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Burden of inflammatory bowel disease among elderly, 1990–2019: A systematic analysis based on the global burden of disease study 2019 1990-2019 年老年人患炎症性肠病的负担:基于 2019 年全球疾病负担研究的系统分析。
IF 9.2 1区 医学 Q1 IMMUNOLOGY Pub Date : 2024-11-23 DOI: 10.1016/j.autrev.2024.103708
Liji Chen , Shaoyu Cheng , Beiping Zhang , Cailing Zhong

Aim

The number of elderly patients with inflammatory bowel disease (IBD) has increased dramatically over the past few decades. Understanding the global burden of IBD in the elderly can provide a valuable basis for formulating future healthcare policies. This study aimed to comprehensively assess the global burden of IBD in the elderly from 1990 to 2019.

Methods

We extracted prevalence, incidence, disability-adjusted life-years (DALYs), and mortality data of older adults (60–89 years old) with IBD from 2010 to 2019 from the Global Burden of Disease (GBD) Study 2019, and analyzed in subgroups according to region, country, Socio-demographic Index (SDI), age group, and gender. Additionally, Trends in the global burden of IBD in old age from 1990 to 2019 were analyzed by calculating the estimated annual percentage change (EAPC) in the age-standardized rates (ASDs).

Results

From 1990 to 2019, the number of prevalent cases, incident cases, DALYs, and deaths of IBD in older adults increased significantly. Age-standardized rates of incidence, prevalence, DALYs, and mortality all trended downward. Americas, European regions, and high SDI countries had consistently high burdens. Middle SDI countries had the fastest growth in prevalence, incidence, and the fastest decline in DALYs, and mortality. The age-standardized rates of prevalence, incidence, and DALYs for IBD in the elderly were highest in the 60–64 age group, and age-standardized rates of mortality were highest in the 80–84 and 85–89 age groups. No gender differences were observed when stratified by gender.

Conclusions

IBD in older adults has become a global public health burden due to significant increases in the number of prevalent cases, incident cases, DALYs, and deaths. There are marked differences among regions, countries, and between different age groups. Public health practitioners should develop targeted policies to effectively reduce the disease burden of IBD in older adults.
目的:过去几十年来,老年炎症性肠病(IBD)患者人数急剧增加。了解全球老年人 IBD 的负担可为制定未来的医疗保健政策提供宝贵的依据。本研究旨在全面评估 1990 年至 2019 年全球老年人 IBD 的负担:我们从《2019年全球疾病负担(GBD)研究》中提取了2010年至2019年患有IBD的老年人(60-89岁)的患病率、发病率、残疾调整生命年(DALYs)和死亡率数据,并根据地区、国家、社会人口指数(SDI)、年龄组和性别进行了分组分析。此外,通过计算年龄标准化比率(ASDs)的估计年度百分比变化(EAPC),分析了1990年至2019年全球老年IBD负担的趋势:结果:从 1990 年到 2019 年,老年人 IBD 的流行病例数、发病病例数、残疾调整生命年数和死亡人数均显著增加。发病率、患病率、残疾调整寿命年数和死亡率的年龄标准化率均呈下降趋势。美洲、欧洲地区和高 SDI 国家的负担一直很高。中等 SDI 国家的流行率和发病率增长最快,残疾调整寿命年数和死亡率下降最快。60-64 岁年龄组的老年人 IBD 患病率、发病率和残疾调整寿命年数的年龄标准化比率最高,80-84 岁和 85-89 岁年龄组的死亡率年龄标准化比率最高。按性别分层后,未观察到性别差异:结论:由于患病人数、发病人数、残疾调整生命年数和死亡人数大幅增加,老年人肠道疾病已成为全球公共卫生负担。不同地区、国家和不同年龄组之间存在明显差异。公共卫生工作者应制定有针对性的政策,以有效减轻老年人肠道疾病的疾病负担。
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引用次数: 0
Anti-lipoprotein lipase antibodies: A review 抗脂蛋白脂肪酶抗体:综述。
IF 9.2 1区 医学 Q1 IMMUNOLOGY Pub Date : 2024-11-20 DOI: 10.1016/j.autrev.2024.103695
Jozélio Freire de Carvalho , Thelma L. Skare

Background

Dyslipidemia is described in several autoimmune conditions. Lipoprotein lipase (LPL) is responsible for triglyceride breakdown. Anti-LPL antibodies have been described.

