
The Remodeling-Permissiveness Network (RPN) reframes chronic disease — including osteoarthritis (OA), solid malignancies, and systemic autoimmunity — as a system-level transition between stable tissue configurations rather than the product of isolated molecular pathways. Tissue permissiveness is defined as the integrated structural, immunological, and metabolic accessibility of a given tissue to immune surveillance and active remodeling, governed by nonlinear interactions across fibrinolytic balance (Plasmin-PAI-1), immune access regulation (beta-catenin, TGF-beta, PD-L1), and innate immune amplification (LL-37).
Plasmin
Plasmin
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