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The changes in global burden of autoimmune diseases two years after the COVID-19 pandemic: a trend analysis based on the Global Burden of Disease Study 2021 COVID-19大流行两年后全球自身免疫性疾病负担的变化:基于《2021年全球疾病负担研究》的趋势分析
IF 4.7 Q2 IMMUNOLOGY Pub Date : 2025-06-01 Epub Date: 2025-04-24 DOI: 10.1016/j.jtauto.2025.100289
Danting Zhang , Wanyu Hua , Fangfang Sun , Chao Wen , Lai Yee Cheong , Ruiyan Xie , Koon Ho Chan , Shirley C.W. Chan , Xue Li , Shuang Ye , Desmond Y.H. Yap

Background

Data on the epidemiological changes in the global burden of autoimmune diseases (ADs) after the Coronavirus disease 2019 (COVID-19) pandemic is lacking. This study investigated the impact of the COVID-19 pandemic on the global burden of ADs, including psoriasis (PsO), inflammatory bowel disease (IBD), type 1 diabetes (T1DM), rheumatoid arthritis (RA), and multiple sclerosis (MS).

Methods

Age-standardized rates (ASR), including incidence (ASIR), prevalence (ASPR), disability-adjusted life years (DALYs), and death (ASDR), were extracted from the Global Burden of Disease Study 2021 from 1990 to 2021. The changes in number and ASR of ADs burden were assessed by absolute and relative increases comparing 2021 to 2019. Joinpoint regression analysis was used to determine whether the year 2019 marked the substantial changes in trends of ASR across global, 21 geographical regions, and 204 countries. The correlations between COVID-19 incidence, vaccination and the relative increased ASIR/ASPR of ADs were also evaluated.

Results

Joinpoint regression analysis identified 2019 as a pivotal year, marking a global increase in the burden of PsO. The global ASR of PsO in 2021 showed an increased incidence, prevalence, and DALYs of 0.78, 5, and 0.33 DALYs per 100,000, respectively, compared to 2019 (194.1 × 103 cases, 1651.3 × 103 cases, and 131.4 × 103 DALYs, respectively). Notable absolute increases in PsO incidence rates in 2021 were observed in regions with a high socio-demographic index, particularly among individuals aged 50 to 54 and among males. Furthermore, 2019 marked a joinpoint with increased ASIR or ASPR of ADs in various regions, notably PsO in High-income North America, Southern Latin America, and South Asia, as well as IBD in Southern and Eastern Sub-Saharan Africa, Central Europe, and East Asia. Regional data from the USA, England, and Japan indicated a positive correlation between COVID-19 incidence and relative increases in the burden of PsO in 2020 (Spearman R 0.35, 0.24, and 0.36, respectively, for incidence; R 0.35, 0.2, and 0.36, respectively, for prevalence; all p < 0.05). Additionally, 2021 state-level vaccination rates in the USA were negatively correlated with the relative increases in the ASIR of PsO and RA (R: 0.27 and −0.54, respectively; p < 0.001 for all), as well as the ASPR of PsO, RA, and MS (R: 0.45, −0.49, and −0.41, respectively; p < 0.01 for all) in 2021.

Conclusions

The year 2019 marked a pivotal point for increased global burden of PsO and regional burdens of other ADs. These observations have important implications for subsequent healthcare planning and resource allocation.
背景2019冠状病毒病(COVID-19)大流行后全球自身免疫性疾病(ADs)负担的流行病学变化数据缺乏。本研究调查了COVID-19大流行对全球ad负担的影响,包括牛皮癣(PsO)、炎症性肠病(IBD)、1型糖尿病(T1DM)、类风湿性关节炎(RA)和多发性硬化症(MS)。方法从1990年至2021年的全球疾病负担研究中提取年龄标准化率(ASR),包括发病率(ASIR)、患病率(ASPR)、残疾调整生命年(DALYs)和死亡率(ASDR)。通过2021年与2019年的绝对增长和相对增长来评估ad负担数量和ASR的变化。使用联合点回归分析来确定2019年是否标志着全球21个地理区域和204个国家的ASR趋势发生了实质性变化。还评估了COVID-19发病率、疫苗接种与ad ASIR/ASPR相对增加之间的相关性。结果联合点回归分析将2019年确定为关键的一年,标志着全球PsO负担的增加。与2019年(194.1 × 103例、1651.3 × 103例和131.4 × 103 DALYs)相比,2021年全球PsO ASR的发病率、患病率和DALYs分别增加了0.78、5和0.33 / 10万DALYs。2021年,在社会人口指数较高的地区,特别是50至54岁的个人和男性中,PsO发病率的绝对增幅显著。此外,2019年标志着各个地区ad的ASIR或ASPR增加的转折点,特别是高收入北美、拉丁美洲南部和南亚的PsO,以及撒哈拉以南非洲南部和东部、中欧和东亚的IBD。来自美国、英国和日本的区域数据显示,2020年COVID-19发病率与PsO负担的相对增加呈正相关(发病率的Spearman R分别为0.35、0.24和0.36;患病率R分别为0.35、0.2和0.36;所有p <;0.05)。此外,美国2021年州级疫苗接种率与PsO和RA ASIR的相对增加呈负相关(R分别为0.27和- 0.54;p & lt;0.001),以及PsO、RA和MS的ASPR (R分别为0.45、- 0.49和- 0.41;p & lt;(所有人都是0.01)。结论2019年是PsO全球负担和其他ad区域负担增加的关键一年。这些观察结果对后续的医疗保健规划和资源分配具有重要意义。
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引用次数: 0
Monitoring the follow-up of autoimmune chronic atrophic gastritis using parietal cell antibodies and markers of gastric function 利用壁细胞抗体和胃功能标志物监测自身免疫性慢性萎缩性胃炎的随访
IF 4.7 Q2 IMMUNOLOGY Pub Date : 2025-06-01 Epub Date: 2025-01-21 DOI: 10.1016/j.jtauto.2025.100273
Maria Piera Panozzo , Antonio Antico , Nicola Bizzaro
Increased interest in the pathogenesis and the evolution of autoimmune chronic atrophic gastritis (A-CAG) has led to the search for serological markers that can be used to detect changes in the gastric mucosa at an early stage and to monitor the course of the disease. Parietal cell autoantibodies have been proposed as suitable immunological markers of atrophic damage, as they can be detected in the serum when symptoms of gastritis are not yet present. However, the utility of measuring only the level of parietal cell autoantibodies in the follow-up of A-CAG does not appear to suffice. Recent evidence has suggested that, in monitoring A-CAG, parietal cell antibodies should be associated with an evaluation of gastric function through biochemical and hormonal tests, such as pepsinogens and gastrin 17. This integrated approach will allow for the more effective real-time monitoring of the state of the gastric mucosa. As A-CAG is a progressive disorder associated with an increased risk of gastric cancer and neuroendocrine tumors, the precise follow-up of patients with gastric atrophy needs to be better defined. Further longitudinal studies in large cohorts must be performed with long-term follow-up.
对自身免疫性慢性萎缩性胃炎(A-CAG)的发病机制和演变的兴趣增加,导致寻找可用于早期检测胃粘膜变化和监测疾病进程的血清学标志物。壁细胞自身抗体被认为是萎缩性损伤的合适免疫学标记物,因为当胃炎症状尚未出现时,它们可以在血清中检测到。然而,在A-CAG的随访中,仅测量壁细胞自身抗体水平的效用似乎是不够的。最近的证据表明,在监测A-CAG时,壁细胞抗体应与通过生化和激素测试(如胃蛋白酶原和胃泌素17)评估胃功能相关。这种综合方法将允许更有效的实时监测胃粘膜的状态。由于a - cag是一种进行性疾病,与胃癌和神经内分泌肿瘤的风险增加有关,因此对胃萎缩患者的精确随访需要更好的定义。进一步的大队列纵向研究必须进行长期随访。
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引用次数: 0
Cross-tissue transcriptome-wide association study reveals novel psoriasis susceptibility genes 跨组织转录组关联研究揭示新的银屑病易感基因
IF 4.7 Q2 IMMUNOLOGY Pub Date : 2025-06-01 Epub Date: 2025-03-20 DOI: 10.1016/j.jtauto.2025.100286
Fei Yan , Jing Tao , Jie Liu , Yongliang Chen , Zongju Huang

