<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article  PUBLIC "-//NLM//DTD Journal Publishing DTD v3.0 20080202//EN" "http://dtd.nlm.nih.gov/publishing/3.0/journalpublishing3.dtd"><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" dtd-version="3.0" xml:lang="en" article-type="research article"><front><journal-meta><journal-id journal-id-type="publisher-id">WJNS</journal-id><journal-title-group><journal-title>World Journal of Neuroscience</journal-title></journal-title-group><issn pub-type="epub">2162-2000</issn><publisher><publisher-name>Scientific Research Publishing</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.4236/wjns.2020.101005</article-id><article-id pub-id-type="publisher-id">WJNS-97918</article-id><article-categories><subj-group subj-group-type="heading"><subject>Articles</subject></subj-group><subj-group subj-group-type="Discipline-v2"><subject>Biomedical&amp;Life Sciences</subject></subj-group></article-categories><title-group><article-title>
 
 
  Book Review: I-Cubed and &lt;i&gt;The Autoimmune Brain&lt;/i&gt;, A Five-Step Plan
 
</article-title></title-group><contrib-group><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>David</surname><given-names>S. Younger</given-names></name><xref ref-type="aff" rid="aff1"><sub>1</sub></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref></contrib></contrib-group><aff id="aff1"><label>1</label><addr-line>Department of Clinical Medicine, CUNY School of Medicine at City College, New York, USA</addr-line></aff><pub-date pub-type="epub"><day>29</day><month>11</month><year>2019</year></pub-date><volume>10</volume><issue>01</issue><fpage>29</fpage><lpage>36</lpage><history><date date-type="received"><day>26,</day>	<month>December</month>	<year>2019</year></date><date date-type="rev-recd"><day>13,</day>	<month>January</month>	<year>2020</year>	</date><date date-type="accepted"><day>16,</day>	<month>January</month>	<year>2020</year></date></history><permissions><copyright-statement>&#169; Copyright  2014 by authors and Scientific Research Publishing Inc. </copyright-statement><copyright-year>2014</copyright-year><license><license-p>This work is licensed under the Creative Commons Attribution International License (CC BY). http://creativecommons.org/licenses/by/4.0/</license-p></license></permissions><abstract><p>
 
 
  <em>The Autoimmune Brain</em>
  <sup style="line-height:1.5;">1</sup>
   explains I-Cubed, a shorthand for post-infectious autoimmunity that results from the multiplier effect of infection, immunity and inflammation
  ,
   when protective immunity becomes the source of autoimmunity, conditioned by applicable environmental and genetic predisposing factors. In keeping with the post-infectious autoimmune nature of I-Cubed, neurologic and psychiatric symptoms evolve beyond a standard of care course of antibiotic therapy. Extensive serologic, electrophysiological and neuroradiographic diagnostic testing provide
  s
   clues to areas of central, peripheral and autonomic nervous
   system
  , and systemic involvement that guide therapy. A multimodality therapeutic approach employing immune modulatory (Ig) therapy that addresses the underlying mechanisms and not just the symptoms of Cubed disorders is most effective. Representative cases of post-infectious autoimmunity associated with Lyme disease and PANDAS are presented
  .
 
