Biomarkers in connective tissue diseases
Autoimmune connective tissue diseases are clinically variable, making biomarkers desirable for assessing future disease risk, supporting early and accurate diagnosis, monitoring disease activity and progression, selecting therapeutics, and assessing treatment response. Because of their correlations...
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| Published in | Journal of allergy and clinical immunology Vol. 140; no. 6; pp. 1473 - 1483 |
|---|---|
| Main Authors | , |
| Format | Journal Article |
| Language | English |
| Published |
United States
Elsevier Inc
01.12.2017
Elsevier Limited |
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| Online Access | Get full text |
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| Abstract | Autoimmune connective tissue diseases are clinically variable, making biomarkers desirable for assessing future disease risk, supporting early and accurate diagnosis, monitoring disease activity and progression, selecting therapeutics, and assessing treatment response. Because of their correlations with specific clinical characteristics and often with disease progression, autoantibodies and other soluble mediators are considered potential biomarkers. Additional biomarkers might reflect downstream pathologic processes or appear because of ongoing inflammation and damage. Because of overlap between diseases, some biomarkers have limited specificity for a single autoimmune connective tissue disease. This review describes select current biomarkers that aid in the diagnosis and treatment of several major systemic autoimmune connective tissue disorders: systemic lupus erythematosus, rheumatoid arthritis, systemic sclerosis, and anti-neutrophil cytoplasmic antibody–associated vasculitides. Newly proposed biomarkers that target various stages in disease onset or progression are also discussed. Newer approaches to overcome the diversity observed in patients with these diseases and to facilitate personalized disease monitoring and treatment are also addressed. |
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| AbstractList | Autoimmune connective tissue diseases are clinically variable, making biomarkers desirable for assessing future disease risk, supporting early and accurate diagnosis, monitoring disease activity and progression, selecting therapeutics, and assessing treatment response. Because of their correlations with specific clinical characteristics and often with disease progression, autoantibodies and other soluble mediators are considered potential biomarkers. Additional biomarkers might reflect downstream pathologic processes or appear because of ongoing inflammation and damage. Because of overlap between diseases, some biomarkers have limited specificity for a single autoimmune connective tissue disease. This review describes select current biomarkers that aid in the diagnosis and treatment of several major systemic autoimmune connective tissue disorders: systemic lupus erythematosus, rheumatoid arthritis, systemic sclerosis, and anti-neutrophil cytoplasmic antibody–associated vasculitides. Newly proposed biomarkers that target various stages in disease onset or progression are also discussed. Newer approaches to overcome the diversity observed in patients with these diseases and to facilitate personalized disease monitoring and treatment are also addressed. Autoimmune connective tissue diseases are clinically variable, making biomarkers desirable for assessing future disease risk, supporting early and accurate diagnosis, monitoring disease activity and progression, selecting therapeutics, and assessing treatment response. Because of their correlations with specific clinical characteristics and often with disease progression, autoantibodies and other soluble mediators are considered potential biomarkers. Additional biomarkers may reflect downstream pathological processes or may appear due to ongoing inflammation and damage. Because of overlap between diseases, some biomarkers have limited specificity for a single autoimmune connective tissue disease. This review describes select current biomarkers that aid in diagnosis and treatment of several major systemic autoimmune connective tissue disorders: systemic lupus erythematosus, rheumatoid arthritis, systemic sclerosis, and ANCA-associated vasculitides. Newly proposed biomarkers that target various stages in disease onset or progression are also discussed. Newer approaches to overcome the diversity observed in these diseases and to facilitate personalized disease monitoring and treatment are also addressed. |
| Author | Jog, Neelakshi R. James, Judith A. |
| AuthorAffiliation | 2 Oklahoma Clinical and Translational Science Institute, University of Oklahoma Health Sciences Center; Departments of Medicine, Pathology, Microbiology & Immunology, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma 73104 1 Arthritis and Clinical Immunology, Oklahoma Medical Research Foundation, Oklahoma City, Oklahoma 73104 |
| AuthorAffiliation_xml | – name: 1 Arthritis and Clinical Immunology, Oklahoma Medical Research Foundation, Oklahoma City, Oklahoma 73104 – name: 2 Oklahoma Clinical and Translational Science Institute, University of Oklahoma Health Sciences Center; Departments of Medicine, Pathology, Microbiology & Immunology, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma 73104 |
| Author_xml | – sequence: 1 givenname: Neelakshi R. surname: Jog fullname: Jog, Neelakshi R. organization: Arthritis and Clinical Immunology, Oklahoma Medical Research Foundation, Oklahoma City, Okla – sequence: 2 givenname: Judith A. surname: James fullname: James, Judith A. email: jamesj@omrf.org organization: Arthritis and Clinical Immunology, Oklahoma Medical Research Foundation, Oklahoma City, Okla |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/29221579$$D View this record in MEDLINE/PubMed |
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| Copyright | 2017 American Academy of Allergy, Asthma & Immunology Copyright © 2017 American Academy of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved. Copyright Elsevier Science Ltd. Dec 1, 2017 |
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| Keywords | CRP ILD LN SSc dcSSc lcSSc ACPA MPO SLE systemic lupus erythematosus systemic sclerosis NT-proBNP ANCA BLyS RNAP III ACA SSA DAS28 Connective tissue diseases vasculitis ESR biomarkers rheumatoid arthritis GDF-15 RA ACR PR3 CCP EGPA ANA Dlco RF AAV PAH HES GPA Anti-CarP dsDNA MPA |
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