Objective

To review articles on anti-LPL antibodies in autoimmune and non-autoimmune diseases.

Results

Twenty-two articles were found: 9 case reports and 13 observational studies. In 5 of 9 case reports, hypertriglyceridemia normalized after immunosuppressive treatment. The observational studies showed the prevalence and associations of anti-LPL antibodies: systemic lupus erythematosus, found in 37.8 % to 71 % of patients and associated with nephritis, disease activity, and the presence of anti-dsDNA antibodies. In myositis, the prevalence ranged from 4 % to 43 % without any reported association. In scleroderma, they were found in 35 % to 42 % and associated with skin and lung fibrosis, heart involvement, and the presence of anti-topoisomerase-1 antibodies. In Sjögren's syndrome and rheumatoid arthritis, they were found in a minority of individuals. They were absent in Behçet's disease, antiphospholipid antibody syndrome, juvenile idiopathic arthritis, juvenile dermatomyositis, and Takayasu arteritis. Three studies were conducted on dyslipidemic patients without autoimmune conditions, and in one of them, anti-LPL antibodies were associated with necrosis in atherosclerotic plaques.

Conclusion

Anti-LPL antibodies were detected in several autoimmune and non-autoimmune diseases, mainly connective tissue diseases, and were associated with increased triglyceride levels. These antibodies may contribute to the accelerated atherogenesis seen in these patients.
背景:多种自身免疫性疾病都会导致血脂异常。脂蛋白脂肪酶(LPL)负责分解甘油三酯。抗 LPL 抗体已被描述:综述有关自身免疫性疾病和非自身免疫性疾病中抗 LPL 抗体的文章:结果:共发现 22 篇文章:9 篇病例报告和 13 篇观察性研究。在9篇病例报告中,有5篇在接受免疫抑制治疗后高甘油三酯血症恢复正常。观察性研究显示了抗-LPL抗体的流行率和相关性:在系统性红斑狼疮中,37.8%至71%的患者发现了抗-LPL抗体,并与肾炎、疾病活动和抗dsDNA抗体的存在有关。在肌炎中,发病率从 4% 到 43%不等,没有任何相关报道。在硬皮病中,发病率为 35% 至 42%,与皮肤和肺部纤维化、心脏受累以及抗拓扑异构酶-1 抗体的存在有关。在斯约格伦综合征和类风湿性关节炎中,只有少数患者会出现这种症状。在白塞氏病、抗磷脂抗体综合征、幼年特发性关节炎、幼年皮肌炎和高安动脉炎中则没有发现。有三项研究是针对无自身免疫疾病的血脂异常患者进行的,其中一项研究发现,抗LPL抗体与动脉粥样硬化斑块坏死有关:结论:在几种自身免疫性和非自身免疫性疾病(主要是结缔组织疾病)中都检测到了抗LPL抗体,并且与甘油三酯水平升高有关。这些抗体可能导致这些患者的动脉粥样硬化加速。
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引用次数: 0
MOGAD: A comprehensive review of clinicoradiological features, therapy and outcomes in 4699 patients globally MOGAD:对全球 4699 名患者的临床放射学特征、治疗和结果的全面回顾。
IF 9.2 1区 医学 Q1 IMMUNOLOGY Pub Date : 2024-11-20 DOI: 10.1016/j.autrev.2024.103693
Benjamin P. Trewin , Fabienne Brilot , Stephen W. Reddel , Russell C. Dale , Sudarshini Ramanathan
<div><div>Myelin oligodendrocyte glycoprotein antibody-associated disease (MOGAD) is one of the most common antibody-mediated CNS disorders. Optimal diagnostic and prognostic biomarkers remain unclear. Our aim was to clarify these biomarkers and therapeutic outcomes internationally. We reviewed articles from 2007 to 2022 and identified 194 unique cohorts encompassing 4699 paediatric and adult patients from 31 countries.</div><div>Where phenotypes were specified, the most common initial presentation overall was optic neuritis (ON; paediatric 34 %; adults 60 %), during which 71 % had papilloedema on fundoscopy. The most common phenotype at latest follow-up was relapsing ON (20 %). Only 47 % of patients with 6–24 months of follow-up exhibited a relapsing course, while this proportion was much higher (72 %) when follow-up was extended beyond 5 years. Despite a similar relapse rate, the time to first relapse was much shorter in paediatric than adult patients (6 vs 17 months).