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抗真核生物翻译起始因子2B(eIF2B)抗体阳性系统性硬化症患者的间质性肺疾病:一例报告及文献综述

Interstitial lung disease in a patient with anti-eIF2B antibodies-positive systemic sclerosis: A case report and literature review.

作者信息

Aoshiba Naoya, Toriyama Kazutoshi, Yamashita Shohei, Shioiri Nao, Iwata Yuko, Uruma Tomonori, Abe Shinji, Tsushima Kenji

机构信息

Department of Respiratory Medicine, Tokyo Medical University Hachioji Medical Center, 1163, Tatemachi, Hachioji-shi, Tokyo, Japan.

Department of Respiratory Medicine, Tokyo Medical University Hospital, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo, Japan.

出版信息

Respir Med Case Rep. 2024 Nov 22;52:102141. doi: 10.1016/j.rmcr.2024.102141. eCollection 2024.

DOI:10.1016/j.rmcr.2024.102141
PMID:39654607
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11626813/
Abstract

We report the case of a 76-year-old male patient with systemic sclerosis positive for anti-eukaryotic initiation factor 2B (eIF2B) antibodies. He presented to our hospital with dyspnea on exertion and, following a comprehensive physical examination, was diagnosed with interstitial lung disease associated with systemic sclerosis. Furthermore, systemic sclerosis was positive for the anti-eIF2B antibody. The presence of anti-eIF2B antibodies in systemic sclerosis is very rare, occurring in only 1-2.5 % of cases and seldom reported. Similar to our case, systemic sclerosis with positive anti-eIF2B antibodies has been reported to be more likely to be complicated by interstitial lung disease. Herein, we discuss our case in detail and summarize the previous findings.

摘要

我们报告了一例76岁男性患者,其系统性硬化症抗真核起始因子2B(eIF2B)抗体呈阳性。他因劳力性呼吸困难前来我院就诊,经过全面体格检查后,被诊断为与系统性硬化症相关的间质性肺病。此外,系统性硬化症的抗eIF2B抗体呈阳性。系统性硬化症中抗eIF2B抗体的存在非常罕见,仅在1%-2.5%的病例中出现,且鲜有报道。与我们的病例相似,抗eIF2B抗体阳性的系统性硬化症据报道更易并发间质性肺病。在此,我们详细讨论我们的病例并总结先前的研究结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38d9/11626813/986c390251f3/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38d9/11626813/9115711245fb/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38d9/11626813/986c390251f3/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38d9/11626813/9115711245fb/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38d9/11626813/986c390251f3/gr2.jpg

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本文引用的文献

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ELISA detection of anti-eIF2B antibodies in Japanese patients with systemic sclerosis.日本系统性硬化症患者中抗真核起始因子2B抗体的酶联免疫吸附测定检测
Rheumatology (Oxford). 2024 May 3;63(6):e164-e165. doi: 10.1093/rheumatology/kead649.
2
Treatment of Systemic Sclerosis-associated Interstitial Lung Disease: Evidence-based Recommendations. An Official American Thoracic Society Clinical Practice Guideline.系统性硬化症相关间质性肺疾病的治疗:循证推荐。美国胸科学会临床实践指南。
Am J Respir Crit Care Med. 2024 Jan 15;209(2):137-152. doi: 10.1164/rccm.202306-1113ST.
3
Detection of anti-eIF2B autoantibodies in systemic sclerosis by immunoprecipitation-mass spectrometry.
通过免疫沉淀-质谱法检测系统性硬化症中的抗真核生物翻译起始因子2B自身抗体
Rheumatology (Oxford). 2023 Jul 5;62(7):e216-e218. doi: 10.1093/rheumatology/kead060.
4
Systemic Sclerosis-Specific Antibodies: Novel and Classical Biomarkers.系统性硬化症特异性抗体:新型和经典生物标志物。
Clin Rev Allergy Immunol. 2023 Jun;64(3):412-430. doi: 10.1007/s12016-022-08946-w. Epub 2022 Jun 18.
5
Autoantibodies as biomarkers for interstitial lung disease in idiopathic inflammatory myositis and systemic sclerosis: The case of anti-eIF2B antibodies.自身抗体作为特发性炎症性肌病和系统性硬化症中间质性肺病的生物标志物:以抗真核生物翻译起始因子2B(eIF2B)抗体为例
J Transl Autoimmun. 2020 Mar 31;3:100049. doi: 10.1016/j.jtauto.2020.100049. eCollection 2020.
6
Antinuclear Antibodies in Systemic Sclerosis: an Update.抗核抗体在系统性硬化症中的研究进展。
Clin Rev Allergy Immunol. 2020 Feb;58(1):40-51. doi: 10.1007/s12016-018-8718-8.
7
Presence of anti-eukaryotic initiation factor-2B, anti-RuvBL1/2 and anti-synthetase antibodies in patients with anti-nuclear antibody negative systemic sclerosis.抗核抗体阴性系统性硬化症患者中存在抗真核起始因子-2B、抗 RuvBL1/2 和抗合成酶抗体。
Rheumatology (Oxford). 2018 Apr 1;57(4):712-717. doi: 10.1093/rheumatology/kex458.
8
Systemic sclerosis.系统性硬化症。
Lancet. 2017 Oct 7;390(10103):1685-1699. doi: 10.1016/S0140-6736(17)30933-9. Epub 2017 Apr 13.
9
Brief Report: Anti-Eukaryotic Initiation Factor 2B Autoantibodies Are Associated With Interstitial Lung Disease in Patients With Systemic Sclerosis.简报:抗真核起始因子 2B 自身抗体与系统性硬化症患者的间质性肺病有关。
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