Novel aspects of Sjögren’s syndrome in 2012

Sjögren’s syndrome (SS) is a systemic progressive autoimmune disease characterized by a complex pathogenesis requiring a predisposing genetic background and involving immune cell activation and autoantibody production. The immune response is directed to the exocrine glands, causing the typical ‘sicc...

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Published inBMC medicine Vol. 11; no. 1; p. 93
Main Authors Tincani, Angela, Andreoli, Laura, Cavazzana, Ilaria, Doria, Andrea, Favero, Marta, Fenini, Maria-Giulia, Franceschini, Franco, Lojacono, Andrea, Nascimbeni, Giuseppe, Santoro, Amerigo, Semeraro, Francesco, Toniati, Paola, Shoenfeld, Yehuda
Format Journal Article
LanguageEnglish
Published London BioMed Central 04.04.2013
BioMed Central Ltd
Subjects
Alliances
Antibodies, Viral - blood
Autoantibodies - blood
Autoimmune diseases
Biomedicine
Classification
Colleges & universities
Cutting edge: issues in autoimmunity
Cytomegalovirus
Disease
Haplotypes
Humans
Immunosuppressive Agents - therapeutic use
Lymphoma
Lymphoma - prevention & control
Medicine
Medicine & Public Health
Pathogenesis
Peripheral Nervous System Diseases - prevention & control
Pneumonia
Review
Rheumatic diseases
Rheumatology
Sjogren's Syndrome - complications
Sjogren's Syndrome - etiology
Sjogren's Syndrome - pathology
Sjogren's Syndrome - therapy
Vitamin D
Vitamin D - therapeutic use
Vitamin deficiency
Dry eye syndrome
Autoantibodies
Anti-B cell therapies
Vitamin D
Sicca syndrome
Sjögren’s syndrome
Chronic sialoadenitis
Autoimmune diseases
Peripheral neuropathy
Lymphoma
Online AccessGet full text
ISSN1741-7015
1741-7015
DOI10.1186/1741-7015-11-93

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Abstract Sjögren’s syndrome (SS) is a systemic progressive autoimmune disease characterized by a complex pathogenesis requiring a predisposing genetic background and involving immune cell activation and autoantibody production. The immune response is directed to the exocrine glands, causing the typical ‘sicca syndrome’, but major organ involvement is also often seen. The etiology of the disease is unknown. Infections could play a pivotal role: compared to normal subjects, patients with SS displayed higher titers of anti-Epstein-Barr virus (EBV) early antigens, but lower titers of other infectious agent antibodies such as rubella and cytomegalovirus (CMV) suggest that some infections may have a protective role against the development of autoimmune disease. Recent findings seem to show that low vitamin D levels in patients with SS could be associated with severe complications such as lymphoma and peripheral neuropathy. This could open new insights into the disease etiology. The current treatments for SS range from symptomatic therapies to systemic immunosuppressive drugs, especially B cell-targeted drugs in cases of organ involvement. Vitamin D supplementation may be an additional tool for optimization of SS treatment.
AbstractList Doc number: 93 Abstract: Sjögren's syndrome (SS) is a systemic progressive autoimmune disease characterized by a complex pathogenesis requiring a predisposing genetic background and involving immune cell activation and autoantibody production. The immune response is directed to the exocrine glands, causing the typical 'sicca syndrome', but major organ involvement is also often seen. The etiology of the disease is unknown. Infections could play a pivotal role: compared to normal subjects, patients with SS displayed higher titers of anti-Epstein-Barr virus (EBV) early antigens, but lower titers of other infectious agent antibodies such as rubella and cytomegalovirus (CMV) suggest that some infections may have a protective role against the development of autoimmune disease. Recent findings seem to show that low vitamin D levels in patients with SS could be associated with severe complications such as lymphoma and peripheral neuropathy. This could open new insights into the disease etiology. The current treatments for SS range from symptomatic therapies to systemic immunosuppressive drugs, especially B cell-targeted drugs in cases of organ involvement. Vitamin D supplementation may be an additional tool for optimization of SS treatment.
