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Updated: May 5, 2026

Intravenous Endotoxin Challenge in Healthy Humans: An Experimental Platform to Investigate and Modulate Systemic Inflammation
Published on: May 16, 2016
Origin and physiological roles of inflammation
1Howard Hughes Medical Institute and Department of Immunobiology, Yale University School of Medicine, TAC S-669, 300 Cedar Street, New Haven, Connecticut 06510, USA. ruslan.medzhitov@yale.edu
Para-inflammation is a newly identified adaptive response to tissue stress, distinct from classic inflammation. This macrophage-driven process may underlie chronic diseases linked to modern human health conditions.
Area of Science:
- Physiology
- Pathology
- Immunology
Background:
- Inflammation is crucial in physiological and pathological processes.
- While pathological inflammation is understood, its physiological roles remain largely unknown.
- Classic inflammation, triggered by infection or injury, involves leukocyte and plasma protein recruitment.
Purpose of the Study:
- To introduce and define para-inflammation as a distinct adaptive response.
- To differentiate para-inflammation from classic inflammation.
- To explore the role of para-inflammation in chronic diseases.
Main Methods:
- Conceptual framework development.
- Literature review and synthesis.
- Comparative analysis of inflammatory responses.
Main Results:
- Para-inflammation is an adaptive response to tissue stress or malfunction.
- This response primarily involves tissue-resident macrophages.
- Para-inflammation represents an intermediate state between homeostasis and classic inflammation.
Conclusions:
- Para-inflammation is a critical physiological process.
- It is likely responsible for chronic inflammatory conditions associated with modern diseases.
- Further research into para-inflammation is warranted to understand its implications for human health.
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