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    An Elegant Defense

    Page 34
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      treatments, 4–6, 319–32, 334–36, 367–79, 381–82, 386–90, 389

      Greenstein, Joel, 13–16, 14, 17–18

      GRID (gay-related immune deficiency), 163–66, 170

      Guillain-Barré syndrome, 225–26

      Gut-brain axis, 365

      Gut microbiome, 8, 84, 249, 250–55, 257

      Haddow, Alexander, 302

      Hahn, Bevra, 208–9, 214–15

      Hand sanitizers, 234–35, 236, 239, 240, 246

      Hayashi, Masaki, 87

      Hay fever, 236–37

      Health-span vs. life-span, 405–6

      Heart, 53–54

      Heart disease, 59, 270, 356

      Hebernus of Tours, 203

      Hemingway, Ernest, 102

      Hench, Philip, 205–6

      Hepatitis, 24–25, 130, 159, 329

      Herbal remedies, 400

      Herpes virus, 263–66

      Hippocrates, 202–3

      Hitler, Adolf, 224, 225

      HIV/AIDS. See also Hoff, Robert T. “Bob”

      diagnosis, 180–81

      discovery of, 179–81, 180

      epidemiology of, 175–76

      history of, in U.S., 156, 161–66, 170–74

      HLA-B57 gene, 191–93, 344–47

      long-term nonprogressors (elite controllers), 190–94, 344–47

      Magic Johnson’s revelation, 182–83

      mortality rates, 181, 188–89

      Patient 1, 184–86

      treatment, 183–84, 188–89

      HLA-B57, 191–93, 344–47

      Hobbs, Kathryn, 227–29, 230

      Hodgkin’s lymphoma, 4, 22, 275–77, 322–23, 329, 368, 374, 381

      Hoff, Robert T. “Bob,” 10–11, 23–25, 160

      Brian and, 343–44, 349

      early life of, 23–24

      HIV of, 24–25, 117, 159–60, 163–66, 171–74, 189–91

      as long-term nonprogressor, 190–94, 343, 344, 345, 348–50

      sexual activity of, 24, 159–60, 163

      Homeostasis, 139

      Honjo, Tasuku, 308–9

      Horror autotoxicus, 205

      Horseback riding, 26–27, 197–98

      Human genome, 53, 152, 250, 255

      Human leukocyte antigens (HLAs), 101, 344–45

      Human T-lymphotropic virus (HTLV), 179

      Humira, 29, 143–44

      Hutterites, 243–45

      Huxley, Aldous, 102

      Hydrogen peroxide, 300–301

      Hygiene hypothesis, 234–35, 237–41, 242, 257–60

      Amish study, 242–45

      Hyridoma technique, 142–43

      “Hysterical,” 209

      Idiopathic thrombocytopenic purpura (ITP), 213

      Immortality, 405–7

      Immune cells, 6–7, 46, 294–95

      Immune diversity, 88–91, 254–55

      Immune system, 395–98

      in the brain, 359–65

      discovery of, 6–7

      environment and, 69, 239–41

      Festival of Life, 45–47

      hygiene hypothesis, 234–35, 237–41

      as peacekeeping force, 8

      structural complications for, 53–56

      telecommunications network, 134–35

      war metaphor for, 7–8

      Immunex Corporation, 219

      Immunological ignorance, 251

      Immunological tolerance, 98–99

      Immunology, 9

      history of, 37–44, 59–72, 202–10

      infinity problem, 86–87

      transplantation and, 91, 96

      Immunosuppressive drugs, 99–100

      Immunotherapy, 143–44, 292–93, 328–34, 381–82

      Incest, 7, 105–6, 349

      Indirect evidence, 213–14

      Industrial processes, 259, 398–99

      Infinity problem, 86–87

      Inflammation, 24, 108, 109–19, 397–98, 403

      definition of, 111

      erythrocyte sedimentation rate, 21–22

      leading signs of, 111–12

      Metchnikoff’s theory, 40–41

      mood and, 401–2

      Inflammatory response, 112–13

      Innate immunity, 154–58

      Toll-like receptors, 152–56

      Insomnia, 268–72, 278, 285–86, 288

      Institute for Quality and Efficiency in Health Care, 111

      Interferon, 129–30, 131–34, 316

      Interferon alpha (A), 131–33

      Interferon beta (B), 131–33

      Interferon gamma (G), 131–33

      Interferon lambda (L), 131–33

      Interleukins (ILs), 126, 135–36, 293

      Interleukin 1 (IL-1), 126–28, 135–36

      Interleukin 2 (IL-2), 135–36

      Interleukin 6 (IL-6), 135–36

