IMMUNOLOGY2026™: Day 4
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In this special episode of The Immunology Podcast from Immunology 2026, Dr. Jason Goldsmith and Dr. Brendo Raad reflect on a rich day of scientific discovery and personal connection. The episode opens with a sponsor plug for Stem Cell Technologies’ SEPMate and Lymphoprep, offering free samples through May 11th. The hosts highlight several standout sessions, beginning with Upasana Das Adhikari’s groundbreaking research on immunometabolic dysfunction in CD8 T cells in HIV patients—where these cells consume epithelial lipids due to impaired PPAR gamma signaling, weakening gut integrity. This finding, reversible with a PPAR gamma agonist, underscores a novel mechanism behind persistent gastrointestinal symptoms in treated HIV patients. The hosts then dive into the symposium 'Neuroimmune Landscapes Across the Body,' where they explore the intricate crosstalk between neurons and immune cells. Key insights include the role of the vagus nerve in suppressing inflammation, with real-world applications such as non-invasive activation techniques (e.g., bearing down without defecating) and implanted devices showing efficacy in treating rheumatoid arthritis. Talks by Brian Kim, David Artis, Daniel Kaplan, and Caroline Sokol reveal how sensory neurons, mast cells, dendritic cells, and ILC2s form dynamic circuits that drive itch, pain, and allergic responses—often initiated by physical damage from allergens activating nociceptors. The episode closes with a personal reflection from Dr. Raad on the full-circle journey from 1980s adhesion molecule research to the Takeda drug that has kept him in remission for nearly a decade, underscoring the long-term impact of foundational immunology research.
HIV patients on antiretroviral therapy still suffer gut issues due to CD8 T cells consuming epithelial lipids from impaired PPAR gamma signaling, a problem reversible with PPAR agonists.
The vagus nerve plays a critical anti-inflammatory role; non-invasive activation (e.g., bearing down) and implanted devices can significantly reduce inflammation in autoimmune diseases like rheumatoid arthritis.
Allergic and inflammatory responses are initiated by a two-step neuroimmune cascade: initial neuron activation triggers mast cell degranulation and dendritic cell recruitment, leading to full Th2 responses.
Sensory neurons directly influence immune cell fate—activating nociceptors promotes tuft cell development and inflammation, while cholinergic neurons can drive tissue-protective ILC2 responses.
Neuroimmune circuits are not just bidirectional but are central to disease mechanisms in itch, pain, allergy, and mucosal immunity, opening new therapeutic avenues.
Welcome & Sponsor Announcement
The hosts open the episode with a warm welcome to listeners, thanking attendees of the Immunology 2026 meeting and promoting a forthcoming on-the-ground episode. They introduce a sponsor offer from Stem Cell Technologies for free Lymphoprep and Sepmate samples.
HIV-Associated Gut Dysfunction: A Metabolic Twist
“So we covered the paper on this, but it's still really cool that like HIV infection screws up your T cells and then you eat yourself.”
The Vagus Nerve: From 1980s Science to Modern Therapy
“It was really cool seeing the science that started in the 80s that led to a drug that changed my life in 2017.”
Neuroimmune Circuits: The Brain-Immune Dialogue
“You can activate the vagus nerve like there's a little part of it behind your ear or something that you can massage or something like that.”
Closing Reflections & Listener Engagement
The episode concludes with a lighthearted exchange between hosts about using the vagus nerve for allergies, followed by a reminder to follow the podcast on social media and tune in for the final episode. The hosts express enthusiasm for the meeting’s scientific depth and personal resonance.
“It was really cool seeing the science that started in the 80s that led to a drug that changed my life in 2017.”
“So we covered the paper on this, but it's still really cool that like HIV infection screws up your T cells and then you eat yourself.”
“It's really amazing to see how close neurons and many subsets of immune cells interact.”
Hosts
Dr. Jason Goldsmith
person
Dr. Brendo Raad
person
PPAR gamma
other
Stem Cell Technologies
organization
Takeda
organization
Upasana Das Adhikari
person
Lymphoprep
product
Brian Kim
person
antivio
product
Leucocyte
organization
Ep. 128: “Lymphatic Immunobiology” Featuring Dr. Amanda Lund
The Immunology Podcast • 1h 21m • 4/7/2026
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IMMUNOLOGY2026™: Day 5
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