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Prepublished online as a Blood First Edition Paper on May 17, 2002; DOI 10.1182/blood-2001-11-0067.
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Blood, 15 August 2002, Vol. 100, No. 4, pp. 1133-1140
REVIEW ARTICLE
Dangerous liaisons: the role of "danger" signals in
the immune response to gene therapy
Brian D. Brown and
David Lillicrap
From the Department of Pathology, Queen's
University, Kingston, Ontario, Canada.
Recent studies in gene transfer suggest that 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 that contends that the immune
system distinguishes not between self and nonself, but between 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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