Index

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Note: Page references in italics indicate photographs.

ABVD chemotherapy, 277–78

Acquired immunological tolerance, 98–99

Acute stress, 266–67

Acyclovir, 369

Adaptation, 238–39

Adaptive immune system, 77, 146, 149–54

   antigen presentation, 151–54

   genetic recombination, 88–91

   HIV and, 348, 349

Adderall, 231

Adrenal glands, 206, 216, 267, 278

Adrenaline, 206, 265, 267, 287, 288, 402–3

AIDS. See HIV/AIDS

Alien (movie), 264

Alkan, Sefik, 140

Allergic sensitization, 243–44

Allergies, 236–37, 241–42

   Amish study, 242–45

Allison, James, 295, 296–99, 305, 308–9, 330

Alzheimer’s disease, 356–59, 360

Ambien, 217, 353

American College of Rheumatology, 214, 228, 355

Amish, 242–45

“Among School Children” (Yeats), 233

Amyl nitrate, 176

Anfinsen, Christian, 125, 131

Antibacterial soaps, 235, 236, 246–47, 257–58

Antibiotic resistance, 247–49, 259

Antibiotics, 11, 82–85, 400

Antibodies, 42–43, 66–67, 311

Antibody diversity, 254–55

Antibody-encoding genes, 88–91

Antibody-forming precursor cells, 71–72

Antibody-mediated immunity, 67

Antigen presentation, 151–54

Antigens, 42, 77, 100–101, 115, 135, 149–54

Antikörper, 42

Antimicrobial resistance, 247–49, 259

Antinuclear antibodies (ANA) test, 208, 212

Anti-Semitism, 224–25

Apoptosis, 219–20

Argonauts, 56, 93–94, 409

Armstrong, Neil, 379

Aselli, Gaspare, 38, 73

Ashwell, Jonathan, 266

Asthma, 241–42, 243, 244

Astrocytes, 360–62

Atkins diet, 197–98

Atomic bombings of Hiroshima and Nagasaki, 60

Attenuated, 80

Autoimmune disorder, 8–9, 91, 109, 133, 198

     of Hobbs, 228–30

     of Linda, 29–30, 199–201, 212, 216–18, 249, 351–53

     of Merredith, 30, 31–32, 226–27, 232–34, 399–400

     treatments, 29, 99–100, 143–44, 206–7, 216–18, 234–35

Autoimmune response, 118–19

Autoimmunity, 8–9, 91, 136, 202, 398

     diagnosis, 202, 212–14

     diagnosis of Linda, 29–30, 201, 212, 216

     diagnosis of Merredith, 31–32, 227, 229–30

     environmental factors, 215–16, 241

     genetics and, 226

     history, 203–10

     sex and, 9, 214–15

     sleeplessness and, 272

Automobiles, 259

Avian influenza, 169–70

Axilla, 334–35

Azathioprine, 228

Azidothymidine (AZT), 183–84, 193

B7-1, 295, 296–97, 313–14

B7-2, 295, 296–97

Bacteria, 49–50, 51, 258–59

     antibiotic resistance, 247–49

     microbiome, 250–55, 257

Baker, Brian, 189, 343–44, 349

Barad, Meredith, 280, 290–91, 393

Barker, Clyde F., 95

Barres, Ben, 360, 362–64, 408

Barré-Sinoussi, Françoise, 179

Basel Institute for Immunology, 88, 140

Basic science, 122–23

Basophils, 43, 117

B cells (B lymphocytes), 46, 55, 71–74, 76, 76–77

   antibody-encoding genes, 88–91

BEAM chemotherapy, 319–20, 321–22

Beethe, Poppy, 335, 373–74, 378

Beginner’s Guide to Winning the Nobel Prize, The (Doherty), 102

Bingo Experiment, 185

Bird flu, 169–70

Black Plague, 49–50, 169

Blood-brain barrier (BBB), 359–60

Bluestone, Jeffrey, 295

Bob Hoff. See Hoff, Robert T. “Bob”

