This group presented an abstract at ACR in the fall prior so it's nice to see it published now. https://acrabstracts.org/abstract/cxcl13-t-cell-differentiat... if you don't have journal access to the Nature article. Kudos to them for landing a nature publication but I really would temper this level of excitement (??a top link on HN??) at a basic science research publication discussed in a press release from a univers…
Exactly. When our car doesn't run well, a car with perhaps 20,000 parts, we take it to the mechanic who says "yup, issue was your spark plug, fixed". And even then, of course, the car issue may have been multifactorial. Maybe the spark plug failed because the fuel/air mix was off, for example, the spark plug was the symptom. But then we leap from the car with 20,000 parts to a body with a trillion cells each cell wit…
It may be (surely is) that something like lupus is multifactorial and impossibly complex, but knocking out the largest cause of something can be a reliably cure.
Look at antibitoics - a truly "replace the sparkplug" fix for let's say treating a MRSA infection. Doesn't treat cell damage, doesn't treat inflammation, doesn't treat pain, doesn't treat hormonal imbalance through the body. It doesn't even target the specific infection it kills indiscriminately. Yet "give them antibiotics until the MRSA goes away, or if it doesn't give them more antibiotics until it does" it super hand-wavy.