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This review establishes a theoretical framework for the “cytokine-epigenetic axis,” systematically elucidating the dual molecular mechanisms by which cytokines influence epigenetic modifications through both metabolic reprogramming that affects epigenetic substrates and direct regulation of epigenetic enzymes via signaling pathways such as JAK-STAT and NF-κB. It reveals how this axis drives chronic progression and therapeutic resistance in autoimmune diseases, neuropsychiatric disorders, metabolic diseases, and cancer by establishing persistent functional reprogramming. Furthermore, it outlines novel therapeutic strategies, including combined interventions and epigenetic memory reprogramming, offering innovative disease-modifying approaches to overcome refractory chronic conditions.

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  • Open AccessOpen Access

    REVIEW

    Emerging viral infections: role of flavivirus NS1-mediated rewiring of PRR signaling

    Matteo Ferraresi1, Giulia Pezzi1, Silvia Beltrami1, Giorgia Cianci1, Gloria Maini1, Alessia Liboni2, Marcello Baroni3, Daria Bortolotti1,*, Giovanna Schiuma1,*, Sabrina Rizzo1,#, Giovanni Strazzabosco1,#
    European Cytokine Network, Vol.37, No.2, pp. 41-53, 2026, DOI:10.32604/ecn.2026.083049 - 30 June 2026
    Abstract Flaviviruses, including Dengue, West Nile, Zika, and Japanese encephalitis viruses, are arthropod-borne RNA viruses that pose an increasing global health threat. This review summarizes the role of nonstructural protein 1 (NS1), a multifunctional glycoprotein found in intracellular and secreted forms, as a key regulator of innate immunity. NS1 modulates several pattern recognition receptor pathways, including TLRs, RLRs, SR-B1-related mechanisms, and inflammasome platforms, thereby altering cytokine and interferon responses. Its effects are virus- and context-dependent. WNV NS1 inhibits TLR3/TRIF signaling, reducing IRF3 activation, type I interferon production, and interferon-stimulated gene expression. In contrast, DENV NS1 is More >

  • Open AccessOpen Access

    REVIEW

    Xenosialylation as immunological chimerism: a host-centered unifying model for viral and post-vaccination immune complications

    Fiorella Carnevali1,*, Maria Chiara Muollo2, Lucia Biagini2, Giacomo Rossi2
    European Cytokine Network, Vol.37, No.2, pp. 55-77, 2026, DOI:10.32604/ecn.2026.082188 - 30 June 2026
    (This article belongs to the Special Issue: Inflammation and Cytokine Biology in Chronic Diseases: Mechanisms and Therapeutic Targets)
    Abstract Severe immune-mediated complications following viral infections and vaccinations, including COVID-19 and anti–SARS-CoV-2 immunization, display remarkable clinical overlap despite occurring in distinct biological contexts. In a previous hypothesis-driven work, we proposed that metabolic incorporation of the non-human sialic acid N-glycolylneuraminic acid (Neu5Gc) into human glycoconjugates—defined as xenosialylation—may contribute to post-infectious and post-vaccination immune dysregulation. We further suggest that this phenomenon may represent a form of “immunological chimerism”, in which host glycoconjugates incorporate non-self molecular structures that predispose the immune system to varying degrees of immune imbalance. In its most severe manifestation, this process may culminate in… More >

    Graphic Abstract

    Xenosialylation as immunological chimerism: a host-centered unifying model for viral and post-vaccination immune complications

  • Open AccessOpen Access

    REVIEW

    Cytokine signalling in vaginal epithelial cells: mechanistic insights into epithelial immunity and inflammatory milieu in vulvovaginal candidiasis

    Kavee Shree Sukumaran, Nelli Giribabu*, Naguib Salleh*
    European Cytokine Network, Vol.37, No.2, pp. 79-95, 2026, DOI:10.32604/ecn.2026.078477 - 30 June 2026
    Abstract Vulvovaginal candidiasis (VVC) is one of the most prevalent mucosal infections worldwide, experienced by women throughout their reproductive years. Candida albicans is involved in 85–95% of all VVC cases and given the stronger correlation between the severity of epithelial cytokine responses, rather than fungal burden, with VVC symptoms, this disease is fundamentally immunopathological. VVC is believed to be initiated by a cascade of events that leads to vaginal epithelial cell (VEC) damage. These cells act as immune sentinels and can detect fungal morphotypes as well as virulence factors through diverse pattern recognition receptors, such as TLRs,… More >

