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Related Concept Videos

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Inositol-requiring kinase one or IRE1 is the most conserved eukaryotic unfolded protein response (UPR) receptor. It is a type I transmembrane protein kinase receptor with a distinctive site-specific RNase activity. As the binding mechanics of the misfolded proteins with the N-terminal domain of IRE-1 are unclear, three binding models — direct, indirect, and allosteric -- are proposed for receptor activation. Nevertheless, it is known that once a misfolded protein associates with IRE1, it...
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Type III hypersensitivity reactions occur when antigen–antibody complexes form and activate the complement system. Normally, these complexes help the clearance of antigens by phagocytes and red blood cells. However, when large numbers of immune complexes are present, they can deposit in tissues—particularly in the walls of blood vessels—leading to inflammation and tissue injury. These deposits trigger complement activation and neutrophil recruitment, resulting in serum sickness, a systemic...
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Updated: Jun 24, 2026

Adoptive Immunotherapy of iNKT Cells in Glucose-6-Phosphate Isomerase (G6PI)-Induced RA Mice
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Immune reconstitution inflammatory syndrome.

J W T Elston1, H Thaker

  • 1Department of Infection and Tropical Medicine, Castle Hill Hospital, Cottingham, East Yorkshire HU16 5JQ, UK. Hiten.Thaker@hey.nhs.uk

International Journal of STD & AIDS
|March 24, 2009
PubMed
Summary

Immune Reconstitution Inflammatory Syndrome (IRIS) can cause illness in individuals with HIV receiving antiretroviral therapy (ART). This review covers IRIS definitions, presentations, pathogenesis, risk factors, and management.

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Area of Science:

  • Infectious Diseases
  • Immunology
  • HIV Medicine

Background:

  • Antiretroviral therapy (ART) effectively suppresses HIV replication and restores immune function.
  • Some individuals on ART develop immune reconstitution inflammatory syndrome (IRIS), characterized by inflammatory illness during immune recovery.
  • IRIS encompasses a spectrum of disorders, including opportunistic infections, immune-mediated diseases, and autoimmune conditions.

Purpose of the Study:

  • To review the definitions, clinical presentations, and pathogenesis of IRIS.
  • To identify risk factors associated with IRIS development.
  • To outline preventive and management strategies for IRIS in HIV-infected individuals.

Main Methods:

  • Literature review of studies on IRIS in the context of HIV and ART.
  • Synthesis of current knowledge on IRIS definitions, clinical manifestations, and underlying mechanisms.
  • Analysis of research on risk factors, prevention, and treatment approaches.

Main Results:

  • IRIS is a complex condition arising from dysregulated immune responses during immune reconstitution.
  • Clinical presentations of IRIS are diverse, ranging from mild to life-threatening.
  • Several factors contribute to IRIS, including the type of pathogen, degree of immune suppression, and specific ART regimens.

Conclusions:

  • IRIS is an important clinical consideration for healthcare providers managing HIV-infected patients on ART.
  • Early recognition and appropriate management are crucial for improving outcomes in IRIS.
  • Further research into pathogenesis and targeted therapies may improve prevention and treatment strategies.