</div><div>Adult MRI-Brain scans performed at onset were more frequently normal than in paediatric patients (50 % vs 27 %). Abnormal MRI scans showing involvement of deep grey matter, cortico-subcortical, periventricular lesions, leptomeningeal enhancement, H-shaped spinal cord lesions, and bilateral optic nerve abnormalities were more common in paediatric patients compared to adults. Conversely, adults demonstrated higher frequencies of eccentric spinal cord lesions and intraorbital involvement. CSF analysis demonstrated intrathecally restricted oligoclonal bands in 12 %, elevated protein in 35 %, and pleocytosis in 54 %. Peripapillary retinal nerve fibre layer (pRNFL) thickness, measured acutely, frequently demonstrated swelling (weighted-median 145 μm; normal 85–110). Most cohorts demonstrated notable pRNFL atrophy at latest follow-up (weighted-median 67 μm). pRNFL thickness was significantly lower when measured at or after six months following ON onset, compared to measurements taken within the first six months following ON onset (<em>p</em> < 0.001).</div><div>Therapeutic and outcome data was available for 3031 patients with a weighted-median disease duration of 32 months. Acute immunotherapy was initiated in 97 %, and maintenance immunotherapy in 64 %, with considerable regional variation. Expanded Disability Status Scale (EDSS) scores and visual acuities improved from nadir to latest follow-up in most patients. A negative correlation was noted between follow-up pRNFL thickness and latest follow-up visual acuity (<em>r</em> = −0.56).</div><div>Based on this unprecedented global aggregation of MOGAD patients, we reveal a higher proportion of relapsing patients than previously recognised. While commonly used measures like EDSS show significant recovery, they underestimate visual disability following optic neuritis, the most frequent clinical presentation. Our findings suggest that RNFL thickness, especially when measured at least 6 months post-ON, may serve as a more sensit
髓鞘少突胶质细胞糖蛋白抗体相关疾病(MOGAD)是最常见的抗体介导的中枢神经系统疾病之一。最佳诊断和预后生物标志物仍不明确。我们的目的是在国际范围内阐明这些生物标志物和治疗结果。我们查阅了 2007 年至 2022 年期间的文章,确定了来自 31 个国家的 194 个独特队列,包括 4699 名儿童和成人患者。在表型明确的情况下,最常见的初始表现是视神经炎(ON;儿科 34%;成人 60%),其中 71% 的患者在眼底镜检查时出现乳头水肿。最近一次随访中最常见的表型是复发性视神经炎(20%)。随访6-24个月的患者中只有47%表现为复发,而随访时间超过5年的患者中这一比例更高(72%)。尽管复发率相似,但儿童患者的首次复发时间比成人患者短得多(6 个月对 17 个月)。与儿科患者相比,成人患者在发病时进行的核磁共振脑部扫描正常的比例更高(50% 对 27%)。与成人相比,儿科患者更常见的异常磁共振成像扫描表现为深部灰质受累、皮质-皮质下、脑室周围病变、脑外膜强化、H 型脊髓病变和双侧视神经异常。相反,成人偏心性脊髓病变和眶内受累的频率更高。脑脊液分析显示,12%的患者出现局限性低克隆带,35%的患者出现蛋白升高,54%的患者出现多核细胞增多。急性期测量的视网膜周围神经纤维层(pRNFL)厚度经常显示肿胀(加权中位数为 145 μm;正常值为 85-110)。大多数组群在最近一次随访时显示出明显的 pRNFL 萎缩(加权中位数为 67 μm)。在 ON 开始后 6 个月或 6 个月后测量的随访 pRNFL 厚度低于在 ON 开始后 6 个月内测量的 pRNFL 厚度(p
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引用次数: 0
Artificial intelligence meets the world experts; updates and novel therapies in autoimmunity - The 14th international congress on autoimmunity 2024 (AUTO14), Ljubljana 人工智能与世界专家会面;自身免疫的最新进展和新型疗法--第 14 届国际自身免疫大会(AUTO14)2024,卢布尔雅那。
IF 9.2 1区 医学 Q1 IMMUNOLOGY Pub Date : 2024-11-20 DOI: 10.1016/j.autrev.2024.103698
Naim Mahroum , Abdulrahman Elsalti , Maisam Al Shawaf , Mohammad Darkhabani , Abdulrahman Alwani , Ravend Seida , Muhammet Tayfur Ertas , Ayse Gulnihan Simsek , Mustafa Awad , Mona Habra , Mohamad Aosama Alrifaai , Dimitrios Bogdanos , Yehuda Shoenfeld
