Elena Grau García, Samuel Leal Rodríguez, Luis Gómez-Lechón Quirós, Jose Andrés Román Ivorra
{"title":"Increased TLR9 protein level and upregulated serum cytokines IL-10 and IFN1A in systemic lupus erythematous patients","authors":"Elena Grau García, Samuel Leal Rodríguez, Luis Gómez-Lechón Quirós, Jose Andrés Román Ivorra","doi":"10.1016/j.medcle.2026.107447","DOIUrl":"10.1016/j.medcle.2026.107447","url":null,"abstract":"<div><h3>Objective</h3><div>To investigate the association between serum TLR7 and TLR9 levels and previous viral infections, disease activity, and proinflammatory cytokine levels in SLE patients.</div></div><div><h3>Methods</h3><div>A cross-sectional observational study was conducted in patients with SLE and healthy controls. Data on previous infections, disease activity, and clinical parameters were collected. Serum TLR7, TLR9, interleukin-10 (IL-10), and interferon-α (IFN-α) levels were measured by ELISA.</div></div><div><h3>Results</h3><div>TLR9 levels were significantly higher in SLE patients than in controls (<em>P</em> <!--><<!--> <!-->0.001). TLR7 levels did not differ between groups but showed a positive association with age (<em>P</em> <!--><<!--> <!-->0.001). No associations were found between TLR7 or TLR9 levels and CRP, ESR, anti-dsDNA, ENAs, antiphospholipid antibodies, disease activity, previous infections, or disease duration. Lower TLR7 levels were observed in patients with antiphospholipid syndrome (<em>P</em> <!-->=<!--> <!-->0.001). Elevated TLR9 levels were significantly associated with increased IL-10 and IFN-α (<em>P</em> <!--><<!--> <!-->0.001). TLR7 was not associated with IFN-α, although a trend toward higher levels was observed with elevated IL-10.</div></div><div><h3>Conclusion</h3><div>TLR9 is elevated in SLE and correlates with IL-10 and IFN-α, while TLR7 increases with age.</div><div>.</div></div>","PeriodicalId":74154,"journal":{"name":"Medicina clinica (English ed.)","volume":"166 7","pages":"Article 107447"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148640798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Sacroiliitis as an atypical presentation of a late relapse of Whipple’s disease","authors":"Antonio Rosales-Castillo","doi":"10.1016/j.medcle.2026.107481","DOIUrl":"10.1016/j.medcle.2026.107481","url":null,"abstract":"","PeriodicalId":74154,"journal":{"name":"Medicina clinica (English ed.)","volume":"166 7","pages":"Article 107481"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148640804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Laureano Fernández-Cruz Pérez, Eduardo M. Targarona Soler, José Ibeas López
{"title":"Social responsibility and commitment in the context of artificial intelligence in healthcare","authors":"Laureano Fernández-Cruz Pérez, Eduardo M. Targarona Soler, José Ibeas López","doi":"10.1016/j.medcle.2026.107446","DOIUrl":"10.1016/j.medcle.2026.107446","url":null,"abstract":"<div><div>Artificial intelligence in healthcare represents a conceptual and cultural revolution. AI is transforming evidence-based medicine into data-driven medicine, enabling personalized and real-time clinical decisions. However, this progress requires prudence and ethical commitment, since healthcare is a complex domain due to the sensitivity of data and the need to safeguard patients’ privacy, autonomy, and dignity. In addition, technical, ethical, and organizational challenges arise when implementing AI in healthcare systems. Robust infrastructures, professional training, and collaborative governance are needed to ensure equity and sustainability. Responsibility in the use of AI in healthcare must be shared among professionals, academic institutions, industry, public administration and obviously, the patients. Medical leadership is essential to guide technological development, and ensure that innovation benefits patients and society. The future of AI in healthcare depends on the ethical and social commitment, turning technology into an opportunity to strengthen healthcare system.</div></div>","PeriodicalId":74154,"journal":{"name":"Medicina clinica (English ed.)","volume":"166 7","pages":"Article 107446"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148660546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marta Sánchez Díaz, Alberto Andamoyo Castañeda, Enrique Herrera Acosta
{"title":"Pruritus sine materia as the prodrome of bullous pemphigoid associated with renal carcinoma","authors":"Marta Sánchez Díaz, Alberto Andamoyo Castañeda, Enrique Herrera Acosta","doi":"10.1016/j.medcle.2026.107477","DOIUrl":"10.1016/j.medcle.2026.107477","url":null,"abstract":"","PeriodicalId":74154,"journal":{"name":"Medicina clinica (English ed.)","volume":"166 7","pages":"Article 107477"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148640805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}