University Center of Excellence on Nephrologic, Rheumatologic and Rare Diseases (ERK-net, ERN-Reconnect and RITA-ERN Member) with Nephrology and Dialysis Unit and Center of Immuno-Rheumatology and Rare Diseases, Coordinating Center of the Interregional Network for Rare Diseases of Piedmont and Aosta Valley, San Giovanni Bosco Hub Hospital, Turin, Italy.
Laboratory of Clinical Pathology, Azienda Sanitaria Universitaria Integrata di Udine, Tolmezzo, Italy.
Autoimmun Rev. 2023 Jul;22(7):103356. doi: 10.1016/j.autrev.2023.103356. Epub 2023 May 6.
Diagnosis of autoimmune diseases is in most cases challenging for clinicians as there is not a single specific laboratory or histological marker to diagnose or exclude the presence of the conditions. This review focused on the current knowledge of the role of autoantibodies' testing in various diseases, such as systemic lupus erythematosus, rheumatoid arthritis, antiphospholipid syndrome, undifferentiated connective tissues disease, primary biliary cholangitis and primary sclerosing cholangitis. Similarly, the prognostic and diagnostic values of autoantibodies testing in patients with interstitial lung disease have been reviewed. In-depth research on the molecular action of these autoantibodies on immune regulation and diseases pathogenesis has been explored beyond their correlation with disease phenotypes, highlighting the impact of autoantibodies targeting on disease outcomes and etiopathogenesis.
在大多数情况下,临床医生诊断自身免疫性疾病具有挑战性,因为没有单一的特定实验室或组织学标志物可用于诊断或排除这些疾病的存在。本综述重点介绍了自身抗体检测在各种疾病中的作用的最新知识,如系统性红斑狼疮、类风湿关节炎、抗磷脂综合征、未分化结缔组织病、原发性胆汁性胆管炎和原发性硬化性胆管炎。同样,也综述了自身抗体检测在间质性肺疾病患者中的预后和诊断价值。除了与疾病表型相关外,还深入研究了这些自身抗体在免疫调节和疾病发病机制中的分子作用,强调了针对自身抗体的靶向治疗对疾病结局和病因发病机制的影响。