Department of Rheumatology, University Medical Centre Ljubljana, Ljubljana SI-1000, Slovenia.
Department of Rheumatology, University Medical Centre Ljubljana, Ljubljana SI-1000, Slovenia; Faculty of Mathematics, Natural Science and Information Technologies, University of Primorska, SI-6000 Koper, Slovenia.
Autoimmun Rev. 2018 Feb;17(2):188-194. doi: 10.1016/j.autrev.2017.11.022. Epub 2017 Nov 28.
Giant cell arteritis (GCA) is a primary systemic vasculitis present in subjects older than 50years with involvement of large- and medium-sized arteries. Early diagnosis for GCA is essential to prevent serious complications, such as permanent vision loss and/or cerebrovascular events. Elevated inflammatory cytokines, with acute phase and other proteins dominate large- and medium-sized arteries leading to stenosis or occlusion of arterial lumen. To date, there are no reliable serological markers for monitoring GCA. The review aims to provide concise overview of published GCA studies in order to: a) identify significantly changed serological biomarkers in GCA and compare the influences of techniques for marker evaluation and b) investigate most promising markers in GCA using analyte frequency and meta-analysis.
巨细胞动脉炎(GCA)是一种主要的系统性血管炎,发生于 50 岁以上的患者,累及大动脉和中等大小的动脉。早期诊断 GCA 对于预防严重并发症至关重要,如永久性视力丧失和/或脑血管事件。升高的炎症细胞因子、急性期和其他蛋白主导着大、中动脉,导致动脉管腔狭窄或闭塞。迄今为止,尚无可靠的血清学标志物用于监测 GCA。本综述旨在提供已发表的 GCA 研究的简明概述,以便:a)确定 GCA 中明显改变的血清学生物标志物,并比较标志物评估技术的影响,b)使用分析物频率和荟萃分析研究 GCA 中最有前途的标志物。