) Endogenous nitric oxide enhances prostaglandin production in a model of renal inflammation. J Clin Invest 93:1940–1947
Zaitsu M, Hamasaki Y, Tsuji K, Matsuo M, Fujita I, Aoki Y, Ishii E, Kohashi O (2003) Dexamethasone accelerates catabolism of leukotriene C4 in bronchial epithelial cells. Eur Respir J 22:35–42
Dworski R, Fitzgerald GA, Oates JA, Sheller JR (1994) Effect of oral prednisone on airway inflammatory mediators in atopic asthma. Am J Respir Crit Care Med 149(4 Pt 1):953–959
Ferrante JV, Ferrante A (2005) Novel role of lipoxygenases in the inflammatory response: promotion of TNF mRNA decay by 15-hydroperoxyeicosatetraenoic acid in a monocytic cell line. J Immunol 174:3169–3172
Ariel A, Chiang N, Arita M, Petasis NA, Serhan CN (2003) Aspirin-triggered lipoxin A4 and B4 analogs block extracellular signal-regulated kinase-dependent TNF-alpha secretion from human T cells. J Immunol 170:6266–6272
Wu SH, Lu C, Dong L, Zhou GP, He ZG, Chen ZQ (2005) Lipoxin A4 inhibits TNF-alpha-induced production of interleukins and proliferation of rat mesangial cells. Kidney Int 68:35–46
Hayakawa M, Ishida N, Takeuchi K, Shibamoto S, Hori T, Oku N, Ito F, Tsujimoto M (1993) Arachidonic acid-selective cytosolic phospholipase A2 is crucial in the cytotoxic action of tumor necrosis factor. J Biol Chem 268:11290–11295
Das UN (2002) A perinatal strategy for preventing adult disease: the role of long-chain polyunsaturated fatty acids. Kluwer Academic, Boston, MA
Huang YS, Drummond R, Horrobin DF (1987) Protective effect of gamma-linolenic acid on aspirin induced gastric hemorrhage in rats. Digestion 36:36–41
Manjari V, Das UN (2000) Effect of polyunsaturated fatty acids on dexamethasone-induced gastric mucosal damage. Prostaglandins Leukot Essent Fatty Acids 62:85–96
Das UN (2008) Essential fatty acids and their metabolites could function as endogenous HMG-CoA reductase and ACE enzyme inhibitors, anti-arrhythmic, anti-hypertensive, anti-atherosclerotic, anti-inflammatory, cytoprotective, and cardioprotective molecules. Lipids Health Dis 7:37
Das UN (2008) Can essential fatty acids reduce the burden of disease(s)? Lipids Health Dis 7:9
Das UN (2006) Essential fatty acids – a review. Curr Pharm Biotechnol 7:467–482
Mohan IK, Das UN (2001) Prevention of chemically induced diabetes mellitus in experimental animals by polyunsaturated fatty acids. Nutrition 17:126–151
Suresh Y, Das UN (2003) Long-chain polyunsaturated fatty acids and chemically-induced diabetes mellitus: effect of ω-6 fatty acids. Nutrition 19:93–114
Suresh Y, Das UN (2003) Long-chain polyunsaturated fatty acids and chemically-induced diabetes mellitus: effect of ω-3 fatty acids. Nutrition 19:213–228
Suresh Y, Das UN (2006) Differential effect of saturated, monounsaturated, and polyunsaturated fatty acids on alloxan-induced diabetes mellitus. Prostaglandins Leukot Essent Fatty Acids 74:199–213
Das UN, Mohan IK, Raju TR (2001) Effect of corticosteroids and eicosapentaenoic acid/docosahexaenoic acid on pro-oxidant and anti-oxidant status and metabolism of essential fatty acids in patients with glomerular disorders. Prostaglandins Leukot Essent Fatty Acids 65:197–203
Das UN (2006) Essential fatty acids: biochemistry, physiology, and pathology. Biotechnology J 1:420–439