The bi-annual international congress on autoimmunity is a huge opportunity for the medical community to discuss the latest updates in the field. During the 14th congress 2024 (AUTO14) in Ljubljana, artificial intelligence (AI) occupied special attention due to its recent and ongoing unequivocal role in various medical fields including autoimmunity. For instance, through a challenging debate between world-experts and the most popular AI bot used (ChatGPT), several clinical cases including a case of vasculitis were discussed in the plenary sessions. ChatGPT agreed with the clinical decisions made by the experts nevertheless, the bot added additional aspects related to the specific case. In this regard, ChatGPT emphasized the need for osteoporosis prophylaxis in a patient planned to be treated with systemic steroids for a long time. Furthermore, AUTO14 included the newest updates on most autoimmune disorders, distributed among tens of sessions. Among others, infection and autoimmunity, the sequalae of the pandemic of COVID-19, as well as COVID-19 vaccines were discussed as well. Due to the high numbers of the works presented, and for ensuring that important updates are not missed; we divided our paper into sections. The subtitles throughout the paper correspond to different sessions of the congress, all presenting new updates in the field. A figure aiding in navigating throughout the paper was also provided.
一年两次的国际自身免疫大会是医学界讨论该领域最新进展的大好机会。在卢布尔雅那举行的第 14 届 2024 年大会(AUTO14)期间,人工智能(AI)受到了特别关注,因为它最近在包括自身免疫在内的各个医学领域发挥了明确作用。例如,通过世界专家与最受欢迎的人工智能机器人(ChatGPT)之间的挑战性辩论,在全体会议上讨论了包括脉管炎病例在内的多个临床病例。ChatGPT 同意专家们做出的临床决定,但机器人又补充了与具体病例相关的其他方面。在这方面,ChatGPT 强调了计划长期使用全身类固醇治疗的患者预防骨质疏松症的必要性。此外,AUTO14 还包括了大多数自身免疫性疾病的最新进展,分布在数十个分会场。会议还讨论了感染与自身免疫、COVID-19 大流行的后遗症以及 COVID-19 疫苗等问题。由于参会作品数量众多,为确保不遗漏重要的更新内容,我们将论文分为几个部分。论文中的小标题与大会的不同会议相对应,所有会议都介绍了该领域的最新进展。此外,我们还提供了一个图表,帮助读者浏览全文。
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引用次数: 0
Is it time for treat-to-target in antiphospholipid syndrome? 抗磷脂综合征的靶向治疗时机是否成熟?
IF 9.2 1区 医学 Q1 IMMUNOLOGY Pub Date : 2024-11-19 DOI: 10.1016/j.autrev.2024.103690
Savino Sciascia , Giuseppe Barilaro , Massimo Radin , Ricard Cervera , Dario Roccatello
A treat-to-target (T2T) approach aims to the identification of a clinically relevant therapeutic target and applies tight control (periodic visits at prespecified time-points and treatment adjustments) to achieve it with the goal of improving disease outcomes. The application of a T2T strategy appears to be less feasible in APS compared to other autoimmune diseases. This is primarily explicable by the disease's kaleidoscopic clinical presentation, along with the lack of a definitive tool (biomarkers or scoring system) to assess disease activity, making it complex to recognize a singular, effective therapeutic target for APS patients. Nevertheless, the conceptualization of T2T strategies should be considered a key objective when managing APS, aiming to achieve optimal disease control (including lowering the risk for recurrences), to reduce damage accumulation, and, ultimately, to enhance patients' quality of life.
靶向治疗(T2T)方法旨在确定与临床相关的治疗靶点,并通过严格控制(在预先指定的时间点进行定期检查并调整治疗方案)来实现这一目标,从而改善疾病预后。与其他自身免疫性疾病相比,在 APS 中应用 T2T 策略似乎不太可行。这主要是因为该疾病的临床表现千变万化,而且缺乏评估疾病活动性的明确工具(生物标志物或评分系统),因此很难为 APS 患者确定一个有效的治疗目标。尽管如此,T2T 策略的概念化应被视为治疗 APS 的关键目标,其目的是实现最佳的疾病控制(包括降低复发风险),减少损伤累积,并最终提高患者的生活质量。
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引用次数: 0
Advancing understanding of autoimmune disease-related interstitial lung disease (AD-ILD): A global perspective on research focus and future directions 增进对自身免疫性疾病相关间质性肺病(AD-ILD)的了解:研究重点和未来方向的全球视角。
IF 9.2 1区 医学 Q1 IMMUNOLOGY Pub Date : 2024-11-19 DOI: 10.1016/j.autrev.2024.103697
Ying-Xian Dong , Si-Cheng Zhou , Jie Tian