Background

Psoriasis is a chronic, immune-mediated inflammatory skin disorder with a strong genetic component. Although numerous GWAS have identified risk loci, many associated variants lie in non-coding regions, complicating functional interpretation.

Objective

This study aimed to identify novel psoriasis susceptibility genes by integrating large-scale GWAS and eQTL data using a cross-tissue TWAS approach.

Methods

We integrated psoriasis GWAS summary statistics from the FinnGen database with GTEx V8 eQTL data. A cross-tissue TWAS was performed using UTMOST, followed by validation with single-tissue TWAS via FUSION. Conditional and joint analyses were conducted to delineate independent genetic signals, and gene-based analysis was performed using MAGMA. Causal relationships were evaluated using Mendelian randomization (MR) and Bayesian colocalization analyses. Key SNPs were functionally characterized using CADD, GERP++, and RegulomeDB for pathogenicity prediction and regulatory potential assessment. Finally, functional network analysis was conducted using GeneMANIA.

Results

The cross-tissue TWAS identified 259 genes significantly associated with psoriasis (p < 0.05), with 12 remaining significant after FDR correction. Single-tissue TWAS validation revealed 655 significant genes, with an overlap of three protein-coding candidates: POLI, NFKB1, and ZFYVE28. Cross-validation with MAGMA refined the candidate set to NFKB1 and ZFYVE28. MR and colocalization analyses supported a causal relationship for NFKB1 in Skeletal Muscle, Transverse Colon, and Cultured Fibroblasts, and for ZFYVE28 in Subcutaneous Adipose Tissue and Esophageal Mucosa tissues. Functional annotation identified key SNPs including rs4235405, rs3774960, and rs1598856 for NFKB1, and rs1203786 for ZFYVE28, with varying degrees of pathogenicity and regulatory potential. GeneMANIA network analysis further implicated NFKB1 in NF-κB signaling and ZFYVE28 in vesicle-mediated transport.