Kambe T, Murakami M, Kudo I (1999) Polyunsaturated fatty acids potentiate interleukin-1-stimulated arachidonic acid release by cells overexpressing type IIA secretory phospholipase A2. FEBS Lett 453:81–84
Das UN (2006) Can perinatal supplementation of long-chain polyunsaturated fatty acids prevent atopy, bronchial asthma and other inflammatory conditions? Med Sci Monit 12:RA99–RA111
Belmont HM, Levartovsky D, Goel A, Amin A, Giorno R, Rediske J, Skovron ML, Abramson SB (1997) Increased nitric oxide production accompanied by the up-regulation of inducible nitric oxide synthase in vascular endothelium from patients with systemic lupus erythematosus. Arthritis Rheum 40:1810–1816
Wanchu A, Khuller M, Deodhar SD, Bambery P, Sud A (1998) Nitric oxide synthesis is increased in patients with systemic lupus erythematosus. Rheumatol Int 18:41–43
Oates JC, Christensen EF, Reilly CM, Self SE, Gilkenson GS (1999) Prospective measure of serum 3-nitrotyrosine levels in systemic lupus erythematosus: correlation with disease activity. Proc Assoc Am Physicians 111:611–621
Svollenhoven R, Khademi M, Tarkowski A, Greitz D, Dahlstrom M, Lundberg I, Klareskog L, Olsson T (2001) Increased levels of proinflammatory cytokines and nitric oxide metabolites in neuropsychiatric lupus erythematosus. Ann Rheum Dis 60:372–379
Gilkeson G, Cannon C, Oates J, Reilly C, Goldman D, Petri M (1999) Correlation of serum measures of nitric oxide production with lupus disease activity. J Rheumatol 26:318–324
Yu CC, Yang CW, Wu MS, Ko YC, Huang CT, Hong JJ, Huang CC (2001) Mycophenolate mofetil reduces renal cortical inducible nitric oxide synthase mRNA expression and diminishes glomerulosclerosis in MRL/lpr mice. J Lab Clin Med 138:69–77
Reilly CM, Oates JC, Sudian J, Crosby MB, Halushka PV, Gilkeson GS (2001) Prostaglandin J(2) inhibition of mesangial cell iNOS expression. Clin Immunol 98:337–345
Habib S, Moinuddin, Ali R (2006) Peroxynitrite-modified DNA: a better antigen for systemic lupus erythematosus anti-DNA autoantibodies. Biotechnol Appl Biochem 43(Pt 2):65–70
Robak E, Sysa-Jeorzejewska A, Dziankowska B, Torzecka D, Chojnowski K, Robak T (1998) Association of interferon gamma, tumor necrosis factor alpha and interleukin-6 serum levels with systemic lupus erythematosus activity. Arch Immunol Ther Exp (Warsz) 46:375–380
Yoshizumi M, Kunihara H, Morita T et al (1990) Interleukin-1 increases the production of endothelin-1 by cultured endothelial cells. Biochem Biophys Res Commun 166:324–329
Das UN (1993) Beneficial effect of L-arginine in collagen vascular diseases: a role for nitric oxide. Nutrition 9:277–278
Fries R, Shariat K, von Wilmowsky H, Böhm M (2005) Sildenafil in the treatment of Raynaud’s phenomenon resistant to vasodilatory therapy. Circulation 112:2980–2985
Mahler F, Baumgartner I (2005) More potential for sildenafil than potency. Circulation 112:2894–2895
Tsoukas CD, Watry D, Escobar SS, Provvedini DM, Dinarello CA, Hustmyer FG, Manolagas SC (1989) Inhibition of interleukin-1 production by 1,25-dihydroxyvitamin D3. J Clin Endocrinol Metab 127–133
Lemire JM, Adams JS, Kermani-Arab V, Bakke AC, Sakai R, Jordan SC (1985) 1,25-Dihydroxyvitamin D3 suppresses human T helper/inducer lymphocyte activity in vitro. J Immunol 134:3032–3035
Haq AU (1986) 1,25-Dihydroxyvitamin D3 (calcitriol) suppresses IL-2 induced murine thymocyte proliferation. Thymus 8:295–306
