n in HIVinfected patients, although such information is highly valuable in identifying priorities for case management and improvement of the quality of life of patients with a chronic disease requiring lifelong treatment. More collaborative efforts among cohorts should be set up to standardize the collection, documentation and classification of non AIDS-related morbid events, as they are and will remain the LBH589 custom synthesis largest contribution to the complications of longterm care and life with HIV infection. Our cohort is to our knowledge the first to report a comprehensive spectrum of women’s specificities over a long follow-up period in the consolidated cART era and highlights priorities for improvement in case management not only to prolong survival but also to improve their quality of life. In conclusion, the morbidity occurring now among HIV infected individuals in long-term care is wide and definitively no longer limited to AIDS-defining events. French women like probably in most industrialized countries, present more often now with complications of viral hepatitis, that should be systematically screened, monitored and managed. Women should also be targeted by prevention policies of cardiovascular events as much as men, by reducing risk factors and enhancing monitoring. somes exhibit higher trypsin-like and chymotrypsin-like activities and a lower caspase-like activity. Peptides produced by immunoproteasomes mainly contain hydrophobic or basic carboxyl termini which appear to be more efficient at binding to MHC class I. Consequently immunoproteasomes are believed to enhance the generation of antigenic peptides for MHC Class I presentation. Sjogren’s syndrome is a chronic, autoimmune disease causing dry mouth and eyes in,4 million Americans. A prominent histopathological feature of SS is the presence of lymphocytic infiltrates in the salivary and lachrymal glands. Such infiltrates are comprised of activated lymphocytes and macrophages, and known to produce multiple cytokines including IFN-c. IFN-c plays an important role in the pathogenesis of SS as evidenced by previous studies. First, the salivary glands of SS patients are infiltrated with massive amount of T lymphocytes. These infiltrated T cells produce significant high levels of IFN-c. Second, constant stimulation of salivary gland cells with IFN-c has been shown to induce apoptosis of HSG cells via up-regulation of Fas. Third, animal model studies suggested that IFN-c plays a critical role not only during the later immune phase of SS, but also in the early pre-immune phase, Immunoproteasomes in Human Salivary Gland Cells independent of effector functions of immune cells. Compared to non-obese diabetic mice who develop SS-like symptoms, both IFN-c and IFN-c receptor gene knockout NOD mice showed no subsequent autoimmune response against the salivary glands. Last, Ro60 peptide immunization in the abdominal area PubMed ID:http://www.ncbi.nlm.nih.gov/pubmed/19660899 of female Balb/c mice led to increased levels of IFN-c and IL-12 systemically and locally in the salivary glands. This implies that the mechanism of action of Ro60 peptide immunization appears to involve an increase in Th1 cytokines, resulting in the induction of salivary gland dysfunction. There have been few studies on the possible role of immunoproteasome in SS pathogenesis. In both infiltrating and peripheral immune cells, b1i expression was found to be down-regulated in SS patients compared to healthy controls. On the other hand, b5i was found to be overexpressed in the salivary