Conclusion

Our integrative multi-omics approach identifies NFKB1 and ZFYVE28 as novel psoriasis susceptibility genes, providing potential biomarkers and therapeutic targets for this complex disease.
背景银屑病是一种慢性、免疫介导的炎症性皮肤病,具有很强的遗传成分。尽管许多GWAS已经确定了风险位点,但许多相关变异位于非编码区,使功能解释复杂化。目的:通过跨组织TWAS方法整合大规模GWAS和eQTL数据,鉴定新型牛皮癣易感基因。方法将FinnGen数据库中银屑病GWAS汇总统计数据与GTEx V8 eQTL数据进行整合。使用extreme进行跨组织TWAS,然后通过FUSION进行单组织TWAS验证。进行条件分析和联合分析以描绘独立的遗传信号,并使用MAGMA进行基于基因的分析。使用孟德尔随机化(MR)和贝叶斯共定位分析评估因果关系。利用CADD、gerp++和RegulomeDB对关键snp进行功能表征,用于致病性预测和调控潜力评估。最后利用GeneMANIA进行功能网络分析。结果跨组织TWAS鉴定出259个与银屑病显著相关的基因(p <;0.05),经FDR校正后仍有12个显著。单组织TWAS验证显示了655个重要基因,其中三个蛋白质编码候选基因重叠:POLI, NFKB1和ZFYVE28。与MAGMA的交叉验证将候选集细化为NFKB1和ZFYVE28。MR和共定位分析支持NFKB1在骨骼肌、横结肠和培养成纤维细胞中的因果关系,以及ZFYVE28在皮下脂肪组织和食管粘膜组织中的因果关系。功能注释鉴定出NFKB1基因的rs4235405、rs3774960、rs1598856和ZFYVE28基因的rs1203786等关键snp,具有不同程度的致病性和调控潜力。GeneMANIA网络分析进一步表明NFKB1参与NF-κB信号传导,ZFYVE28参与囊泡介导的转运。我们的综合多组学方法鉴定出NFKB1和ZFYVE28是新的银屑病易感基因,为这种复杂疾病提供了潜在的生物标志物和治疗靶点。
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引用次数: 0
Pediatric autoimmune diseases in the light of COVID-19 pandemic, A retrospective observational big data study 新冠肺炎大流行背景下儿童自身免疫性疾病的回顾性观察性大数据研究
IF 4.7 Q2 IMMUNOLOGY Pub Date : 2025-06-01 Epub Date: 2025-03-06 DOI: 10.1016/j.jtauto.2025.100281
Rim Kasem Ali Sliman , Hilla Cohen , Shereen Shehadeh , Reut Batcir , Yigal Elenberg Alter , Keren Cohen , Ilana Koren , Inbal Halabi , Hussein Sliman , Mohamad Hamad Saied

Background

The COVID-19 pandemic has raised concerns about potential links between SARS-CoV-2 infection and autoimmune diseases. This study investigated changes in the incidence rate (IR) of autoimmune diseases among children following the pandemic's onset.

Methods

A retrospective cross-sectional study analyzed data from Clalit Health Services, Israel's largest healthcare provider, examining the IR of different autoimmune diseases in children aged 0–18. The study compared pre-pandemic (2019) with pandemic/post-pandemic periods (2020–2023), encompassing a cohort of over 1.5 million children.

Results

Significant IR increases were observed across multiple autoimmune diseases. Rheumatic diseases (Juvenile Idiopathic Arthritis, Systemic Lupus Erythematosus, Henoch Schoenlein Purpura (HSP)) showed consistent increases, with HSP demonstrating the most pronounced trend. Endocrine disorders exhibited diverse patterns, with autoimmune thyroid diseases and Type 1 diabetes showing overall increases, while diabetic ketoacidosis exhibited an initial spike followed by a decline. Gastrointestinal diseases displayed heterogeneous patterns; Celiac disease and Ulcerative colitis showed general increases, Crohn's disease showed a downward trend, and autoimmune hepatitis exhibited an initial significant decrease followed by a significant increase. Dermatological conditions, including Psoriasis and Vitiligo, demonstrated consistent elevations throughout 2020–2023. Immune Thrombocytopenia Purpura showed initial decreases followed by significant increases in 2022–2023.