Merino F, Alvarez-Mon M, de la Hera A, Alés JE, Bonilla F, Durantez A (1989) Regulation of natural killer cytotoxicity by 1,25-dihydroxyvitamin D3. Cell Immunol 118:328–336
Pichler J, Gerstmayr M, Szépfalusi Z, Urbanek R, Peterlik M, Willheim M (2002) 1 alpha,25(OH)2D3 inhibits not only Th1 but also Th2 differentiation in human cord blood T cells. Pediatr Res 52:12–18
Tang J, Zhou R, Luger D, Zhu W, Silver PB, Grajewski RS, Su SB, Chan CC, Adorini L, Caspi RR (2009) Calcitriol suppresses antiretinal autoimmunity through inhibitory effects on the Th17 effector response. J Immunol 182:4624–4632
Huang LW, Chang KL, Chen CJ, Liu HW (2001) Arginase levels are increased in patients with rheumatoid arthritis. Kaohsiung J Med Sci 17:358–363
Bultink IE, Teerlink T, Heijst JA, Dijkmans BA, Voskuyl AE (2005) Raised plasma levels of asymmetric dimethylarginine are associated with cardiovascular events, disease activity, and organ damage in patients with systemic lupus erythematosus. Ann Rheum Dis 64:1362–1365
Kiani AN, Mahoney JA, Petri M (2007) Asymmetric dimethylarginine is a marker of poor prognosis and coronary calcium in systemic lupus erythematosus. J Rheumatol 34:1502–1505
Maas R, Dentz L, Schwedhelm E, Thoms W, Kuss O, Hiltmeyer N, Haddad M, Klöss T, Standl T, Böger RH (2007) Elevated plasma concentrations of the endogenous nitric oxide synthase inhibitor asymmetric dimethylarginine predict adverse events in patients undergoing noncardiac surgery. Crit Care Med 35:1876–1881
Svenungsson E, Cederholm A, Jensen-Urstad K, Fei GZ, de Faire U, Frostegård J (2008) Endothelial function and markers of endothelial activation in relation to cardiovascular disease in systemic lupus erythematosus. Scand J Rheumatol 37:352–359
Gustafsson J, Gunnarsson I, Börjesson O, Pettersson S, Möller S, Fei GZ, Elvin K, Simard JF, Hansson LO, Lundberg IE, Larsson A, Svenungsson E (2009) Predictors of the first cardiovascular event in patients with systemic lupus erythematosus-a prospective cohort study. Arthritis Res Ther 11:R186
Das UN (2008) Albumin infusion therapy in stroke, sepsis and the critically ill. Curr Nutr Food Sci 4:217–226
Das UN (2006) Pyruvate is an endogenous anti-inflammatory and anti-oxidant molecule. Med Sci Monit 12:RA79–RA84
Das UN (2006) Is pyruvate an endogenous anti-inflammatory molecule? Nutrition 22:965–972
Das UN (2007) Ethyl pyruvate in sepsis. Adv Sepsis 6:10–15
Das UN (2006) Glucose, insulin, and coronary heart disease. Eur Heart J 27:2141–2142
Das UN (2000) Possible beneficial action(s) of glucose-insulin-potassium regimen in acute myocardial infarction and inflammatory conditions: a hypothesis. Diabetologia 43:1081–1082
Das UN (2001) Can glucose-insulin-potassium regimen suppress inflammatory bowel disease? Med Hypotheses 57:183–185
Das UN (2001) Hypothesis: can glucose-insulin-potassium regimen in combination with polyunsaturated fatty acids suppress lupus and other inflammatory diseases? Prostaglandins Leukot Essent Fatty Acids 65:109–113
Das UN (2010) Metabolic syndrome is a low-grade systemic inflammatory condition. Expert Rev Endocrinol Metab 4:577–592
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Das, U.N. (2011). Rheumatological Conditions. In: Molecular Basis of Health and Disease. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-0495-4_13
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