</p></abstract><kwd-group><kwd>Neuropsychiatry</kwd><kwd> Lyme Disease</kwd><kwd> PANDAS</kwd><kwd> I-Cubed</kwd><kwd> Post-Infectious  Autoimmunity</kwd></kwd-group></article-meta></front><body><sec id="s1"><title>Conclusion</title><p>By treating the underlying mechanism of post-infectious autoimmunity and not just the symptoms alone, neurologic and neuropsychiatric I-Cubed disorders can be effectively managed and even cured.</p></sec><sec id="s2"><title>Conflicts of Interest</title><p>The author denies any conflicts of interest.</p></sec><sec id="s3"><title>Cite this paper</title><p>Younger, D.S. (2020) Book Review: I-Cubed and The Autoimmune Brain, A Five-Step Plan. World Journal of Neuroscience, 10, 29-36. https://doi.org/10.4236/wjns.2020.101005</p></sec><sec id="s4"><title>NOTES</title></sec></body><back><ref-list><title>References</title><ref id="scirp.97918-ref1"><label>1</label><mixed-citation publication-type="other" xlink:type="simple">Younger, D. (2019) The Autoimmune Brain. Rowman and Littlefield, New York.</mixed-citation></ref><ref id="scirp.97918-ref2"><label>2</label><mixed-citation publication-type="other" xlink:type="simple">Rappaport, S.M. and Smith, M.T. (2010) Epidemiology. Environment and Disease Risks. Science, 330, 460-461. https://doi.org/10.1126/science.1192603</mixed-citation></ref><ref id="scirp.97918-ref3"><label>3</label><mixed-citation publication-type="other" xlink:type="simple">Fousteri, G. and Dave, J.A. (2019) Viral Infections and Autoimmune Disease: Roles of LCMV in Delineating Mechanisms of Immune Tolerance. Viruses, 11, 885.  
https://doi.org/10.3390/v11100885</mixed-citation></ref><ref id="scirp.97918-ref4"><label>4</label><mixed-citation publication-type="other" xlink:type="simple">Dunne, A. (2011) Inflammasome Activation: From Inflammatory Disease in Infection. Biochemical Society Transactions, 39, 669-673.  
https://doi.org/10.1042/BST0390669</mixed-citation></ref><ref id="scirp.97918-ref5"><label>5</label><mixed-citation publication-type="other" xlink:type="simple">Lupfer, C.R., Rodriques, A. and Kanneganti, T.D. (2017) Inflammasome Activation by Nucleic Acids and Nucleosomes in Sterile Inflammation… Or Is It Sterile? The FEBS Journal, 284, 2363-2374. https://doi.org/10.1111/febs.14076</mixed-citation></ref><ref id="scirp.97918-ref6"><label>6</label><mixed-citation publication-type="other" xlink:type="simple">Bogdanos, D.P., Smyk, D.S., Rigopoulou, E., Sakkas, L.I. and Shoenfeld, Y. (2015) Infectomics and Autoinfectomics: A Tool to Study Infectious-Induced Autoimmunity. Lupus, 24, 364-373. https://doi.org/10.1177/0961203314559088</mixed-citation></ref><ref id="scirp.97918-ref7"><label>7</label><mixed-citation publication-type="other" xlink:type="simple">Jeppesen, R. and Benros, M.E. (2019) Autoimmune Diseases and Psychotic Disorders. Frontiers in Psychiatry, 10, 131. https://doi.org/10.3389/fpsyt.2019.00131</mixed-citation></ref><ref id="scirp.97918-ref8"><label>8</label><mixed-citation publication-type="other" xlink:type="simple">MacQueen, G.M., Campbell, S., McEwen, B.S., et al. (2003) Course of Illness, Hippocampal Function, and Hippocampal Volume in Major Depression. Proceedings of the National Academy of Sciences of the United States of America, 100, 1387-1392. https://doi.org/10.1073/pnas.0337481100</mixed-citation></ref><ref id="scirp.97918-ref9"><label>9</label><mixed-citation publication-type="other" xlink:type="simple">Younger, D.S. (2019) Serial Brain Positron Emission Tomography Fused to Magnetic Resonance Imaging in Post-Infectious and Autoantibody-Associated Autoimmune Encephalitis. World Journal of Neuroscience, 9, 153-156.  
https://doi.org/10.4236/wjns.2019.93010</mixed-citation></ref><ref id="scirp.97918-ref10"><label>10</label><mixed-citation publication-type="other" xlink:type="simple">Lower, R., Lower, J. and Kurth, R. (1996) The Viruses in All of Us: Characteristics and Biological Significance of Human Endogenous Retrovirus Sequences. Proceedings of the National Academy of Sciences of the United States of America, 93, 5177-5184. https://doi.org/10.1073/pnas.93.11.5177</mixed-citation></ref><ref id="scirp.97918-ref11"><label>11</label><mixed-citation publication-type="other" xlink:type="simple">Younger, D.S. and Bouboulis, D.A. (2015) Immune Pathogenesis Pediatric Autoimmune Neuropsychiatric Disorders Associated with Group A?-Hemolytic Streptococcal Infections (PANDAS). International Journal of Neurology Research, 1, 5-7. </mixed-citation></ref><ref id="scirp.97918-ref12"><label>12</label><mixed-citation publication-type="other" xlink:type="simple">Ellis, N.M.J., Li, Y., Hildebrand, W., Fischetti, V.A. and Cunningham, M.W. (2005) T Cell Mimicry and Epitope Specificity of Cross-Reactive T Cell Clones from Rheumatic Heart Disease. The Journal of Immunology, 175, 5448-5456.  
https://doi.org/10.4049/jimmunol.175.8.5448</mixed-citation></ref><ref id="scirp.97918-ref13"><label>13</label><mixed-citation publication-type="other" xlink:type="simple">Swedo, S.E., Leonard, H.L., Schapiro, M.B., et al. (1993) Sydenham’s Chorea: Physical and Psychological Symptoms of St. Vitus Dance. Pediatrics, 91, 706-713.</mixed-citation></ref><ref id="scirp.97918-ref14"><label>14</label><mixed-citation publication-type="other" xlink:type="simple">Cunningham, M.W. (2012) Streptococcus and Rheumatic Fever. Current Opinion in Rheumatology, 24, 408-416. https://doi.org/10.1097/BOR.0b013e32835461d3</mixed-citation></ref><ref id="scirp.97918-ref15"><label>15</label><mixed-citation publication-type="other" xlink:type="simple">Younger, D.S., Mast, P.A. and Bouboulis, D.A. (2016) Baseline Immunoglobulin Levels Predict Achievement of Remission at One Year Following IVIg Therapy. Journal of Neurology &amp; Neurosurgery, 3, 122. https://doi.org/10.19104/jnn.2016.22</mixed-citation></ref><ref id="scirp.97918-ref16"><label>16</label><mixed-citation publication-type="other" xlink:type="simple">Younger, D.S. and Chen, X. (2016) IVIg Therapy in PANDAS: Analysis of the Current Literature. Journal of Neurology &amp; Neurosurgery, 3, 125.  
https://doi.org/10.19104/jnn.2016.25</mixed-citation></ref><ref id="scirp.97918-ref17"><label>17</label><mixed-citation publication-type="other" xlink:type="simple">Younger, D.S. (2017) Autoimmune Encephalitides. World Journal of Neuroscience, 7, 327-361. https://doi.org/10.4236/wjns.2017.73027</mixed-citation></ref></ref-list></back></article>