Background

Interstitial lung disease (ILD), also known as autoimmune disease-associated ILD (AD-ILD), is a common complication of autoimmune diseases. Its rapid progression and worsening pulmonary fibrosis significantly increase the risk of mortality, leading to poor prognosis. Despite the considerable body of research in this field, there is a lack of bibliometric studies to address global research trends, key hotspots, and future directions.

Methods

This study employed bibliometric methods to analyze 6456 publications related to this field from 1980 to 2024, using data extracted from the Web of Science (WOS) database. Visualization was conducted using tools such as VOSviewer, CiteSpace, and the bibliometrix R package.

Results

The analysis encompassed contributions from 102 countries, 5957 institutions, and 25,003 researchers, published across 951 journals. Research output has surged since 2018, highlighting increased scholarly attention to the field. The United States produced the largest number of publications, with Mayo Clinic identified as the most prolific institution. The analysis revealed that Rheumatology and Annals of the Rheumatic Diseases had the highest publication volume and co-citation counts in the field, respectively. Dinesh Khanna was identified as the most prolific author, while V.D. Steen emerged as the most highly co-cited author. Keyword analysis highlighted that current AD-ILD research primarily focuses on optimizing diagnostic tools for specific autoimmune diseases, analyzing pathological types and risk factors, and exploring biomarkers and precision therapies. Thematic mapping underscored the need for future research to focus on AD-ILD mechanisms, specific antibodies, diagnostic markers, personalized treatments, and prognostic factors.

Conclusion

This study provides a comprehensive bibliometric analysis of AD-ILD-related publications, uncovering global research trends and current hotspots while offering robust guidance for future research directions.
背景:间质性肺病(ILD),又称自身免疫性疾病相关 ILD(AD-ILD),是自身免疫性疾病的常见并发症。该病进展迅速,肺纤维化恶化,大大增加了死亡风险,导致预后不良。尽管该领域的研究成果相当丰富,但缺乏针对全球研究趋势、关键热点和未来方向的文献计量学研究:本研究采用文献计量学方法,利用从科学网(WOS)数据库中提取的数据,分析了 1980 年至 2024 年期间与该领域相关的 6456 篇出版物。使用 VOSviewer、CiteSpace 和 bibliometrix R 软件包等工具进行了可视化分析:分析涵盖了来自 102 个国家、5957 个机构和 25003 名研究人员的投稿,发表在 951 种期刊上。自2018年以来,研究成果激增,凸显出学术界对该领域的关注度不断提高。美国发表的论文数量最多,梅奥诊所被认为是发表论文最多的机构。分析显示,《风湿病学》和《风湿病年鉴》分别拥有该领域最高的发表量和共引数。Dinesh Khanna 被认为是最多产的作者,而 V.D. Steen 则是被联合引用次数最多的作者。关键词分析强调,目前的 AD-ILD 研究主要集中在优化特定自身免疫性疾病的诊断工具、分析病理类型和风险因素,以及探索生物标记物和精准疗法。专题图谱强调了未来研究需要关注AD-ILD机制、特异性抗体、诊断标志物、个性化治疗和预后因素:本研究对AD-ILD相关出版物进行了全面的文献计量分析,揭示了全球研究趋势和当前热点,同时为未来研究方向提供了有力指导。
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引用次数: 0
Global research landscape on antiphospholipid syndrome and systemic lupus erythematosus: Trends, collaborations, and future directions 抗磷脂综合征和系统性红斑狼疮的全球研究概况:趋势、合作与未来方向。
IF 9.2 1区 医学 Q1 IMMUNOLOGY Pub Date : 2024-11-17 DOI: 10.1016/j.autrev.2024.103696
Heng Bai , Jie Tian

Background

Antiphospholipid syndrome (APS) and systemic lupus erythematosus (SLE) are frequently studied together due to their close relationship. Despite significant research in this area, bibliometric studies addressing global research trends, key hotspots, and developmental trajectories are still lacking.