Sjögren’s syndrome (SS) is a systemic progressive autoimmune disease characterized by a complex pathogenesis requiring a predisposing genetic background and involving immune cell activation and autoantibody production. The immune response is directed to the exocrine glands, causing the typical ‘sicca syndrome’, but major organ involvement is also often seen. The etiology of the disease is unknown. Infections could play a pivotal role: compared to normal subjects, patients with SS displayed higher titers of anti-Epstein-Barr virus (EBV) early antigens, but lower titers of other infectious agent antibodies such as rubella and cytomegalovirus (CMV) suggest that some infections may have a protective role against the development of autoimmune disease. Recent findings seem to show that low vitamin D levels in patients with SS could be associated with severe complications such as lymphoma and peripheral neuropathy. This could open new insights into the disease etiology. The current treatments for SS range from symptomatic therapies to systemic immunosuppressive drugs, especially B cell-targeted drugs in cases of organ involvement. Vitamin D supplementation may be an additional tool for optimization of SS treatment.
Sjögren's syndrome (SS) is a systemic progressive autoimmune disease characterized by a complex pathogenesis requiring a predisposing genetic background and involving immune cell activation and autoantibody production. The immune response is directed to the exocrine glands, causing the typical 'sicca syndrome', but major organ involvement is also often seen. The etiology of the disease is unknown. Infections could play a pivotal role: compared to normal subjects, patients with SS displayed higher titers of anti-Epstein-Barr virus (EBV) early antigens, but lower titers of other infectious agent antibodies such as rubella and cytomegalovirus (CMV) suggest that some infections may have a protective role against the development of autoimmune disease. Recent findings seem to show that low vitamin D levels in patients with SS could be associated with severe complications such as lymphoma and peripheral neuropathy. This could open new insights into the disease etiology. The current treatments for SS range from symptomatic therapies to systemic immunosuppressive drugs, especially B cell-targeted drugs in cases of organ involvement. Vitamin D supplementation may be an additional tool for optimization of SS treatment.Sjögren's syndrome (SS) is a systemic progressive autoimmune disease characterized by a complex pathogenesis requiring a predisposing genetic background and involving immune cell activation and autoantibody production. The immune response is directed to the exocrine glands, causing the typical 'sicca syndrome', but major organ involvement is also often seen. The etiology of the disease is unknown. Infections could play a pivotal role: compared to normal subjects, patients with SS displayed higher titers of anti-Epstein-Barr virus (EBV) early antigens, but lower titers of other infectious agent antibodies such as rubella and cytomegalovirus (CMV) suggest that some infections may have a protective role against the development of autoimmune disease. Recent findings seem to show that low vitamin D levels in patients with SS could be associated with severe complications such as lymphoma and peripheral neuropathy. This could open new insights into the disease etiology. The current treatments for SS range from symptomatic therapies to systemic immunosuppressive drugs, especially B cell-targeted drugs in cases of organ involvement. Vitamin D supplementation may be an additional tool for optimization of SS treatment.
