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This simple piperidinedione agent, a structural analogue of thalidomide introduced in, is clearly more powerful reportedly well over times more potent as an immunomodulator than thalidomide, in respect of TNF inhibition and increased stimulation of T-cell proliferation and IL-2 production. He was appointed one of the fifteen newly created Metropolitan Commissioners, later going on to become the first chairman of the Commissioners in Lunacy, a post he held for the remainder of his life.
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