Methods

This study employs bibliometric analysis to examine 2233 publications on APS and SLE from 1989 to 2024, sourced from the Web of Science (WOS) database. Visualization tools, such as the bibliometrix R package, CiteSpace, and VOSviewer, were utilized.

Results

The analysis includes contributions from 9322 researchers across 2534 institutions in 91 countries, with publications spread across 585 journals. Research activity has increased substantially since 2015, reflecting the growing academic interest in the field. The United States led in publication volume, while Tel Aviv University produced the highest number of publications. Lupus had the highest number of both publications and citations. Yehuda Shoenfeld is the most prolific author, while Ronald A. Asherson is the most co-cited author. Keyword analysis revealed five major themes in APS and SLE research, covering thrombosis, cardiovascular diseases, immune response, pregnancy complications, and other connective tissue diseases. Thematic map emphasized the need for future research to focus on the immune mechanisms of antiphospholipid antibodies, thrombosis management, management of pregnancy complications, and interventions for neuropsychiatric symptoms.

Conclusion

This study analyzes the literature on APS and SLE, revealing trends in the research of their immune mechanisms, thrombosis management, pregnancy complications, and neuropsychiatric symptoms, and providing strong guidance for future research directions.
背景:由于抗磷脂综合征(APS)和系统性红斑狼疮(SLE)之间的密切关系,它们经常被放在一起研究。尽管在这一领域开展了大量研究,但仍缺乏针对全球研究趋势、关键热点和发展轨迹的文献计量学研究:本研究采用文献计量学分析方法,研究了 1989 年至 2024 年间有关 APS 和系统性红斑狼疮的 2233 篇出版物,这些出版物来自科学网(WOS)数据库。研究使用了可视化工具,如 bibliometrix R 软件包、CiteSpace 和 VOSviewer:分析包括来自 91 个国家 2534 个机构的 9322 名研究人员的贡献,他们在 585 种期刊上发表了论文。自 2015 年以来,研究活动大幅增加,反映出学术界对该领域的兴趣日益浓厚。美国的论文数量居首位,而特拉维夫大学的论文数量最多。狼疮》的发表量和引用量均居首位。Yehuda Shoenfeld 是最多产的作者,而 Ronald A. Asherson 则是被联合引用最多的作者。关键词分析揭示了 APS 和系统性红斑狼疮研究的五大主题,包括血栓形成、心血管疾病、免疫反应、妊娠并发症和其他结缔组织疾病。主题图强调,未来的研究需要关注抗磷脂抗体的免疫机制、血栓形成管理、妊娠并发症管理和神经精神症状干预:本研究分析了有关抗磷脂抗体和系统性红斑狼疮的文献,揭示了其免疫机制、血栓形成处理、妊娠并发症和神经精神症状的研究趋势,为未来的研究方向提供了有力的指导。
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引用次数: 0
Treatment of two pediatric patients with refractory systemic lupus erythematosus using CD19-targeted CAR T-cells 使用 CD19 靶向 CAR T 细胞治疗两名难治性系统性红斑狼疮儿科患者。
IF 9.2 1区 医学 Q1 IMMUNOLOGY Pub Date : 2024-11-17 DOI: 10.1016/j.autrev.2024.103692
Xue He , Bin Hu , Yingzi Zhang , Fei Liu , Qiuyu Li , Chen Zheng , Junjie Shen , Zhi Yang , Jingjing Wang , Daqing Ma , Cheng Qian , Meiping Lu , Jianhua Mao
Chimeric antigen receptor (CAR) T-cell therapy has emerged as a promising strategy for treating autoimmune diseases, particularly in systemic lupus erythematosus (SLE). However, CAR T-cell therapy for pediatric patients with SLE remains unexplored. Herein, we present a compelling investigation of two pediatric patients with refractory SLE who underwent infusion of CD19-targeted CAR T-cells. Patients 1 and 2 tolerated the CAR T-cell therapy well, which demonstrated remarkable efficacy after five and four months, respectively.
