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1 HLH can also occur in patients with underlying rheumatol
2 HLH is associated with mutations in lymphocyte cytolytic
3 HLH is difficult to diagnose and can be part of inflamma
4 HLH occurs as both acquired and familial hemophagocytic
5 HLH proteins also regulate circadian clocks, protect aga
6 HLH proteins deposit or erase epigenetic marks, activate
7 HLH proteins orchestrate lineage specification, commitme
8 HLH-30 also upregulates MML-1 upon germline removal.
9 HLH-30 was activated shortly after Staphylococcus aureus
10 bditis elegans E-protein helix-loop-helix-2 (HLH-2) functions as a homodimer in directing development
12 occurrence of systemic reactivations (>/=5/8 HLH criteria), partial systemic flares (<5 criteria and
13 uronal differentiation and identified ID1, a HLH inhibitor of premature neurogenesis, as a target.
19 wenty-one of 180 (12%) had HLH defined as an HLH probability >=70% according to histo score (HScore);
20 riptionally up-regulated in starvation in an HLH-30-dependent manner, also demonstrated increased mor
21 dren from the same center presenting with an HLH-like illness after onset of adenovirus type 7 infect
24 0]; GFP-tagged endogenous LIN-12, LAG-2, and HLH-2, a conserved transcription factor that orchestrate
25 a), partial systemic flares (<5 criteria and HLH-directed treatment), isolated central nervous system
31 unadjusted incidence rates of malignancy and HLH in pediatric patients with IBD exposed to infliximab
37 des the ubiquitous adapter Ldb1 along with b-HLH and/or GATA family transcription factors; however, d
38 protein that inhibits the function of basic HLH E protein transcription factors in lymphoid cells, h
40 ID3, decreased levels of the proneural basic HLH (bHLH) transcriptional regulators TCF4 and NEUROD6 a
41 f1(-/-) and Rab27a(-/-) mice with full-blown HLH syndrome were treated with a clinically relevant dos
44 ce from the fatal outcome that characterizes HLH-like disease and was also sufficient to reduce HLH-l
47 endent and -independent mechanisms to dampen HLH by targeting the deleterious effects of T cells and
48 , (3) assess mortality rate in SD and dengue-HLH, and (4) identify mortality-associated risk factors
51 ere to (1) determine the frequency of dengue-HLH in SD, (2) describe clinical features of dengue-HLH,
52 SD, (2) describe clinical features of dengue-HLH, (3) assess mortality rate in SD and dengue-HLH, and
53 nce alignment and variant filtering detected HLH gene mutations and potential disease-causing variant
54 ancy and all 5 of the patients who developed HLH had been exposed to thiopurines; 10 patients with ma
57 s did indeed increase the risk of developing HLH immunopathology after lymphocytic choriomeningitis v
58 f bHLH-encoding genes-and therefore distinct HLH-2:bHLH dimers-and formulate a "bHLH code" hypothesis
59 ore who fulfilled at least five of the eight HLH-2004 criteria for hemophagocytic lymphohistiocytosis
60 s can functionally substitute for C. elegans HLH-2 in regulating AC development and also display dime
61 as their ortholog in Caenorhabditis elegans HLH-30, play an important role in mediating cellular res
62 ology but also is effective against existing HLH, cytotoxicity-impaired Prf1(-/-) and Rab27a(-/-) mic
65 milial hemophagocytic lymphohistiocytosis (F-HLH) and Griscelli syndrome type 2 (GS) are life-threate
67 helix-loop-helix (bHLH) transcription factor HLH-2, the sole ortholog of the E proteins mammalian E2A
71 tions affecting cytotoxic function (familial HLH) or be secondary to infectious, rheumatologic, malig
72 ation include pathogenic changes in familial HLH genes (PRF1, UNC13D, STXBP2, and STX11), several gra
74 converted nonfatal disease course into fatal HLH, identifying T-cell exhaustion as an important facto
77 luding blinatumomab, should be monitored for HLH, and cytokine-directed therapy may be considered in
80 and linoleic acid bypass the requirement for HLH-30 in coupling lysosome nutrient sensing to survival
84 omerase II, is the mainstay of treatment for HLH, although its therapeutic mechanism remains unknown.