Conclusions

This comprehensive analysis reveals significant changes in pediatric autoimmune disease incidence following the COVID-19 pandemic, suggesting potential associations between SARS-CoV-2 infection and autoimmune dysregulation. The diverse patterns observed across different conditions highlight the complex interplay between viral infection and autoimmunity, emphasizing the need for continued surveillance and investigation of long-term immunological consequences of COVID-19 in pediatric populations.
COVID-19大流行引发了人们对SARS-CoV-2感染与自身免疫性疾病之间潜在联系的担忧。本研究调查了大流行爆发后儿童自身免疫性疾病发病率(IR)的变化。方法一项回顾性横断面研究分析了以色列最大的医疗保健提供商Clalit Health Services的数据,检查了0-18岁儿童不同自身免疫性疾病的IR。该研究将大流行前(2019年)与大流行/大流行后(2020-2023年)进行了比较,涉及150多万名儿童。结果在多种自身免疫性疾病中观察到显著的IR升高。风湿病(幼年特发性关节炎、系统性红斑狼疮、过敏性紫癜(HSP))持续增加,其中HSP的趋势最为明显。内分泌失调表现出不同的模式,自身免疫性甲状腺疾病和1型糖尿病总体增加,而糖尿病酮症酸中毒表现出最初的高峰,然后下降。胃肠道疾病表现出异质性;乳糜泻和溃疡性结肠炎总体呈上升趋势,克罗恩病呈下降趋势,自身免疫性肝炎呈初始显著下降后显著上升趋势。皮肤病,包括牛皮癣和白癜风,在2020-2023年期间持续升高。免疫性血小板减少性紫癜在2022-2023年表现出最初的下降,随后显著上升。结论这项综合分析揭示了COVID-19大流行后儿童自身免疫性疾病发病率的显著变化,提示SARS-CoV-2感染与自身免疫性失调之间存在潜在关联。在不同情况下观察到的不同模式突出了病毒感染与自身免疫之间复杂的相互作用,强调需要继续监测和调查COVID-19在儿科人群中的长期免疫后果。
{"title":"Pediatric autoimmune diseases in the light of COVID-19 pandemic, A retrospective observational big data study","authors":"Rim Kasem Ali Sliman ,&nbsp;Hilla Cohen ,&nbsp;Shereen Shehadeh ,&nbsp;Reut Batcir ,&nbsp;Yigal Elenberg Alter ,&nbsp;Keren Cohen ,&nbsp;Ilana Koren ,&nbsp;Inbal Halabi ,&nbsp;Hussein Sliman ,&nbsp;Mohamad Hamad Saied","doi":"10.1016/j.jtauto.2025.100281","DOIUrl":"10.1016/j.jtauto.2025.100281","url":null,"abstract":"<div><h3>Background</h3><div>The COVID-19 pandemic has raised concerns about potential links between SARS-CoV-2 infection and autoimmune diseases. This study investigated changes in the incidence rate (IR) of autoimmune diseases among children following the pandemic's onset.</div></div><div><h3>Methods</h3><div>A retrospective cross-sectional study analyzed data from Clalit Health Services, Israel's largest healthcare provider, examining the IR of different autoimmune diseases in children aged 0–18. The study compared pre-pandemic (2019) with pandemic/post-pandemic periods (2020–2023), encompassing a cohort of over 1.5 million children.</div></div><div><h3>Results</h3><div>Significant IR increases were observed across multiple autoimmune diseases. Rheumatic diseases (Juvenile Idiopathic Arthritis, Systemic Lupus Erythematosus, Henoch Schoenlein Purpura (HSP)) showed consistent increases, with HSP demonstrating the most pronounced trend. Endocrine disorders exhibited diverse patterns, with autoimmune thyroid diseases and Type 1 diabetes showing overall increases, while diabetic ketoacidosis exhibited an initial spike followed by a decline. Gastrointestinal diseases displayed heterogeneous patterns; Celiac disease and Ulcerative colitis showed general increases, Crohn's disease showed a downward trend, and autoimmune hepatitis exhibited an initial significant decrease followed by a significant increase. Dermatological conditions, including Psoriasis and Vitiligo, demonstrated consistent elevations throughout 2020–2023. Immune Thrombocytopenia Purpura showed initial decreases followed by significant increases in 2022–2023.</div></div><div><h3>Conclusions</h3><div>This comprehensive analysis reveals significant changes in pediatric autoimmune disease incidence following the COVID-19 pandemic, suggesting potential associations between SARS-CoV-2 infection and autoimmune dysregulation. The diverse patterns observed across different conditions highlight the complex interplay between viral infection and autoimmunity, emphasizing the need for continued surveillance and investigation of long-term immunological consequences of COVID-19 in pediatric populations.</div></div>","PeriodicalId":36425,"journal":{"name":"Journal of Translational Autoimmunity","volume":"10 ","pages":"Article 100281"},"PeriodicalIF":4.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143611570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Molecular mimicry in the pathogenesis of autoimmune rheumatic diseases 自身免疫性风湿病发病机制中的分子模拟。
IF 4.7 Q2 IMMUNOLOGY Pub Date : 2025-06-01 Epub Date: 2025-01-07 DOI: 10.1016/j.jtauto.2025.100269
Michaela Fehringer, Thomas Vogl
Autoimmune rheumatic diseases (ARDs) are a heterogeneous group of conditions characterized by excessive and misdirected immune responses against the body's own musculoskeletal tissues. Their exact aetiology remains unclear, with genetic, demographic, behavioural and environmental factors implicated in disease onset. One prominent hypothesis for the initial breach of immune tolerance (leading to autoimmunity) is molecular mimicry, which describes structural or sequence similarities between human and microbial proteins (mimotopes). This similarity can lead to cross-reactive antibodies and T-cell receptors, resulting in an immune response against autoantigens. Both commensal microbes in the human microbiome and pathogens can trigger molecular mimicry, thereby potentially contributing to the onset of ARDs.
In this review, we focus on the role of molecular mimicry in the onset of rheumatoid arthritis and systemic lupus erythematosus. Moreover, implications of molecular mimicry are also briefly discussed for ankylosing spondylitis, systemic sclerosis and myositis.
自身免疫性风湿性疾病(ARDs)是一组异质性疾病,其特征是针对人体自身肌肉骨骼组织的过度和错误的免疫反应。它们的确切病因尚不清楚,遗传、人口、行为和环境因素与疾病发病有关。最初破坏免疫耐受(导致自身免疫)的一个重要假设是分子模仿,它描述了人类和微生物蛋白质(同种异构体)之间的结构或序列相似性。这种相似性可以导致抗体和t细胞受体的交叉反应,从而产生针对自身抗原的免疫反应。人类微生物组中的共生微生物和病原体都可以引发分子模仿,从而可能导致ARDs的发生。在这篇综述中,我们关注分子模拟在类风湿关节炎和系统性红斑狼疮发病中的作用。此外,分子模拟对强直性脊柱炎、系统性硬化症和肌炎的影响也作了简要讨论。
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引用次数: 0
Immune characterization of lupus nephritis patients undergoing dialysis 狼疮性肾炎透析患者的免疫特性
IF 4.7 Q2 IMMUNOLOGY Pub Date : 2025-06-01 Epub Date: 2025-05-02 DOI: 10.1016/j.jtauto.2025.100290
Quentin Simon , François Gaillard , John Tchen , Delphine Bachelet , Karim Sacré , Katell Peoc'h , Noémie Jourde-Chiche , Eric Daugas , Nicolas Charles
Systemic lupus erythematosus (SLE) activity decreases in some patients with end-stage kidney disease (ESKD). The impact of ESKD on the immune cell profile of SLE patients and lupus activity remains unclear. In this study, we aimed at characterizing immunologically inactive and active SLE patients undergoing dialysis therapy. Based on multi-parametric flow cytometry assays, an extensive immunophenotyping was performed on blood samples from 47 SLE patients undergoing hemodialysis, 10 non-dialyzed SLE patients with active lupus nephritis (aLN), 6 non-dialyzed patients with a history of LN currently in remission (rLN), and 20 healthy volunteers (HV) as controls (ClinicalTrials.gov Identifier: NCT03921398). The hemodialysis group was composed of 16 SLE patients with inactive disease (iHD), 22 with sustained low disease activity with a non-renal SLEDAI ≤4 (aHD≤4), and 9 highly active SLE patients (aHD>4). A factorial discriminant analysis was performed to validate the association between immune cell signatures and lupus activity. By compiling 12 cellular variables, we describe immune profiles related to highly active SLE patients or associated with both inactive and low-disease activity groups. As non-dialyzed active SLE patients, active patients undergoing hemodialysis showed a specific combination of increased numbers of circulating CD19hi CD27 “atypical naive” B cells, plasmablasts, CD16+ inflammatory monocytes and a basopenia. This study brings a comprehensive overview of immune cell signatures observed in SLE patients undergoing dialysis. We propose a simple immunophenotypic approach for the assessment of lupus activity that may provide help to data-driven personalized medicine in hemodialyzed SLE patients.
一些终末期肾病(ESKD)患者的系统性红斑狼疮(SLE)活性降低。ESKD对SLE患者免疫细胞谱和狼疮活动度的影响尚不清楚。在这项研究中,我们旨在对接受透析治疗的免疫活性低下和活动性SLE患者进行特征分析。基于多参数流式细胞术分析,对47例接受血液透析的SLE患者、10例未透析的SLE伴活动性狼疮肾炎(aLN)、6例有缓解期LN病史(rLN)的未透析患者和20名健康志愿者(HV)的血液样本进行了广泛的免疫表型分析(ClinicalTrials.gov识别符:NCT03921398)。血液透析组由16例非活动性SLE患者(iHD)、22例持续低疾病活动性且非肾性SLEDAI≤4 (aHD≤4)和9例高活性SLE患者(aHD>4)组成。进行了析因判别分析,以验证免疫细胞特征和狼疮活动之间的关联。通过编译12个细胞变量,我们描述了与高度活动性SLE患者或与非活动性和低疾病活动性组相关的免疫概况。与未透析的活动性SLE患者一样,接受血液透析的活动性SLE患者表现出循环CD19hi - CD27 -“非典型幼稚”B细胞、浆母细胞、CD16+炎性单核细胞数量增加和碱性粒细胞减少的特异性组合。这项研究全面概述了在接受透析的SLE患者中观察到的免疫细胞特征。我们提出了一种简单的免疫表型方法来评估狼疮活动,这可能为血液透析SLE患者的数据驱动个性化医疗提供帮助。
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引用次数: 0
Autoantibodies as prognostic markers in rheumatoid arthritis 自身抗体作为类风湿关节炎的预后标志物
IF 4.7 Q2 IMMUNOLOGY Pub Date : 2025-06-01 Epub Date: 2025-05-03 DOI: 10.1016/j.jtauto.2025.100291
Carl Turesson , Johan Rönnelid , Alf Kastbom