  • Open AccessOpen Access

    REVIEW

    Targeting the cytokine-epigenetic axis: a new paradigm and prospects for disease treatment

    Yuyue Luo1,#, Yikan Zheng2,#, Jie Qin1,#, Jinwei Liu2, Yuhan Ma2, Jingda Li3, Jun Li4, Wenlong Sun1,*, Qian Zhang2,*, Mengyao Li5,6,*
    European Cytokine Network, Vol.37, No.2, pp. 97-119, 2026, DOI:10.32604/ecn.2026.082885 - 30 June 2026
    Abstract Cytokines, as key signaling molecules, are involved in the regulation of physiological and pathological processes such as inflammation, immunity, and cell growth. Epigenetic mechanisms, including DNA methylation, histone modifications, chromatin remodeling, and non-coding RNAs, enable precise control of gene expression without changing the DNA sequence. Recent studies have revealed that cytokines interact with epigenetic regulation to form a dynamic and complex “cytokine-epigenetic axis”. Through metabolic reprogramming and regulation of epigenetic enzyme activity, this axis affects gene expression patterns at both transcriptional and post-transcriptional levels, thereby contributing to the initiation and progression of various diseases, including… More >

  • Open AccessOpen Access

    ARTICLE

    VEGFC as a prognostic cytokine biomarker linking lymph node metastasis to immune suppression in breast cancer

    Hsing-Ju Wu1,2, Yu-Chieh Tsai3,*, Hung-Yu Lin2,4,*
    European Cytokine Network, Vol.37, No.2, pp. 121-135, 2026, DOI:10.32604/ecn.2026.079012 - 30 June 2026
    Abstract Backgrounds: Lymph node metastasis is a critical determinant of breast cancer prognosis, yet the specific microenvironmental cytokines driving this process remain elusive. This study aims to identify key prognostic cytokines linking nodal metastasis to tumor microenvironment (TME) remodeling and to evaluate their clinical utility. Methods: A predefined panel of 176 microenvironmental genes was evaluated using differential expression analysis and the Least Absolute Shrinkage and Selection Operator (LASSO) algorithm on the TCGA-BRCA cohort to identify optimal predictors of nodal metastasis. Prognostic value was assessed via Kaplan-Meier, subgroup, and multivariate Cox regression analyses, and validated across five… More >

    Graphic Abstract

    <i>VEGFC</i> as a prognostic cytokine biomarker linking lymph node metastasis to immune suppression in breast cancer

  • Open AccessOpen Access

    ARTICLE

    Procaine hydrochloride improves DSS-induced colitis via inhibition of IL-6/STAT3 and FOXP3 methylation

    An Xiong1,2,#, Yi Tian3,#, Xin Liang4, Shaoqun Liu1,2, Chencheng Shi1,2, Yiou Cao1,2,*, Chang Su1,2,*
    European Cytokine Network, Vol.37, No.2, pp. 137-149, 2026, DOI:10.32604/ecn.2026.084018 - 30 June 2026
    Abstract Backgrounds: Disruption of immune barrier function is considered a hallmark feature of inflammatory bowel disease. In the present study, the potential effects of the methyltransferase inhibitor procaine hydrochloride on intestinal barrier integrity, as well as T cell differentiation in the context of inflammatory bowel disease were explored. Methods: Using an experimental model of dextran sulfate sodium-induced ulcerative colitis, mice received daily treatment with either sulfasalazine (100 mg/kg) or procaine hydrochloride (45 mg/kg), or saline (10 μL/g) as a negative control, for 7 consecutive days. Subsequent analysis included disease activity index score, histopathology, expression levels of intestinal… More >

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