Body temperature, 109–10

Boehm, Thomas, 106

Bone marrow, 70–72, 207

Bone marrow transplant, 92–93, 100–101, 319–20, 321–22

Boston Consulting Group, 28, 199–200, 201

Boulder High School, 15–17

Bowman, Carol, 198

Bowman, Linda. See Segre, Linda

Brain, 7, 356–65

    cells and immune function, 360–62

Branscombe, Bea, 222, 223–26

Branscombe, Merredith, 11, 30–32, 221–35, 223

    autoimmune disorder of, 30–32, 31–32, 226–27, 398, 399–400

    autoimmunity diagnosis, 31–32, 227, 229–30

    autoimmunity symptoms, 227, 232–34

    autoimmunity treatment, 227–29, 231–32, 234, 400

    early life of, 30–31, 222–23

    family background of, 222–26

    genetic predisposition to autoimmunity, 225–26

    lifestyle changes of, 234–35

Brentuximab vedotin, 322–23, 328, 331–32, 334, 336, 368, 369, 370

Bristol-Myers Squibb, 295, 312, 329, 332

British Journal of Homeopathy, 236

British Society for Immunology, 64

Brodie, Maurice, 80–81

Brunvand, Mark, 383–84

    connection with patients, 325–27

    early life of, 325, 327

    Fauci and, 320, 325

    HIV/AIDS and, 161–62, 166

    Jason’s treatment, 277, 319–20, 322–23, 328, 334, 335–36, 367–76, 378–79, 385–86, 388–89, 391