Background and purpose

Rheumatoid arthritis (RA) is a chronic inflammatory disorder characterized by progressively destructive polyarthritis. Key autoimmune features include the presence of autoantibodies. The purpose of this review is to discuss the diagnostic and prognostic properties of rheumatoid factor (RF) and anti-citrullinated protein/peptide antibodies (ACPA), based on current use in Sweden. Furthermore, we discuss their relation to disease outcomes and their importance for management of patients with RA.

Principal findings

Based on current cut-offs, ACPA has a higher specificity for RA than RF, and testing for ACPA alone is recommended when investigating patients with clinically suspect RA. The diagnostic utility of RF may improve with adjusted reference range/upper limit of normal.
RF and ACPA both predict rapid radiographic progression, severe extra-articular manifestations and mortality, whereas other outcomes, such as osteoporosis, pain and disability are not as clearly related to seropositivity. RF/ACPA positive patients respond better to some targeted therapies, in particular rituximab, compared to seronegative RA patients. Recent studies indicate that treatment of ACPA-positive arthralgia with abatacept may delay and perhaps sometimes even prevent development of arthritis. Available evidence does not support an added value of repeated RF or ACPA testing.

Conclusions

Testing for ACPA in patients with arthralgia or suspected early RA, and for ACPA and RF at RA diagnosis, provides useful diagnostic and prognostic information, which has implications for follow-up and treatment. Repeated testing for ACPA and RF is not recommended. Potential future developments include treatment of ACPA-positive individuals for prevention of arthritis.
背景和目的类风湿性关节炎(RA)是一种以进行性破坏性多关节炎为特征的慢性炎症性疾病。主要的自身免疫特征包括自身抗体的存在。本综述的目的是讨论基于瑞典目前使用的类风湿因子(RF)和抗瓜氨酸化蛋白/肽抗体(ACPA)的诊断和预后特性。此外,我们讨论了它们与疾病结局的关系以及它们对RA患者管理的重要性。主要发现:基于目前的截止值,ACPA对RA的特异性高于RF,在调查临床疑似RA的患者时,建议单独检测ACPA。随着参考范围/正常值上限的调整,射频的诊断价值可能会提高。RF和ACPA都能预测快速的放射学进展、严重的关节外表现和死亡率,而其他结果,如骨质疏松、疼痛和残疾,与血清阳性没有明确的关系。与血清阴性RA患者相比,RF/ACPA阳性患者对某些靶向治疗的反应更好,特别是利妥昔单抗。最近的研究表明,用阿巴接受治疗acpa阳性关节痛可能会延迟,有时甚至可能预防关节炎的发展。现有证据不支持重复RF或ACPA检测的附加价值。结论在关节痛或疑似早期RA患者中检测ACPA,以及在RA诊断时检测ACPA和RF,可提供有用的诊断和预后信息,对随访和治疗具有指导意义。不建议重复检测ACPA和RF。潜在的未来发展包括治疗acpa阳性个体预防关节炎。
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引用次数: 0
Enhancement of CD8+T cell cytotoxicity activity by IFN-α implies alternative pathologic role in systemic lupus erythematosus IFN-α增强CD8+T细胞毒性活性提示系统性红斑狼疮的病理作用
IF 4.7 Q2 IMMUNOLOGY Pub Date : 2025-06-01 Epub Date: 2025-02-04 DOI: 10.1016/j.jtauto.2025.100276
Chen-xing Zhang , You-ying Mao , Yu-pin Tan , Mei-yu Zhang , Kang Shao , Shu-jun Wang , Ping Ji , Jia-yuan Wang , Lei Yin , Ying Wang

Objective

Systemic lupus erythematosus (SLE) is a heterogeneous autoimmune disease which is affected by the environmental, genetic factors as well as the immune system. Previous reports have implicated IFN-α in the pathogenesis of SLE. Up to date, however, no research has ever investigated the effect of IFN-α on CD8+T cells, which might be implicated in the pathogenesis of SLE. In the present study, we aimed to explore the pathologic role of IFN-α in regard to dysfunction of CD8+T cells in SLE.

