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Submitted on February 1, 2007
Accepted on March 12, 2007
Institute of Biochemistry, University Hospital RWTH Aachen, Germany, Infectious Diseases Service, Department of Medicine, CHUV, Lausanne, Switzerland, Yale University School of Medicine, New Haven, CT, USA
* To whom correspondence should be addressed. E-mail: Richard.Bucala{at}Yale.edu.
The cytokine macrophage migration inhibitor factor (MIF) occupies a unique position in physiology by its ability directly regulate the immunosuppressive actions of glucocorticoids. We review herein the interactions between MIF and glucocorticoids within the immune system and discuss the relevance of the MIF-glucocorticoid regulatory dyad in physiology and immunopathology. Therapeutic antagonism of MIF may be an effective approach for steroid-sparing therapies in patients with refractory autoimmune or inflammatory diseases.
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