    Mount McKinley climb, 324–25

Bruton, Ogden, 66–67

Bubonic plague, 49–50, 168, 169

“Buffalo hump,” 189

Bursa of Fabricius, 37, 67–68, 70

B vitamins, 400

California Institute of Technology (Caltech), 131, 250–51, 257

Cancer, 6, 59, 275–79, 356, 397

    monoclonal antibody therapeutics, 310–18

    sleep loss and, 270

    wound healing and, 303–4, 306–7

Carter, Jimmy, 386

CD8, 177, 191, 345–47

CD19, 330

CD28, 295, 297, 313–14, 315

CD30, 322, 336

Celebrex, 228, 231

Celiac disease, 29, 242

Cell division, 15, 54–55, 304, 306–7

Cell phones, 259

Celsus, Aulus Cornelius, 110–11

Centers for Disease Control and Prevention (CDC), 74, 78, 79, 166, 168

Charity Hospital (New Orleans), 68–69

Chemotherapy, 130

    immunotherapy compared with, 144

    Jason’s treatments, 277–79, 280–81, 291–92, 319–20, 321, 369–71

Chester Beatty Research Institute, 60

Chevron, 197

Chrysler Concorde, 19

Circumstantial evidence, 214, 216

Citalopram (Celexa), 328

Classical conditioning, 150

Cleaning products, 239, 240, 246–47, 257–58

Clinical Chemistry, 205

Coenzyme Q10 (CoQ10), 234

Colds, 7, 112, 395, 399

Colon cancer, 15

Colonic cleansing, 190

Colorado Blood Cancer Institute, 319–20, 334, 371

Columbia School of Journalism, 284–85, 286, 288–89, 290

Complement component 1q (C1q), 363

Compound E, 206–7

Concerned Fellows League (CFL), 16, 285, 336

Conflict, 397

Connors, Mark, 184–85, 187–88, 346–47

Cooper, Max, 68–70, 92–93, 100, 107

Cooperation, 396–98

Coors Events Center, 11–12

Cortisol, 206–7, 267

Cosmas, Saint, 94, 95

“Covering up,” 210

Crohn’s disease, 9, 198

Crying, 365

CTLA-4, 295–99, 305, 308, 313–14, 332

Cutter Laboratories, 82

Cyclobenzaprine, 231

Cyclosporine, 100

Cytokines, 133–37, 315–16, 403–4

    interleukin-1 discovery, 125–28

Cytokine storm, 170, 315–16, 330, 391

Cytotoxic (killer) T cells, 103–5, 117–19

Damian, Saint, 94, 95

Dampening the immune system, 99, 256–57, 258, 270, 271

Delwart, Eric, 51

Denali, 324–25

Dendritic cells, 114–15, 115, 134–35, 313

Dendron, 114

Denver Broncos, 335, 372, 376

Denver General Hospital, 161–62, 278

Denver Post, 222–23

Depression, 268, 270, 289, 328

Dermatomyositis, 229

Diabetes, 6, 9, 189, 242, 398

Diamond Foods, 249, 352

Diet, 197–98, 365, 398, 403

Dinarello, Charles, 119–28, 187, 401, 402

    early life of, 121–22

    fever and inflammation research, 109, 110, 119–21, 123–24, 136–37

    interleukin-1 discovery, 125–28

    rabbit research, 120–21, 124–25, 131

Direct evidence, 213–14

Dirt eating, 235, 246

Disinfectants, 239, 240, 246–47, 257–58

Diversity, 348–50, 396. See also Immune diversity

DNA, 50, 145, 178, 264, 304–5

Doherty, Peter, 102–5, 145, 192, 318

Dulbecco, Renato, 87–88

Dunne, Jack, 176

Dust mites, 241

Dvorak, Harold, 303

Ehrlich, Paul, 41, 41–43, 204–5

Eichler, Joseph, 197

Eisenhower, Dwight D., 122

Enbrel, 219–20, 228, 231, 353–55

Engleman, Ephraim, 404

Environment

    autoimmunity and, 215–16, 241

    immune system and, 69, 239–41

    microbiota and, 254

Eosinophils, 117, 244, 245

Epidemiology, 175–76

Epinephrine, 267, 287, 403

Epstein-Barr virus, 263

Erythrocyte sedimentation rate, 21–22

Escherichia coli (E. coli), 50, 154, 238

Eukaryotic parasites, 51