Methods

Serum level of IFN-α was detected in SLE and healthy controls (HC). Surface expression of lysosome-associated membrane protein 1 (LAMP-1; CD107a) and secretion of granzyme B of CD8+T cells was measured in SLE and HC with or without IFN-α co-stimulation/PI3K inhibitor.

Results

Our results demonstrated that there was increased surface expression of CD107a of CD8+T cells in SLE patients compared with healthy controls (HC), indicating enhanced cytotoxicity of CD8+T cells in SLE patients. Meanwhile, increased secretion of granzyme B was also detected in CD8+T cells of SLE compared with HC, which correlated with the disease activity (SLEDAI). Furthermore, elevated serum level of IFN-α in SLE was confirmed in our study. In vitro study, granzyme B secretion by CD8+T cells was upregulated upon IFN-α costimulation, which was consistent with enhanced cytotoxicity of CD8+T cells upon IFN-α costimulation, as reflected by elevated surface expression of CD107a. PI3K inhibitor reversed increased granzyme B synthesis upon IFN-α costimulation in a dose-dependent manner.

Conclusion

In summary, elevated serum level of IFN-α was responsible for increased secretion of granzyme B and enhanced cytotoxicity of CD8+T cells in SLE and this process may be related to PI3K pathway. Relevant molecules and mechanism remains to be explored in the future.
目的系统性红斑狼疮(SLE)是一种受环境、遗传和免疫系统共同影响的异质自身免疫性疾病。先前的报道暗示IFN-α参与SLE的发病机制。然而,到目前为止,还没有研究研究IFN-α对CD8+T细胞的影响,这可能与SLE的发病机制有关。在本研究中,我们旨在探讨IFN-α在SLE中CD8+T细胞功能障碍中的病理作用。方法检测SLE患者和健康对照组(HC)血清IFN-α水平。溶酶体相关膜蛋白1 (LAMP-1)表面表达;在有或没有IFN-α共刺激/PI3K抑制剂的SLE和HC中检测CD107a)和CD8+T细胞颗粒酶B的分泌。结果与健康对照(HC)相比,SLE患者CD8+T细胞表面CD107a表达增加,表明SLE患者CD8+T细胞的细胞毒性增强。与HC相比,SLE的CD8+T细胞中颗粒酶B的分泌也有所增加,与疾病活动性相关(SLEDAI)。此外,我们的研究证实SLE患者血清中IFN-α水平升高。体外研究发现,IFN-α共刺激后CD8+T细胞颗粒酶B分泌上调,这与IFN-α共刺激后CD8+T细胞的细胞毒性增强一致,表现为CD107a表面表达升高。PI3K抑制剂以剂量依赖的方式逆转IFN-α共刺激下颗粒酶B合成的增加。综上所述,血清IFN-α水平升高导致SLE颗粒酶B分泌增加,CD8+T细胞毒性增强,这一过程可能与PI3K通路有关。相关分子及其作用机制有待进一步研究。
{"title":"Enhancement of CD8+T cell cytotoxicity activity by IFN-α implies alternative pathologic role in systemic lupus erythematosus","authors":"Chen-xing Zhang ,&nbsp;You-ying Mao ,&nbsp;Yu-pin Tan ,&nbsp;Mei-yu Zhang ,&nbsp;Kang Shao ,&nbsp;Shu-jun Wang ,&nbsp;Ping Ji ,&nbsp;Jia-yuan Wang ,&nbsp;Lei Yin ,&nbsp;Ying Wang","doi":"10.1016/j.jtauto.2025.100276","DOIUrl":"10.1016/j.jtauto.2025.100276","url":null,"abstract":"<div><h3>Objective</h3><div>Systemic lupus erythematosus (SLE) is a heterogeneous autoimmune disease which is affected by the environmental, genetic factors as well as the immune system. Previous reports have implicated IFN-α in the pathogenesis of SLE. Up to date, however, no research has ever investigated the effect of IFN-α on CD8<sup>+</sup>T cells, which might be implicated in the pathogenesis of SLE. In the present study, we aimed to explore the pathologic role of IFN-α in regard to dysfunction of CD8<sup>+</sup>T cells in SLE.</div></div><div><h3>Methods</h3><div>Serum level of IFN-α was detected in SLE and healthy controls (HC). Surface expression of lysosome-associated membrane protein 1 (LAMP-1; CD107a) and secretion of granzyme B of CD8<sup>+</sup>T cells was measured in SLE and HC with or without IFN-α co-stimulation/PI3K inhibitor.</div></div><div><h3>Results</h3><div>Our results demonstrated that there was increased surface expression of CD107a of CD8<sup>+</sup>T cells in SLE patients compared with healthy controls (HC), indicating enhanced cytotoxicity of CD8<sup>+</sup>T cells in SLE patients. Meanwhile, increased secretion of granzyme B was also detected in CD8<sup>+</sup>T cells of SLE compared with HC, which correlated with the disease activity (SLEDAI). Furthermore, elevated serum level of IFN-α in SLE was confirmed in our study. In vitro study, granzyme B secretion by CD8<sup>+</sup>T cells was upregulated upon IFN-α costimulation, which was consistent with enhanced cytotoxicity of CD8<sup>+</sup>T cells upon IFN-α costimulation, as reflected by elevated surface expression of CD107a. PI3K inhibitor reversed increased granzyme B synthesis upon IFN-α costimulation in a dose-dependent manner.</div></div><div><h3>Conclusion</h3><div>In summary, elevated serum level of IFN-α was responsible for increased secretion of granzyme B and enhanced cytotoxicity of CD8<sup>+</sup>T cells in SLE and this process may be related to PI3K pathway. Relevant molecules and mechanism remains to be explored in the future.</div></div>","PeriodicalId":36425,"journal":{"name":"Journal of Translational Autoimmunity","volume":"10 ","pages":"Article 100276"},"PeriodicalIF":4.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143372068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Helicobacter mastomyrinus infection induces autoimmune hepatitis in mice 乳螺杆菌感染诱导小鼠自身免疫性肝炎
IF 4.7 Q2 IMMUNOLOGY Pub Date : 2025-06-01 Epub Date: 2025-01-24 DOI: 10.1016/j.jtauto.2025.100275
Liqi Zhu , Yuanyuan Liang , Linghan Yang , Qihui Yang , Jun Yin , Tao Wang , Xiangming Xu , Quan Zhang