      Ipilimumab, 143–44

      Irritable bowel syndrome (IBS), 9, 198, 242

      Irwin, Michael, 267, 268–72, 287, 288

      Isoantigens, 100–101

      Janeway, Charles, Jr., 149–54, 155–56

      Janssen Biotech, 228

      Jason Greenstein. See Greenstein, Jason

      Jenner, Edward, 78–80

      Jerne, Niels, 140–42

      Jerne plaque assay, 141–42

      Johns Hopkins University, 131, 208, 212–13

      Johnson, Earvin “Magic,” 182–83

      Joint pain, 203–4. See also Rheumatoid arthritis

      Kaposi, Moritz, 203

      Kaposi’s sarcoma, 166

      Kendall, Edward Calvin, 206

      Khoury-Hanold, William, 264

      Kidney transplantation, 96, 99

      Kiecolt-Glaser, Janice, 261–63, 262, 408

      husband Ron’s Alzheimer’s disease, 357–59, 364–65

      stress and immune response research, 262–63, 265–66, 286

      Killer T cells, 103–5, 117–19

      Köhler, Georges, 142–43

      Kolmer, John, 80–81

      Kristallnacht, 224

      Krummel, Matthew “Max,” 294, 296–99, 308, 313

      Kunkel, Henry George, 207–8

      Kunkel test, 207–8

      Kyoto University School of Medicine, 308

      Ladies Irish Open, 26, 27–28

      Lambert, Rhonda Elaine, 212, 216–17, 220, 353–55

      Lancet, The, 64, 203

      Lane, Cliff, 164

      Leach, Dana, 298

      Lemon, Meg, 229–31, 234–35, 272

      Lesokhin, Alexander, 275, 276–77

      Leukemia, 60–63, 177–78

      Leukocyte, 126

      Life expectancy, 314, 357

      Lifestyle, 365, 398, 403–4

      Ligands, 293–95

      Ligare, 293

      Linda Bowman. See Segre, Linda

      Linsley, Peter, 295

      Lipopolysaccharides, 154

      Little League, 13–14

      Lonberg, Nils, 309–14

      London Blitz, 225

      Long-term nonprogressors (LTNPs), 187, 190–94, 344–47

      Lou Gehrig’s disease, 356–57

      Luddites, 399

      Lupus, 109, 202–3, 207, 227, 242

      Merredith’s diagnosis, 31–32

      Lyme disease, 201

      Lymph, 38

      Lymph nodes, 46, 134

      Lymphocytes, 63–64, 70

      Lymphomania, 38

      Lyons, Steve, 23

      McCauley, Victor, 26, 27

      McCune, Mike, 162–63

      McLaughlin, Michael, 278

      Macrophages, 43, 113–14, 115–16, 123–24, 301

      Maikovich-Fong, Andrea, 320–21, 378

      Major histocompatibility complex (MHC), 103–6

      Malaria, 51

      Malarkey, William, 286–87

      Markmann, James F., 95, 96, 97

      Massachusetts General Hospital, 125

      Masur, Henry, 164

      Mate preference, 7, 105–6

      Matthau, Walter, 14

      Max Planck Institute, 106

      Mayo Clinic, 92–93, 205–6

      Mazmanian, Sarkis, 250–53, 255–58

      M
    D Anderson Cancer Center, 329

      Meanings of life, 395–404

      Medawar, Peter, 96–99

      Medical exams, 202

      Meditation, 288, 365

      Medzhitov, Ruslan, 88, 146–56, 406–7

      Meier, Tom, 15, 336–37, 394

      Memorial Sloan Kettering Cancer Center, 162–63, 275, 310

      Merck & Co., 375

      Mercury, Freddie, 183

      Merredith Branscombe. See Branscombe, Merredith

      Metastatic melanoma, 317–18

      Metchnikoff, Élie, 38–41, 39, 113

      Methotrexate, 217, 228, 231

      Mice, 60–64, 117–18, 254

      transgenic, 309–14

      Microbiome, 8, 34, 249, 250–55, 257

      Microglia, 361–62, 363–64

      Migration studies, 242

      Migueles, Stephen, 349

      hiring at NIH, 187, 190

      HLA-B57 gene and, 191–93, 344–47

      long-term nonprogressors, 187–88, 190–93, 344–45

      Magic Johnson’s revelation and, 182–83

      Military Academy, U.S. (West Point), 263

      Miller, Arthur, 4

      Miller, Jacqueline, 57–59

      Miller, Jacques, 57–65, 71–72, 309, 332, 356, 406

      Milstein, César, 142–43

      Mixed leukocyte reaction (MLR), 115

      Monoclonal antibodies, 140–44, 219, 228, 311

      Monoclonal antibody therapy, 228, 310–18, 322–23

      clinical trials, 316–18

      Monocytes, 113–14, 116, 123–24, 361–62

      Mononucleosis, 263

      Montagnier, Luc, 179