European Journal of Immunology, 117

Evolution, 43–44, 49, 106–7, 214, 238–39, 252–53, 266–67, 276–77, 364, 406

Exercise, 402–4

Fabricius ab Aquapendente, 37

Fauci, Anthony, 65, 138–39, 143, 397, 398

    Brunvand and, 320, 325

    on cytokines, 134, 137

    HIV/AIDS research, 164–65, 173, 175, 176, 179, 180–81

    on natural killer cells, 119

    on neutrophils, 116–17, 126

Fentanyl, 369

Festival of Life, 45–47, 66, 134, 405–6

Fever, 109–11, 120–21, 123, 125–26, 397–98

Fibroblast, 301–2

Fight-or-flight response, 266–67, 269–70, 271–72, 286–87, 288

Flash Gordon (comic), 129

Fleming, Alexander, 83–84

Flexeril, 217

Flu, 59, 74–75

Flu pandemic of 1918, 167–69

Food allergies, 241–42

Food and Drug Administration (FDA), 183, 219, 228, 248, 317

    fast-track designation, 332–33

Ford Windstar, 3–4, 281, 382, 408

Formaldehyde, 81

Formalin, 81

“Frankenmouse,” 311–12

Fukuda, Keiji, 169–70

Gallagher, Danny, 12

Gallo, Robert, 177–80

Gamma globulins, 66–67

Garrod, Alfred, 204

Gender differences, 214–15

General Services Administration (GSA), 24

Genes (genetics), 53, 88–91, 178, 242, 250

    antibody-encoding genes, 88–91

Genetic recombination, 88–91

Genetics Society of America, 99

Genetic structure, 88

Germ killing, 234–35, 236, 239, 240, 245–47, 257–58

    Amish study, 242–45

Giardia, 51, 86

Glaser, Ronald, 261–63, 262

    Alzheimer’s disease of, 357–59, 364–65

    death of, 408

    stress and immune response research, 262–63, 265–66, 286

Glaucoma, 363

Glial cells, 360–61

Glucocorticoid, 267

Glucocorticoid receptor, 266

“Gold shots,” 209

Gout, 204

Grady, Denise, 329–30

Granulocytes, 117

Green Man Group, 18–19

Greenstein, Catherine, 4, 15, 20, 21, 280, 376, 382–89, 407

Greenstein, Guy, 15, 384, 407

Greenstein, Jason

    arrest of, 338

    back issues of, 385–91

    BEAM and transplant, 319–20, 321–22

    bone marrow transplant, 101, 319–20, 321–22

    brentuximab treatment, 328, 331–32, 334

    business ventures of, 3–4, 18–19, 291, 331–32

    cancer diagnosis of, 4–6, 9–10, 10, 11–12, 19–22, 275–77

    chemotherapy treatments, 4–6, 11–12, 277–79, 280–81, 291–92, 319–20, 321, 369–71

    counsel of friends, 335–39

    death of, 393–94

    early life of, 13–18, 14

    father Joel and, 13–16, 17–18

    girlfriend Beth and, 4–6, 20, 281–84, 323, 337, 377–78, 391

    hospice care discussion, 373–75

    nicknames of, 5, 13

    psychological counseling, 320–21

    relapses, 381–83, 385–86, 390

    remission, 381, 383–85

    storytelling of, 280–81

    treatments, 4–6, 319–32, 334–36, 367–79, 381–82, 386–90, 389

Greenstein, Joel, 13–16, 14, 17–18

GRID (gay-related immune deficiency), 163–66, 170

Guillain-Barré syndrome, 225–26

Gut-brain axis, 365

Gut microbiome, 8, 84, 249, 250–55, 257

Haddow, Alexander, 302

Hahn, Bevra, 208–9, 214–15

Hand sanitizers, 234–35, 236, 239, 240, 246

Hayashi, Masaki, 87

Hay fever, 236–37

Health-span vs. life-span, 405–6

Heart, 53–54

Heart disease, 59, 270, 356

Hebernus of Tours, 203

Hemingway, Ernest, 102

Hench, Philip, 205–6

Hepatitis, 24–25, 130, 159, 329

Herbal remedies, 400

Herpes virus, 263–66

Hippocrates, 202–3

Hitler, Adolf, 224, 225

HIV/AIDS. See also Hoff, Robert T. “Bob”