Background

Autoimmune hepatitis (AIH) is a chronic progressive liver disease caused by the immune system mistakenly attacking its own hepatocytes. The role of the gut microbiome in the pathogenesis and progression of AIH is of considerable significance. However, the dearth of suitable animal models has significantly constrained advancements in the pathogenesis and the development of therapeutic strategies for AIH. Helicobacter mastomyrinus (H. mastomyrinus, Hm) is a potentially zoonotic pathogenic microorganism capable of causing diseases of the enterohepatic system in rodent laboratory animals. Nevertheless, research on its role and mechanisms in causing liver disease is severely limited.

Methods

In this study, male BALB/c mice were infected with Hm isolate Hm-17, and were sacrificed at 4 w, 8 w, 14 w and 22 w after infection, respectively. The serum was collected for detecting a number of AIH indicators, including the aminotransferases level, IgG content and autoantibody level. Additionally, the liver tissue was examined for pathological analysis, fibrosis, bacterial content, and the distribution of immune cells.

Results

It was observed that the infection initially caused focal necrotizing hepatitis and subsequently progressed to interface hepatitis with lymphocyte/plasma cell infiltration, as well as hypergammaglobulinemia and autoantibody reactions, predominantly to Anti-nuclear and anti-smooth muscle antibodies. Furthermore, as the infection persisted, the mice exhibited a progressive increase in liver fibrosis and mild steatosis. Despite the maintenance of a low level of Hm colonization in the liver, there was a notable infiltrate of macrophages, T and B lymphocytes. In particular, the inflammatory foci in the Hm-infected liver were highly enriched for IL17+ cells.