嵌合抗原受体(CAR)T细胞疗法已成为治疗自身免疫性疾病,尤其是系统性红斑狼疮(SLE)的一种前景广阔的策略。然而,针对系统性红斑狼疮儿科患者的CAR T细胞疗法仍有待探索。在此,我们对两名接受CD19靶向CAR T细胞输注治疗的难治性系统性红斑狼疮儿科患者进行了令人信服的调查。患者1和2对CAR T细胞疗法耐受良好,分别在5个月和4个月后显示出显著疗效。
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引用次数: 0
Reply to “Refining search and keyword strategies in autoimmune ear disease bibliometric studies” 对 "完善自身免疫性耳病文献计量学研究中的搜索和关键词策略 "的答复
IF 9.2 1区 医学 Q1 IMMUNOLOGY Pub Date : 2024-11-17 DOI: 10.1016/j.autrev.2024.103689
Yu-Chen Liu , Yi-Pin Yang , Yan-Xun Han , Bing-Yu Liang , Hai-Feng Pan , Ye-Hai Liu
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引用次数: 0
The role of musculoskeletal ultrasound in difficult-to-treat RA: Insights from a systematic literature review 肌肉骨骼超声在难以治疗的 RA 中的作用:系统性文献综述的启示。
IF 9.2 1区 医学 Q1 IMMUNOLOGY Pub Date : 2024-11-16 DOI: 10.1016/j.autrev.2024.103694
Elisa Bellis , Federica Agugliaro , Claudia Garulli , Silvia Perrone , Gaetano Liperoti , Mariele Gatto , Annamaria Iagnocco
Difficult-to-treat rheumatoid arthritis (D2TRA) identifies patients with insufficient response to biological or targeted-synthetic disease-modifying drugs (b/ts DMARDs), heralding a more severe phenotype. Musculoskeletal ultrasound (MSK-US) provides information on MSK inflammatory load and damage, being widely used in RA and inflammatory arthritides, yet the US patterns of D2TRA and correlation with clinical parameters have not been unanimously described so far. Here we investigated MSK-US patterns and their prognostic value in D2TRA through a systematic literature review (SLR) across MEDLINE (through PubMed), Scopus and Ovid (Embase) electronic databases. We initially retrieved 2365 papers; following the application of appropriate strings the number was lowered to 22. Among those, three papers fulfilled the required criteria. A total of 159 patients with D2TRA were analyzed. In comparison to non-D2TRA, D2TRA patients exhibited more extensive and severe synovitis, which correlated with higher disease activity scores and poorer treatment outcomes. Most US-affected joints belonged to hand and wrist. Grey-scale (GS) rather than power-Doppler (PD) synovitis score was consistently increased across D2TRA joints. Inclusion of US in recognition of D2TRA decreased the proportion of classifiable patients, identifying the true inflammatory D2T cases. The results of this SLR suggest that standardization of US phenotyping may aid the identification and stratification of D2TRA patients in clinical practice.
难治性类风湿性关节炎(Difficult-to-treat rheumatoid arthritis,D2TRA)是指对生物或靶向合成改良性疾病治疗药物(b/ts DMARDs)反应不充分的患者,预示着患者的表型会更加严重。肌肉骨骼超声(MSK-US)可提供MSK炎症负荷和损伤的信息,被广泛应用于RA和炎症性关节炎,但迄今为止,D2TRA的US模式以及与临床参数的相关性尚未得到一致的描述。在此,我们通过MEDLINE(通过PubMed)、Scopus和Ovid(Embase)电子数据库的系统性文献综述(SLR)研究了D2TRA中的MSK-US模式及其预后价值。我们最初检索到 2365 篇论文,在应用适当的字符串后,论文数量减少到 22 篇。其中有三篇论文符合要求。共分析了 159 名 D2TRA 患者。与非D2TRA患者相比,D2TRA患者表现出更广泛和更严重的滑膜炎,这与更高的疾病活动度评分和更差的治疗效果相关。大多数受US影响的关节属于手部和腕部。D2TRA关节的灰度(GS)而非动力多普勒(PD)滑膜炎评分持续上升。在识别 D2TRA 时纳入 US 会降低可分类患者的比例,从而识别出真正的 D2T 炎症病例。该 SLR 的结果表明,US 表型的标准化可能有助于临床实践中对 D2TRA 患者进行识别和分层。
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Autoimmunity reviews
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