    diagnosis, 180–81

    discovery of, 179–81, 180

    epidemiology of, 175–76

    history of, in U.S., 156, 161–66, 170–74

    HLA-B57 gene, 191–93, 344–47

    long-term nonprogressors (elite controllers), 190–94, 344–47

    Magic Johnson’s revelation, 182–83

    mortality rates, 181, 188–89

    Patient 1, 184–86

    treatment, 183–84, 188–89

HLA-B57, 191–93, 344–47

Hobbs, Kathryn, 227–29, 230

Hodgkin’s lymphoma, 4, 22, 275–77, 322–23, 329, 368, 374, 381

Hoff, Robert T. “Bob,” 10–11, 23–25, 160

    Brian and, 343–44, 349

    early life of, 23–24

    HIV of, 24–25, 117, 159–60, 163–66, 171–74, 189–91

    as long-term nonprogressor, 190–94, 343, 344, 345, 348–50

    sexual activity of, 24, 159–60, 163

Homeostasis, 139

Honjo, Tasuku, 308–9

Horror autotoxicus, 205

Horseback riding, 26–27, 197–98

Human genome, 53, 152, 250, 255

Human leukocyte antigens (HLAs), 101, 344–45

Human T-lymphotropic virus (HTLV), 179

Humira, 29, 143–44

Hutterites, 243–45

Huxley, Aldous, 102

Hydrogen peroxide, 300–301

Hygiene hypothesis, 234–35, 237–41, 242, 257–60

    Amish study, 242–45

Hyridoma technique, 142–43

“Hysterical,” 209

Idiopathic thrombocytopenic purpura (ITP), 213

Immortality, 405–7

Immune cells, 6–7, 46, 294–95

Immune diversity, 88–91, 254–55

Immune system, 395–98

    in the brain, 359–65

    discovery of, 6–7

    environment and, 69, 239–41

    Festival of Life, 45–47

    hygiene hypothesis, 234–35, 237–41

    as peacekeeping force, 8

    structural complications for, 53–56

    telecommunications network, 134–35

    war metaphor for, 7–8

Immunex Corporation, 219

Immunological ignorance, 251

Immunological tolerance, 98–99

Immunology, 9

    history of, 37–44, 59–72, 202–10

    infinity problem, 86–87

    transplantation and, 91, 96

Immunosuppressive drugs, 99–100

Immunotherapy, 143–44, 292–93, 328–34, 381–82

Incest, 7, 105–6, 349

Indirect evidence, 213–14

Industrial processes, 259, 398–99

Infinity problem, 86–87

Inflammation, 24, 108, 109–19, 397–98, 403

    definition of, 111

    erythrocyte sedimentation rate, 21–22

    leading signs of, 111–12

    Metchnikoff’s theory, 40–41

    mood and, 401–2

Inflammatory response, 112–13

Innate immunity, 154–58

    Toll-like receptors, 152–56

Insomnia, 268–72, 278, 285–86, 288

Institute for Quality and Efficiency in Health Care, 111

Interferon, 129–30, 131–34, 316

Interferon alpha (A), 131–33

Interferon beta (B), 131–33

Interferon gamma (G), 131–33

Interferon lambda (L), 131–33

Interleukins (ILs), 126, 135–36, 293

Interleukin 1 (IL-1), 126–28, 135–36

Interleukin 2 (IL-2), 135–36

Interleukin 6 (IL-6), 135–36

Ipilimumab, 143–44

Irritable bowel syndrome (IBS), 9, 198, 242

Irwin, Michael, 267, 268–72, 287, 288

Isoantigens, 100–101

Janeway, Charles, Jr., 149–54, 155–56

Janssen Biotech, 228

Jason Greenstein. See Greenstein, Jason

Jenner, Edward, 78–80

Jerne, Niels, 140–42

Jerne plaque assay, 141–42

Johns Hopkins University, 131, 208, 212–13

Johnson, Earvin “Magic,” 182–83

Joint pain, 203–4. See also Rheumatoid arthritis

Kaposi, Moritz, 203

Kaposi’s sarcoma, 166

Kendall, Edward Calvin, 206

Khoury-Hanold, William, 264

Kidney transplantation, 96, 99

Kiecolt-Glaser, Janice, 261–63, 262, 408

    husband Ron’s Alzheimer’s disease, 357–59, 364–65

    stress and immune response research, 262–63, 265–66, 286

Killer T cells, 103–5, 117–19

Köhler, Georges, 142–43

Kolmer, John, 80–81