Conclusion

The present study provides an animal model of immunological liver injury induced by Hm infection that exhibits main characteristics similar to those observed in AIH-1 patients. This model may serve as a novel animal model for the study of the pathogenesis and potential therapeutic strategies for human AIH.
自身免疫性肝炎(AIH)是一种由免疫系统错误攻击自身肝细胞引起的慢性进行性肝病。肠道菌群在AIH发病和进展中的作用具有相当重要的意义。然而,缺乏合适的动物模型极大地限制了AIH发病机制和治疗策略的发展。乳齿幽门螺杆菌(h.m ostomyrinus, Hm)是一种潜在的人畜共患病原微生物,能够引起啮齿动物的肠肝系统疾病。然而,对其在肝脏疾病中的作用和机制的研究严重有限。方法用Hm分离株Hm-17感染BALB/c雄性小鼠,分别于感染后4、8、14、22 w处死。采集血清检测多种AIH指标,包括转氨酶水平、IgG含量和自身抗体水平。此外,对肝组织进行病理分析、纤维化、细菌含量和免疫细胞分布的检查。结果观察到感染最初引起局灶性坏死性肝炎,随后发展为伴有淋巴细胞/浆细胞浸润的界面性肝炎,并伴有高γ球蛋白血症和自身抗体反应,主要是抗核抗体和抗平滑肌抗体。此外,随着感染的持续,小鼠表现出肝纤维化和轻度脂肪变性的进行性增加。尽管Hm在肝脏中的定植维持在低水平,但巨噬细胞、T淋巴细胞和B淋巴细胞的浸润也很明显。特别是,感染hm的肝脏炎症灶高度富集IL17+细胞。结论本研究提供了一种与AIH-1相似的Hm感染引起的免疫性肝损伤动物模型。该模型可作为研究人类AIH发病机制和潜在治疗策略的一种新的动物模型。
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引用次数: 0
The antibody repertoire of autoimmune sensory neuronopathies targets pathways of the innate and adaptive immune system. An autoantigenomic approach 自身免疫性感觉神经病变的抗体库靶向先天性和适应性免疫系统的途径。自体抗基因组方法
IF 4.7 Q2 IMMUNOLOGY Pub Date : 2025-06-01 Epub Date: 2025-01-30 DOI: 10.1016/j.jtauto.2025.100277
Christian P. Moritz , Yannick Tholance , Nadia Boutahar , Coralie Borowczyk , Anne-Emmanuelle Berger , Stéphane Paul , Jean-Christophe Antoine , Jean-Philippe Camdessanché
Sensory neuronopathies (SNN) encompass diverse etiologies, with autoimmunity playing a major role through both cellular and humoral responses. To investigate the humoral autoantibody repertoire in autoimmune SNN, we conducted a retrospective cohort study using large Human Proteome-wide protein microarrays (HuProt 3.1, HuProt 4.0, ProtoArrays). We specifically analyzed immune system pathways targeted within the autoantigen repertoire (the autoantigenome). We included 131 participants: 44 patients with non-paraneoplastic autoimmune SNN (12 with anti-FGFR3 and/or anti-AGO antibodies), 8 with paraneoplastic SNN, and 79 controls. Findings were validated in an independent cohort of 16 SNN patients. Overrepresentation of immune-system-related proteins was assessed using the Reactome database, and serum levels of IFN-γ and IL-6 were measured with the Bio-Plex Pro™ Reagent Kit. Autoimmune SNN sera interact with significantly more immune system proteins than healthy controls (ProtoArrays: 271/863 vs. 14/863, HuProt: 112/1694 vs. 39/1694, both p < 0.0001). Overrepresentation was observed across all major immune sub-pathways, including innate and adaptive immune responses as well as cytokine signaling. Anti-FGFR3-positive SNN patients showed more frequent reactivity to immune system proteins than anti-FGFR3-negative ones. The independent SNN cohort validated the overrepresentation of targeted immune system pathways. Validation with dot blot and ELISA confirmed reactivity to TRIM21 and IL-6 and identified anti-IFN-γ-positive SNN patients. IFN-γ levels correlated weakly with levels of anti-IFN-γ antibodies (Pearson's r = 0.22, p = 0.03). We conclude that the antibody repertoire of autoimmune SNN targets pathways of the innate and adaptive immune system, potentially reflecting key disease-related immune pathways and highlighting the systemic role of immune dysregulation in SNN.
感觉神经病变(SNN)包括多种病因,自身免疫通过细胞和体液反应发挥主要作用。为了研究自身免疫性SNN中的体液自身抗体库,我们使用大型人类蛋白质组蛋白微阵列(HuProt 3.1, HuProt 4.0, ProtoArrays)进行了一项回顾性队列研究。我们专门分析了针对自身抗原库(自身抗基因组)的免疫系统途径。我们纳入了131名参与者:44名非副肿瘤自身免疫性SNN患者(12名具有抗fgfr3和/或抗ago抗体),8名副肿瘤SNN患者和79名对照组。研究结果在16例SNN患者的独立队列中得到验证。使用Reactome数据库评估免疫系统相关蛋白的过度表达,使用Bio-Plex Pro™试剂盒测量血清IFN-γ和IL-6水平。自身免疫SNN血清与免疫系统蛋白的相互作用明显多于健康对照组(ProtoArrays: 277 /863 vs. 14/863, HuProt: 112/1694 vs. 39/1694, p <;0.0001)。在所有主要的免疫亚通路中,包括先天和适应性免疫反应以及细胞因子信号传导,都观察到代表性过高。抗fgfr3阳性SNN患者对免疫系统蛋白的反应比抗fgfr3阴性SNN患者更频繁。独立SNN队列验证了靶向免疫系统途径的过度代表性。dot blot和ELISA验证了对TRIM21和IL-6的反应性,并鉴定出抗ifn -γ阳性SNN患者。IFN-γ水平与抗IFN-γ抗体水平呈弱相关(Pearson’s r = 0.22, p = 0.03)。我们得出结论,自身免疫性SNN的抗体库靶向先天性和适应性免疫系统的途径,可能反映了关键的疾病相关免疫途径,并突出了免疫失调在SNN中的全身性作用。
{"title":"The antibody repertoire of autoimmune sensory neuronopathies targets pathways of the innate and adaptive immune system. An autoantigenomic approach","authors":"Christian P. Moritz ,&nbsp;Yannick Tholance ,&nbsp;Nadia Boutahar ,&nbsp;Coralie Borowczyk ,&nbsp;Anne-Emmanuelle Berger ,&nbsp;Stéphane Paul ,&nbsp;Jean-Christophe Antoine ,&nbsp;Jean-Philippe Camdessanché","doi":"10.1016/j.jtauto.2025.100277","DOIUrl":"10.1016/j.jtauto.2025.100277","url":null,"abstract":"<div><div>Sensory neuronopathies (SNN) encompass diverse etiologies, with autoimmunity playing a major role through both cellular and humoral responses. To investigate the humoral autoantibody repertoire in autoimmune SNN, we conducted a retrospective cohort study using large Human Proteome-wide protein microarrays (HuProt 3.1, HuProt 4.0, ProtoArrays). We specifically analyzed immune system pathways targeted within the autoantigen repertoire (the autoantigenome). We included 131 participants: 44 patients with non-paraneoplastic autoimmune SNN (12 with anti-FGFR3 and/or anti-AGO antibodies), 8 with paraneoplastic SNN, and 79 controls. Findings were validated in an independent cohort of 16 SNN patients. Overrepresentation of immune-system-related proteins was assessed using the Reactome database, and serum levels of IFN-γ and IL-6 were measured with the Bio-Plex Pro™ Reagent Kit. Autoimmune SNN sera interact with significantly more immune system proteins than healthy controls (ProtoArrays: 271/863 vs. 14/863, HuProt: 112/1694 vs. 39/1694, both p &lt; 0.0001). Overrepresentation was observed across all major immune sub-pathways, including innate and adaptive immune responses as well as cytokine signaling. Anti-FGFR3-positive SNN patients showed more frequent reactivity to immune system proteins than anti-FGFR3-negative ones. The independent SNN cohort validated the overrepresentation of targeted immune system pathways. Validation with dot blot and ELISA confirmed reactivity to TRIM21 and IL-6 and identified anti-IFN-γ-positive SNN patients. IFN-γ levels correlated weakly with levels of anti-IFN-γ antibodies (Pearson's <em>r</em> = 0.22, p = 0.03). We conclude that the antibody repertoire of autoimmune SNN targets pathways of the innate and adaptive immune system, potentially reflecting key disease-related immune pathways and highlighting the systemic role of immune dysregulation in SNN.</div></div>","PeriodicalId":36425,"journal":{"name":"Journal of Translational Autoimmunity","volume":"10 ","pages":"Article 100277"},"PeriodicalIF":4.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143387270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Journal of Translational Autoimmunity
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