88 totoxicity testing for screening for genetic HLH and should be considered for addition to current HLH
90 ein, occurring through the Helix-Loop-Helix (HLH) and PER-ARNT-SIM (PAS) domains, is needed to conver
91 We demonstrate that the helix-loop-helix (HLH) protein Extramacrochaetae (Emc) regulates Ci(155) l
93 We demonstrate that the helix-loop-helix (HLH) protein, HEB, directly associates with the Polycomb
96 eurogenin-3 (NEUROG3) is a helix-loop-helix (HLH) transcription factor involved in the production of
98 , we identify a network of helix-loop-helix (HLH) transcriptional regulators controlled by MYT1L, as
99 ion of a common downstream helix-loop-helix (HLH)/bHLH network, thus forming an incoherent feed-forwa
100 dy, 103 patients transplanted for hereditary HLH (2000-2013) and DC permanently or transiently <75% (
101 differentiation between secondary post-HSCT HLH and HLH related to the genetic defect difficult.
105 tinib was exerting its beneficial effects in HLH by inhibiting IFN-gamma signaling or by targeting si
106 Notably, many cytokines that are elevated in HLH activate the JAK/STAT pathway, and the JAK1/2 inhibi
108 ubly or triply heterozygous for mutations in HLH-associated genes, those coding for perforin, Rab27a,
111 tion of the only cysteine residue present in HLH-30 (C284) significantly reduced its activity, result
112 ht similarly contribute to DEX resistance in HLH, and that RUX treatment would overcome this phenomen
115 ibition using a model of primary (inherited) HLH in which perforin-deficient (Prf1(--)) mice are infe
116 udies reveal how an extensive interdependent HLH transcription factor network distributes responsibil
120 ial role of NK-cell cytotoxicity in limiting HLH-like immunopathology, highlighting the important rol
121 condary haemophagocytic lymphohistiocytosis (HLH) both clinically and based on molecular inflammatory
125 Primary hemophagocytic lymphohistiocytosis (HLH) can be caused by biallelic mutations in PRF1, encod
137 lt-onset hemophagocytic lymphohistiocytosis (HLH) is a rare, life-threatening disease of immune hyper
143 primary hemophagocytic lymphohistiocytosis (HLH) occurs in infancy resulting from homozygous mutatio
144 sembling hemophagocytic lymphohistiocytosis (HLH) or macrophage activation syndrome (MAS) occur after
145 primary hemophagocytic lymphohistiocytosis (HLH) with refractory, recurrent, or progressive disease
147 cipitate hemophagocytic lymphohistiocytosis (HLH), a life-threatening systemic inflammatory disorder.
148 arity to hemophagocytic lymphohistiocytosis (HLH), and some authors prefer the term secondary HLH to
149 odels of hemophagocytic lymphohistiocytosis (HLH), and the HLH-sibling macrophage activation syndrome
150 disorder hemophagocytic lymphohistiocytosis (HLH), characterized by uncontrolled CD8 T-cell and macro
151 underlie hemophagocytic lymphohistiocytosis (HLH), which requires hematopoietic cell transplantation
152 oallelic hemophagocytic lymphohistiocytosis (HLH)-associated mutations affecting codon 65 of STXPB2,
159 d laboratory features of HLH, using modified HLH-2004 and macrophage activation syndrome (MAS) criter
164 th mutations that disrupt expression of MYB, HLH and/or WRKY transcription factors homologous to thos
165 showed that MUC1-C binds directly to the MYC HLH-LZ domain and identified a previously unrecognized M
166 is virus (LCMV) and secondary (noninherited) HLH in which C57BL/6 mice receive repeated injections of
170 gulates nuclear localization and activity of HLH-30/TFEB, a convergent regulator of autophagy, lysoso
172 LH-like disease, in whom multiple aspects of HLH pathology were observed in the absence of IFN-gamma
173 1-deficient patient with multiple aspects of HLH pathology, we used the mouse model of perforin (Prf1
176 ough cytotoxic T lymphocyte (CTL) control of HLH development is well documented, the role for natural
177 oxicity can contribute to the development of HLH, we generated mice that were doubly or triply hetero
183 displayed the clinicopathologic features of HLH, as set forth in the Histiocyte Society diagnostic g
184 us, pearl mice developed all key features of HLH, linked to impaired virus control caused by a modera
185 yzed for clinical and laboratory features of HLH, using modified HLH-2004 and macrophage activation s
186 atients with a so-called "secondary" form of HLH, which develops in the aftermath of infection, autoi
190 ECATE (HEC) proteins, another small group of HLH proteins, antagonistically regulate PIFs to promote
192 we demonstrate that the hypercytokinemia of HLH reduces the apoptotic potential of CD8 T cells leadi
193 ents are interrelated, because initiation of HLH-2 expression is linked to the birth of the parent ce