      Mood and inflammation, 401–2

      Mount McKinley, 324–25

      Nagoya, bombing in World War II, 87

      National Academy of Medicine, 365

      National Centre for Human Retrovirology, 179

      National Institutes of Health (NIH), 82–83, 266, 325, 347

      Building 10, 122–23, 125, 131, 187–88

      HIV/AIDS research, 163–64

      Laboratory of Immunoregulation, 138–39

      Nationalism, 224, 350

      Natural killer cells, 117–19, 119, 270

      “‘Natural’ Killer Cells in the Mouse” (Kiessling), 117

      Nature (magazine), 38

      Nazi Germany, 30, 57, 224–25

      NCAA Basketball Tournament, 366, 369

      Nesbit, Bob, 335, 337, 339

      Neurodegeneration, 356–57

      Neurons, 360–61

      Neutrophils, 43, 116–17, 300

      New England Journal of Medicine, 59, 121, 244–45, 314–15, 374–75, 376

      New York Times, 9–10, 81, 181, 228, 289–91, 315, 317–18, 329–30, 382, 394

      Nivolumab, 144, 329, 332–33, 374–79, 378, 386–90, 391

      Nobel Prize, 59, 65, 83, 87–88, 90, 101, 104, 125, 179, 192, 206, 296

      Norepinephrine, 267, 286–87, 403

      Northwestern University, 30, 226

      Northwick Park Hospital, 315

      Nose-picking, 235, 236–37, 245–46

      Nuremberg Laws, 224

      Obesity, 259, 357, 398

      Ohio State University, 67–68, 261–62, 357

      Oligodendrocytes, 361

      Olympic Club, 351–52, 355

      Osler, William, 203

      Otezla, 401–2

      Owen, Ray, 98

      Oxycodone, 369

      Panama Limited, 68

      Parasites, 51

      Parkinson’s disease, 356–57

      Pathogens, 48–53

      bacteria, 49–50, 51

      parasites, 51

      pimples, 53

      viruses, 50–51, 52

      Paul, John, 81

      Pavlovian conditioning, 150

      PD-1 (programmed cell death protein 1), 308–9, 332

      PD-1 inhibitors, 374–75

      PDE4 (phosphodiesterase 4), 402

      PD-L1 (programmed death-ligand 1), 276

      Peanut allergies, 242

      Penicillin, 83, 84–85

      Pets, 235, 244, 245

      Phageîn, 113

      Phagocyte, 40

      Phagocytosis, 40, 113

      Pharmaceutical industry, 401

      Physical exams, 202

      Pimples, 53

      Pittsburgh Steelers, 337

      Placenta, 51

      Pneumocystis carinii, 162, 163, 166

      Pneumonia, 6, 49, 59, 144, 356

      Polio, 80–82

      Polio vaccine, 81–82

      Pollack, Andrew, 317–18, 329–30

      Pollen, 241

      Prednisone, 216–17

      Presbyterian St. Luke’s Medical Center, 6, 11

      Primary immunodeficiency, 67

      Priming event, 192–93

      Pringles, 352

      Processed foods, 259, 398

      Programmed death (PD), 276, 309–9

      Protease inhibitors, 183–84

      Proteases, 300

      Psoriasis, 401–2

      Psychosomatic Medicine, 263

      Pyrogens, 121, 126

      Racism, 68–69, 222–23, 350

      Raulet, David, 118

      Raynor, John, 17

      Reactive oxygen species (ROS), 300–301

      Reagan, Nancy, 171

      Reagan, Ronald, 171, 173

      Red blood cells, 73–74

      Religious belief, 372

      Remicade, 143–44, 228

      Rensselaer Polytechnic Institute, 130–31

      Republican Party, 165–66, 173

      Resio, Ron, 159–60, 163, 164, 165, 171

      Retroviruses, 50–51, 177–79

      Rheumatoid arthritis, 204–10, 216, 227, 404

      Linda’s diagnosis, 29–30

      Merredith’s diagnosis, 31–32

      smoking risk, 215–16

      treatment, 219–20

      Rheumatologists, 205

      Ribavirin, 130

      Richmond Country Club, 198

      Richtel, Anne, 407

      Richtel, Milo, 280, 366–67, 408–9

      Richtel, Mirabel, 280, 408–9

      Richtel, Murray, 13–14, 15

      Ritual washing, 238

      RNA, 178, 183

      Rockefeller Institute, 207

      Rosenthal, Elisabeth, 315

      Rutgers University, 59

      Salk, Jonas, 81–82

      San Francisco Chronicle, 362

      Saquinavir, 183–84

      Sartre, Jean-Paul, 102

      Schwartz, Beth, 4–6, 20, 281–84, 323, 337, 377–78, 391, 393

      Seattle Seahawks, 335