Kristallnacht, 224

Krummel, Matthew “Max,” 294, 296–99, 308, 313

Kunkel, Henry George, 207–8

Kunkel test, 207–8

Kyoto University School of Medicine, 308

Ladies Irish Open, 26, 27–28

Lambert, Rhonda Elaine, 212, 216–17, 220, 353–55

Lancet, The, 64, 203

Lane, Cliff, 164

Leach, Dana, 298

Lemon, Meg, 229–31, 234–35, 272

Lesokhin, Alexander, 275, 276–77

Leukemia, 60–63, 177–78

Leukocyte, 126

Life expectancy, 314, 357

Lifestyle, 365, 398, 403–4

Ligands, 293–95

Ligare, 293

Linda Bowman. See Segre, Linda

Linsley, Peter, 295

Lipopolysaccharides, 154

Little League, 13–14

Lonberg, Nils, 309–14

London Blitz, 225

Long-term nonprogressors (LTNPs), 187, 190–94, 344–47

Lou Gehrig’s disease, 356–57

Luddites, 399

Lupus, 109, 202–3, 207, 227, 242

    Merredith’s diagnosis, 31–32

Lyme disease, 201

Lymph, 38

Lymph nodes, 46, 134

Lymphocytes, 63–64, 70

Lymphomania, 38

Lyons, Steve, 23

McCauley, Victor, 26, 27

McCune, Mike, 162–63

McLaughlin, Michael, 278

Macrophages, 43, 113–14, 115–16, 123–24, 301

Maikovich-Fong, Andrea, 320–21, 378

Major histocompatibility complex (MHC), 103–6

Malaria, 51

Malarkey, William, 286–87

Markmann, James F., 95, 96, 97

Massachusetts General Hospital, 125

Masur, Henry, 164

Mate preference, 7, 105–6

Matthau, Walter, 14

Max Planck Institute, 106

Mayo Clinic, 92–93, 205–6

Mazmanian, Sarkis, 250–53, 255–58

MD Anderson Cancer Center, 329

Meanings of life, 395–404

Medawar, Peter, 96–99

Medical exams, 202

Meditation, 288, 365

Medzhitov, Ruslan, 88, 146–56, 406–7

Meier, Tom, 15, 336–37, 394

Memorial Sloan Kettering Cancer Center, 162–63, 275, 310

Merck & Co., 375

Mercury, Freddie, 183

Merredith Branscombe. See Branscombe, Merredith

Metastatic melanoma, 317–18

Metchnikoff, Élie, 38–41, 39, 113

Methotrexate, 217, 228, 231

Mice, 60–64, 117–18, 254

    transgenic, 309–14

Microbiome, 8, 34, 249, 250–55, 257

Microglia, 361–62, 363–64

Migration studies, 242

Migueles, Stephen, 349

    hiring at NIH, 187, 190

    HLA-B57 gene and, 191–93, 344–47

    long-term nonprogressors, 187–88, 190–93, 344–45

    Magic Johnson’s revelation and, 182–83

Military Academy, U.S. (West Point), 263

Miller, Arthur, 4

Miller, Jacqueline, 57–59

Miller, Jacques, 57–65, 71–72, 309, 332, 356, 406

Milstein, César, 142–43

Mixed leukocyte reaction (MLR), 115

Monoclonal antibodies, 140–44, 219, 228, 311

Monoclonal antibody therapy, 228, 310–18, 322–23

    clinical trials, 316–18

Monocytes, 113–14, 116, 123–24, 361–62

Mononucleosis, 263

Montagnier, Luc, 179

Mood and inflammation, 401–2

Mount McKinley, 324–25

Nagoya, bombing in World War II, 87

National Academy of Medicine, 365

National Centre for Human Retrovirology, 179

National Institutes of Health (NIH), 82–83, 266, 325, 347

    Building 10, 122–23, 125, 131, 187–88

    HIV/AIDS research, 163–64

    Laboratory of Immunoregulation, 138–39

Nationalism, 224, 350

Natural killer cells, 117–19, 119, 270

“‘Natural’ Killer Cells in the Mouse” (Kiessling), 117

Nature (magazine), 38

Nazi Germany, 30, 57, 224–25

NCAA Basketball Tournament, 366, 369

Nesbit, Bob, 335, 337, 339

Neurodegeneration, 356–57

Neurons, 360–61

Neutrophils, 43, 116–17, 300

New England Journal of Medicine, 59, 121, 244–45, 314–15, 374–75, 376

New York Times, 9–10, 81, 181, 228, 289–91, 315, 317–18, 329–30, 382, 394

Nivolumab, 144, 329, 332–33, 374–79, 378, 386–90, 391

Nobel Prize, 59, 65, 83, 87–88, 90, 101, 104, 125, 179, 192, 206, 296