195 he clinical and laboratory manifestations of HLH, including weight loss, organomegaly, anemia, thromb
197 ation and lessens inflammation in a model of HLH in which perforin-deficient (Prf1 (-/-)) mice are in
199 Using ex vivo assays, a murine model of HLH, and primary patient samples, we demonstrate that th
202 nthesize the competing mechanistic models of HLH pathology into a dichotomous pathogenesis driven thr
203 of the JAK1/2 not only prevents the onset of HLH immunopathology but also is effective against existi
204 eage three generations earlier, and onset of HLH-2 expression, such that the alpha cell whose parent
205 al role for cytokines in the pathogenesis of HLH, we sought to examine whether the inhibition of JAK
210 In opposition to the protective role of HLH-30 and DAF-16/FOXO, TOR/LET-363 and the IIS-regulate
212 t mice displayed a more complete spectrum of HLH, including splenomegaly, coagulopathy, and decreased
213 he evolution of HLH genes, the structures of HLH domains, and the elaborate activities of HLH protein
217 xperience gained through treatment trials of HLH and MAS in childhood may inform study design for the
218 he critical protective effect of NK cells on HLH was independent of interferon-gamma secretion and ch
219 more common in individuals with adult-onset HLH and can contribute to the pathophysiology of this di
225 k of malignancy (0.46/1000 patient-years) or HLH (0.0/1000 patient-years) in patients exposed to IFX
226 e we show that the predicted TFEB orthologue HLH-30 regulates autophagy in Caenorhabditis elegans and
227 summarize current concepts in the pediatric HLH field as well as offer a practical diagnostic and tr
229 of donor chimerism (DC) required to prevent HLH reactivation in humans remains to be determined.
232 link between perforin deficiency and primary HLH, we investigated the role of perforin in anti-CD19 C
234 ill highlight the pathophysiology of primary HLH, the therapeutic rationale for use of IFN-gamma-targ
238 A prospective study is suggested on prompt HLH-directed therapy in SD patients with hyperinflammati
239 ts together with a second proneural protein, HLH-2, and in parallel to HLH-3 to promote I4 neurogenes
245 ic distinction between primary and secondary HLH by contributing to HLH via a partial dominant-negati
246 e pathogenesis of virus-associated secondary HLH as opposed to its central pathogenic role in primary
247 n animal model of virus-associated secondary HLH by infecting immunocompetent wild-type mice with the
249 rinsic cytotoxicity dysfunction in secondary HLH patients compared with DCs and no predicted pathogen
252 ule-mediated cytotoxicity, whereas secondary HLH occurs, without a known genetic background, in a con
255 6%) patients classified as having "sporadic" HLH, 43 had monoallelic mutations in one of the FHL-defi
258 study, we identify a novel mechanism of TFEB/HLH-30 regulation through a cysteine-mediated redox swit
260 l Caenorhabditis elegans, we discovered that HLH-30 (known as TFEB in mammals) is a key transcription
261 logies have been identified, the reason that HLH occurs in only a subset of individuals and how other
263 Although this observation suggests that HLH may have a polygenic mode of inheritance, the latter
265 TOH1 is closely correlated with HEYL and the HLH inhibitory transcription factors ID1, ID2, and ID4.
267 late CAR T cell expansion characterized the HLH-like syndromes occurring in the murine model and in
268 CD8(+) T cells could not inhibit or cure the HLH-like syndrome, highlighting a first dissimilarity fr
270 a potential deterministic mechanism for the HLH-2 expression bias by showing that hlh-2 is required
272 aplastic lymphoma kinase, is upstream of the HLH regulatory protein, Id2a, and of the retinoblastoma
280 contribution of these lymphocyte subsets to HLH-like disease severity after lymphocytic choriomening
281 vity and mechanism of etoposide for treating HLH and found that it substantially alleviated all sympt
285 el provides a new paradigm for understanding HLH and, more broadly, the consequences of CD8(+) T-cell
286 It can be challenging to determine whether HLH is the result of an infectious pathogen alone or gen
287 fatal hyperinflammatory condition for which HLH-directed therapy (as etoposide and dexamethasone) ca
289 ere are many other genetic diseases in which HLH is an infrequent complication of the disorder as opp
290 More and more, it is recognized that while HLH can be appropriately used as a broad summary diagnos
291 highly annotated cohort of older adults with HLH we found that CH was more prevalent than in control
294 IFN-gamma receptor 1-deficient patients with HLH-like disease, in whom multiple aspects of HLH pathol
299 ected by the same underlying disease without HLH (disease controls [DCs]) and with healthy controls (