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Prepublished online as a Blood First Edition Paper on May 17, 2002; DOI 10.1182/blood-2001-11-0067.

Submitted November 28, 2001
Accepted March 29, 2002
Dangerous Liaisons: The Role of 'Danger' Signals in the Immune Response to Gene Therapy
Brian D Brown and David P Lillicrap*
Department of Pathology, Queen's University, Kingston, Ontario, Canada
* Corresponding author; email: lillicrap{at}cliff.path.queensu.ca.
Recent studies in gene transfer suggest the innate immune system plays a significant role in impeding gene therapy. In this review, we examine factors that might influence the recruitment and activation of the innate system in the context of gene therapy. We have adopted a novel model of immunology which contends that the immune system does not distinguish between self and non-self, but what is dangerous and what is not dangerous. In taking this perspective, we provide an alternative and complementary insight into some of the failures and successes of current gene therapy protocols.

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