Norepinephrine, 267, 286–87, 403

Northwestern University, 30, 226

Northwick Park Hospital, 315

Nose-picking, 235, 236–37, 245–46

Nuremberg Laws, 224

Obesity, 259, 357, 398

Ohio State University, 67–68, 261–62, 357

Oligodendrocytes, 361

Olympic Club, 351–52, 355

Osler, William, 203

Otezla, 401–2

Owen, Ray, 98

Oxycodone, 369

Panama Limited, 68

Parasites, 51

Parkinson’s disease, 356–57

Pathogens, 48–53

    bacteria, 49–50, 51

    parasites, 51

    pimples, 53

    viruses, 50–51, 52

Paul, John, 81

Pavlovian conditioning, 150

PD-1 (programmed cell death protein 1), 308–9, 332

PD-1 inhibitors, 374–75

PDE4 (phosphodiesterase 4), 402

PD-L1 (programmed death-ligand 1), 276

Peanut allergies, 242

Penicillin, 83, 84–85

Pets, 235, 244, 245

Phageîn, 113

Phagocyte, 40

Phagocytosis, 40, 113

Pharmaceutical industry, 401

Physical exams, 202

Pimples, 53

Pittsburgh Steelers, 337

Placenta, 51

Pneumocystis carinii, 162, 163, 166

Pneumonia, 6, 49, 59, 144, 356

Polio, 80–82

Polio vaccine, 81–82

Pollack, Andrew, 317–18, 329–30

Pollen, 241

Prednisone, 216–17

Presbyterian St. Luke’s Medical Center, 6, 11

Primary immunodeficiency, 67

Priming event, 192–93

Pringles, 352

Processed foods, 259, 398

Programmed death (PD), 276, 309–9

Protease inhibitors, 183–84

Proteases, 300

Psoriasis, 401–2

Psychosomatic Medicine, 263

Pyrogens, 121, 126

Racism, 68–69, 222–23, 350

Raulet, David, 118

Raynor, John, 17

Reactive oxygen species (ROS), 300–301

Reagan, Nancy, 171

Reagan, Ronald, 171, 173

Red blood cells, 73–74

Religious belief, 372

Remicade, 143–44, 228

Rensselaer Polytechnic Institute, 130–31

Republican Party, 165–66, 173

Resio, Ron, 159–60, 163, 164, 165, 171

Retroviruses, 50–51, 177–79

Rheumatoid arthritis, 204–10, 216, 227, 404

    Linda’s diagnosis, 29–30

    Merredith’s diagnosis, 31–32

    smoking risk, 215–16

    treatment, 219–20

Rheumatologists, 205

Ribavirin, 130

Richmond Country Club, 198

Richtel, Anne, 407

Richtel, Milo, 280, 366–67, 408–9

Richtel, Mirabel, 280, 408–9

Richtel, Murray, 13–14, 15

Ritual washing, 238

RNA, 178, 183

Rockefeller Institute, 207

Rosenthal, Elisabeth, 315

Rutgers University, 59

Salk, Jonas, 81–82

San Francisco Chronicle, 362

Saquinavir, 183–84

Sartre, Jean-Paul, 102

Schwartz, Beth, 4–6, 20, 281–84, 323, 337, 377–78, 391, 393

Seattle Seahawks, 335

Second Lymphokine Workshop, 126

Sedimentation rate test, 212

Segre, Linda, 11, 26–30

    autoimmune disorder of, 29–30, 199–201, 212, 216–18, 249, 351–53

    autoimmunity diagnosis, 29–30, 201, 212, 216

    autoimmunity treatment, 216–18, 220–21, 353–55

    business career of, 28, 199–200, 201, 249, 352

    early life of, 197–99

    golfing, 26, 27–28, 198–99, 351–52, 352, 355

    horseback riding, 26–27, 197–98

    type A lifestyle of, 199–200, 403

Segregation, 68–69, 222–23

Self-confidence, 289

Sepsis, 54, 230

Sexism, 208–9

Sexual assault, 226

Shalala, Donna, 183

“Side-chain theory,” 87

Side effects, 322–23, 333, 401–2

Skin allergies, 241–42

Skin grafts, 96–98

Sleep, 268–72, 402–3

Sleep problems, 268–72, 285–86, 288

Smallpox, 78–80

Smallpox vaccine, 78–80

Smirnoff Ulster Open, 26, 27–28

Smith, Jenny Lee, 27

Smithsonian (magazine), 169

Smoking, 15, 215–16, 306, 403

Soap products, 234–35, 236, 239, 240, 246–47, 257–58

Socioeconomic issues, 236–37, 241

Solomon, Ariel, 337, 338–39

Sommers, Melissa, 372

Soviet-Afghan War, 147