ArticleNumber 93
Author Tincani, Angela
Franceschini, Franco
Favero, Marta
Semeraro, Francesco
Toniati, Paola
Lojacono, Andrea
Nascimbeni, Giuseppe
Doria, Andrea
Andreoli, Laura
Cavazzana, Ilaria
Fenini, Maria-Giulia
Shoenfeld, Yehuda
Santoro, Amerigo
AuthorAffiliation 3 Rheumatology Unit, Department of Medicine, University of Padua, Azienda Ospedaliera di Padova, Via Giustiniani 2, Padua, 35128, Italy
8 Zabludowicz Center for Autoimmune Diseases, Sheba Medical Center, Sackler Faculty of Medicine, Tel-Aviv University, Tel Hashomer, 52621, Israel
5 Obstetrics and Gynecology Unit, Spedali Civili and University of Brescia, Piazzale Spedali Civili 1, Brescia, 25100, Italy
2 Chair of Rheumatology, Department of Clinical and Experimental Sciences, University of Brescia, Spedali Civili, Piazzale Spedali Civili 1, 25100 Brescia, Italy
6 Ophthalmology Unit, Spedali Civili and University of Brescia, Piazzale Spedali Civili 1, Brescia, 25100, Italy
1 Rheumatology and Clinical Immunology Unit, Spedali Civili, Piazzale Spedali Civili 1, 25100 Brescia, Italy
4 Rheumatology Unit, Vallecamonica Hospital, Via Manzoni 142, Esine (Brescia), 25040, Italy
7 Pathology Unit, Spedali Civili, Piazzale Spedali Civili 1, Brescia, 25100, Italy
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– name: 1 Rheumatology and Clinical Immunology Unit, Spedali Civili, Piazzale Spedali Civili 1, 25100 Brescia, Italy
– name: 5 Obstetrics and Gynecology Unit, Spedali Civili and University of Brescia, Piazzale Spedali Civili 1, Brescia, 25100, Italy
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  email: tincani@med.unibs.it
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  organization: Rheumatology Unit, Department of Medicine, University of Padua, Azienda Ospedaliera di Padova
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  organization: Rheumatology and Clinical Immunology Unit
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/23556533$$D View this record in MEDLINE/PubMed
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ContentType Journal Article
Copyright Tincani et al.; licensee BioMed Central Ltd. 2013
2013 Tincani et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright © 2013 Tincani et al.; licensee BioMed Central Ltd. 2013 Tincani et al.; licensee BioMed Central Ltd.
Copyright_xml – notice: Tincani et al.; licensee BioMed Central Ltd. 2013
– notice: 2013 Tincani et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Issue 1
Keywords Dry eye syndrome
Autoantibodies
Anti-B cell therapies
Vitamin D
Sicca syndrome
Sjögren’s syndrome
Chronic sialoadenitis
Autoimmune diseases
Peripheral neuropathy
Lymphoma
Language English
License http://www.springer.com/tdm
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Snippet Sjögren’s syndrome (SS) is a systemic progressive autoimmune disease characterized by a complex pathogenesis requiring a predisposing genetic background and...
Sjögren's syndrome (SS) is a systemic progressive autoimmune disease characterized by a complex pathogenesis requiring a predisposing genetic background and...
Doc number: 93 Abstract: Sjögren's syndrome (SS) is a systemic progressive autoimmune disease characterized by a complex pathogenesis requiring a predisposing...
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SubjectTerms Alliances
Antibodies, Viral - blood
Autoantibodies - blood
Autoimmune diseases
Biomedicine
Classification
Colleges & universities
Cutting edge: issues in autoimmunity
Cytomegalovirus
Disease
Haplotypes
Humans
Immunosuppressive Agents - therapeutic use
Lymphoma
Lymphoma - prevention & control
Medicine
Medicine & Public Health
Pathogenesis
Peripheral Nervous System Diseases - prevention & control
Pneumonia
Review
Rheumatic diseases
Rheumatology
Sjogren's Syndrome - complications
Sjogren's Syndrome - etiology
Sjogren's Syndrome - pathology
Sjogren's Syndrome - therapy
Vitamin D
Vitamin D - therapeutic use
Vitamin deficiency
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Title Novel aspects of Sjögren’s syndrome in 2012
URI https://link.springer.com/article/10.1186/1741-7015-11-93
https://www.ncbi.nlm.nih.gov/pubmed/23556533
https://www.proquest.com/docview/1323491636
https://www.proquest.com/docview/1324390053
http://dx.doi.org/10.1186/1741-7015-11-93
https://pubmed.ncbi.nlm.nih.gov/PMC3616867
Volume 11
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