      Second Lymphokine Workshop, 126

      Sedimentation rate test, 212

      Segre, Linda, 11, 26–30

      autoimmune disorder of, 29–30, 199–201, 212, 216–18, 249, 351–53

      autoimmunity diagnosis, 29–30, 201, 212, 216

      autoimmunity treatment, 216–18, 220–21, 353–55

      business career of, 28, 199–200, 201, 249, 352

      early life of, 197–99

      golfing, 26, 27–28, 198–99, 351–52, 352, 355

      horseback riding, 26–27, 197–98

      type A lifestyle of, 199–200, 403

      Segregation, 68–69, 222–23

      Self-confidence, 289

      Sepsis, 54, 230

      Sexism, 208–9

      Sexual assault, 226

      Shalala, Donna, 183

      “Side-chain theory,” 87

      Side effects, 322–23, 333, 401–2

      Skin allergies, 241–42

      Skin grafts, 96–98

      Sleep, 268–72, 402–3

      Sleep problems, 268–72, 285–86, 288

      Smallpox, 78–80

      Smallpox vaccine, 78–80

      Smirnoff Ulster Open, 26, 27–28

      Smith, Jenny Lee, 27

      Smithsonian (magazine), 169

      Smoking, 15, 215–16, 306, 403

      Soap products, 234–35, 236, 239, 240, 246–47, 257–58

      Socioeconomic issues, 236–37, 241

      Solomon, Ariel, 337, 338–39

      Som
    mers, Melissa, 372

      Soviet-Afghan War, 147

      Soviet Union, collapse of, 151–52

      Spanish flu pandemic of 1918, 167–69

      Specific immune system. See Adaptive immune system

      Sperm, 261–62

      Stanford University, 27, 199, 212, 253–54, 362

      Starfish, 38–39

      Star Wars (movie), 48–49

      Steinman, Ralph, 114–15

      Stem cell transplant, 381–82

      Steroids, 99–100, 206–7, 231, 265–67

      Streptococcus, 200

      Streptomycin, 58–59

      Stress, 261–67, 365

      sleep loss and, 267, 271

      Sun exposure, 306–7

      Sympathetic response, 266–67, 269–70, 271–72, 286–87, 288

      Synapses, 360–61, 363–64

      Syndrome, 225–26

      Systemic lupus erythematosus, 202–3

      Tahitian village, 368, 370

      Tawfik, Vivianne, 361

      T cells (T lymphocytes), 46, 55, 73–76, 75, 102–3, 106–7, 134–35, 145, 329–30

      antigens and, 114–15, 149–50

      cancer and, 275–76, 296, 312–14, 332–33

      CD4, 177, 179, 183–84

      CD8, 177, 191, 345–47

      CD28, 295, 297, 313–14, 315

      cell-mediated immunity, 67

      CTLA-4, 295–99

      killer (cytotoxic), 103–5, 117–19

      ligands and, 294–95

      macrophages and, 115–16

      Miller’s discovery of, 60, 64–65, 71–72

      T regulatory (Treg), 245, 255–56

      types, 73–74, 176–77

      Technological innovation, 259, 398–99

      Tedeschi, Bob, 289

      TeGenero, 315–16

      Thymectomies, 62

      Thymos, 61

      Thymus, 61–63, 71, 134, 332, 403–4

      Time (magazine), 81

      Timmerman, John, 11

      Toll-like receptors, 152–56

      Tonegawa, Susumu, 87–91, 145, 254–55

      Training stress, 263

      Tramadol, 228, 231

      Transgenic mice, 309–14

      Transplantation, 91, 92–101

      T regulatory cells (Treg), 245, 255–56

      Trichinosis, 238

      Trypanosomiasis, 51

      Tuberculosis, 57–59

      Tulane University, 68–69

      Tumor necrosis factor (TNF), 219–20, 228

      Type A lifestyle, 199–200, 403

      Ulcerative colitis, 225

      Ulster Open, 26, 27–28

      UNAIDS (Joint United Nations Programme on HIV and AIDS), 188

      United Network for Organ Sharing, 100

      University College Hospital (London), 204

      University of California, Berkeley, 118, 284, 295, 308

      University of California, Los Angeles (UCLA), 11, 162, 214, 267, 287

      University of California, San Diego, 87

      University of California, San Francisco, 51, 209, 295, 404

      University of Chicago, 295

      University of Colorado, 11, 250

      University of Edinburgh, 103

      University of Massachusetts, 95

      University of Minnesota, 69, 93

      University of Padova, 37

      University of Pennsylvania, 95

     


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