Soviet Union, collapse of, 151–52

Spanish flu pandemic of 1918, 167–69

Specific immune system. See Adaptive immune system

Sperm, 261–62

Stanford University, 27, 199, 212, 253–54, 362

Starfish, 38–39

Star Wars (movie), 48–49

Steinman, Ralph, 114–15

Stem cell transplant, 381–82

Steroids, 99–100, 206–7, 231, 265–67

Streptococcus, 200

Streptomycin, 58–59

Stress, 261–67, 365

    sleep loss and, 267, 271

Sun exposure, 306–7

Sympathetic response, 266–67, 269–70, 271–72, 286–87, 288

Synapses, 360–61, 363–64

Syndrome, 225–26

Systemic lupus erythematosus, 202–3

Tahitian village, 368, 370

Tawfik, Vivianne, 361

T cells (T lymphocytes), 46, 55, 73–76, 75, 102–3, 106–7, 134–35, 145, 329–30

    antigens and, 114–15, 149–50

    cancer and, 275–76, 296, 312–14, 332–33

    CD4, 177, 179, 183–84

    CD8, 177, 191, 345–47

    CD28, 295, 297, 313–14, 315

    cell-mediated immunity, 67

    CTLA-4, 295–99

    killer (cytotoxic), 103–5, 117–19

    ligands and, 294–95

    macrophages and, 115–16

    Miller’s discovery of, 60, 64–65, 71–72

    T regulatory (Treg), 245, 255–56

    types, 73–74, 176–77

Technological innovation, 259, 398–99

Tedeschi, Bob, 289

TeGenero, 315–16

Thymectomies, 62

Thymos, 61

Thymus, 61–63, 71, 134, 332, 403–4

Time (magazine), 81

Timmerman, John, 11

Toll-like receptors, 152–56

Tonegawa, Susumu, 87–91, 145, 254–55

Training stress, 263

Tramadol, 228, 231

Transgenic mice, 309–14

Transplantation, 91, 92–101

T regulatory cells (Treg), 245, 255–56

Trichinosis, 238

Trypanosomiasis, 51

Tuberculosis, 57–59

Tulane University, 68–69

Tumor necrosis factor (TNF), 219–20, 228

Type A lifestyle, 199–200, 403

Ulcerative colitis, 225

Ulster Open, 26, 27–28

UNAIDS (Joint United Nations Programme on HIV and AIDS), 188

United Network for Organ Sharing, 100

University College Hospital (London), 204

University of California, Berkeley, 118, 284, 295, 308

University of California, Los Angeles (UCLA), 11, 162, 214, 267, 287

University of California, San Diego, 87

University of California, San Francisco, 51, 209, 295, 404

University of Chicago, 295

University of Colorado, 11, 250

University of Edinburgh, 103

University of Massachusetts, 95

University of Minnesota, 69, 93

University of Padova, 37

University of Pennsylvania, 95

University of Pittsburgh School of Medicine, 81–82

University of Wisconsin, 98

Vaccines, 78–82, 235

Variolation, 79

Vicodin, 28

Vienna School of Medicine, 203

Vietnam War, 121–22

Vioxx, 228, 231

Viral load, 184–85

Virchow, Rudolf, 302

Viruses, 50–51, 52

Vitamin B, 228

Vitamin D, 234, 400

V(D)J recombination, 89–91

Volkswagen Beetle, 394

Von Domeny, Paul, 224, 225

Wacky Packages, 246

Waksman, Selman Abraham, 58–59

Walter Reed General Hospital, 66–67

“Wandering cells,” 39–40

Ward, Michael, 163

Werewolf, 202–3

Werner, Sabine, 300–305

West Virginia Mountaineers, 282

White blood cells, 73–74

Whitehead, Emma, 329–30

Wiener, Carolyn, 209–10

Wiskott-Aldrich syndrome, 69–70

Wolff, Sheldon, 123

World Health Organization, 248–49

World War I, 224

World War II, 57, 59, 96, 224–25

    atomic bombings of Hiroshima and Nagasaki, 60

    bombing of Nagoya, 87

Wound healing, 300–307, 406

X chromosome, 215

Yale University Hospital, 109

Y chromosome, 215

Yeats, William Butler, 233

Yersin, Alexandre, 50

Yersinia pestis, 49–50

Yervoy (ipilimumab), 314–15, 317–18, 329

Yolk sac, 361

Zinkernagel, Rolf, 103

Zofran, 369

Zoon, Kathryn, 130–33