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In vivo evolution of antibody CR3022 expands cross-neutralization of SARS-CoV-2 variants and informs pan-sarbecovirus immunity

Fu et al. use Ig-humanized mice expressing the germline CR3022 heavy chain to reveal how somatic hypermutation rapidly adapts this antibody class for broad sarbecovirus recognition. Sequential immunization drives CR3022-like maturation, while structural analyses show that increased affinity and breadth arise from subtle polar and electrostatic refinements.

Scientists Discover a Key Difference in Brains That Resist Alzheimer’s

The brain changes associated with Alzheimer’s usually lead to a severe loss of memory and cognitive abilities, but not always.

Now, a new study led by a team at the University of California, San Diego (UCSD) helps explain why.

Based on postmortem brain research, around 20 to 30 percent of older adults are thought to have asymptomatic Alzheimer’s disease (ASYMAD). Their brains have the characteristic buildup of misfolded amyloid-beta and tau proteins, but they show no detrimental mental effects.

Medicine’s next leap: Delivering gene therapies exactly where they’re needed

A quiet revolution is underway in modern medicine: Drug development is aiming to move from managing disease to correcting it through RNA and gene-editing therapies. But delivering these treatments safely and precisely to the right cells remains a major hurdle—especially in hard-to-target organs like the brain and kidneys.

Now, researchers led by a University of Ottawa Faculty of Medicine team offer highly compelling evidence that an elegant, nature-inspired solution lies in ultra-tiny, bubble-like structures called small extracellular vesicles (sEVs). These metabolic messengers, refined over millions of years of evolution, carry RNA—a nucleic acid that is a chemical cousin of DNA—and other molecules between cells.

In a nutshell, the research team’s new findings show that not all sEVs are alike: their cell of origin determines where they travel, with certain vesicles naturally targeting specific tissues in the body.

Predictors of major adverse cardiac events, high radiation

Percutaneous coronary intervention (PCI) for calcified lesions poses risks of major adverse cardiac events (MACE), increased radiation exposure, and contrast use for patients.


Predictors of major adverse cardiac events, high radiation exposure, and contrast use in percutaneous coronary interventions for calcified lesions.

Elicited Repetitive Daily Blindness Associated With Gain-of-Function SCN1A Variants and Responsiveness to Sodium Channel Blockers

Study demonstrates that elicited repetitive daily blindness is a clinical feature in patients with familial hemiplegic migraine 3 because of gain-of-function Nav1.1 variants. Patients in this report responded to sodium channel blocker medications.


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Phage immunoprecipitation sequencing is a powerful technique that can quantify antibody binding to all known viruses, human proteome, bacterial toxins, and allergens

https://doi.org/10.1172/jci.insight.203645 Here, Aaron A.R. Tobian & team use this method to evaluate antibody repertoires in kidney donors with and without HIV, reporting that antibodies against adenovirus infection in kidney donors with HIV may be associated with allograft rejection.


2Department of Pathology, School of Medicine, and.

3Department of Medicine, School of Medicine, The Johns Hopkins University, Baltimore, Maryland, USA.

4Division of Allergy, Immunology and Transplantation, National Institute of Allergy and Infectious Diseases, NIH, Bethesda, Maryland, USA.

IL-4 treatment induces apoptosis of blood monocytes and proliferation of recruited injury-associated macrophages to resolve liver injury

Pathways that favor the balance of immune cells toward those with healing potential offer therapeutic promise following injury. Here, Lynch at al. show that treatment with IL-4 expands pro-reparative macrophages through proliferation while driving concurrent death of their more inflammatory precursors, resulting in accelerated hepatic repair following acute liver injury.

Atypical Carcinoid of the Thymus: Early Diagnosis in a Case Report

Background: Atypical carcinoid of the thymus is an exceptionally rare neuroendocrine tumor originating from neuroendocrine cells within the thymus. These tumors often present with no symptoms or with nonspecific clinical signs, making early diagnosis particularly challenging. Despite their rarity, atypical carcinoids are clinically significant due to their aggressive nature and relatively poor prognosis. Early detection and appropriate management are therefore crucial to improving patient outcomes. Results: In this report, we present the case of a 64-year-old patient in whom an atypical carcinoid of the thymus was incidentally discovered following a thoracic computed tomography scan performed for unrelated reasons. Imaging revealed a suspicious anterior mediastinal mass, which was subsequently surgically resected.

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