自身炎症综合征:来自国际艾滋病网络登记处的最新数据

IF 3 3区 医学 Q1 OPHTHALMOLOGY Acta Ophthalmologica Pub Date : 2025-01-19 DOI:10.1111/aos.16885
Claudia Fabiani, Antonio Vitale, Valeria Caggiano, Bruno Frediani, Luca Cantarini, Gian Marco Tosi, the International AIDA Network
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(1,2) At the core of this initiative are international registries, meticulously designed to serve as comprehensive repositories of data for better understanding these complex conditions. Presently, the AIDA team has established ten physician-driven registries targeting specific inflammatory diseases, encompassing a wide spectrum such as non-infectious uveitis, non-infectious scleritis, Behcet's disease, Still's disease, spondyloarthritis, monogenic autoinflammatory diseases, and Vexas syndrome. These registries are pivotal in accumulating detailed clinical data related to diseases affecting ocular structures, thus facilitating extensive research endeavors.</p>\n \n <p>The primary objective of these registries is to mitigate the fragmentation of clinical and research experiences inherent in inflammatory ocular diseases, thereby enabling robust research based on large patient cohorts. The aims and methodologies of the AIDA registries have been meticulously outlined in published papers. (3-7) Employing a physician-driven, population- and electronic-based approach, these registries utilize the REDCap platform for comprehensive data collection. Data are meticulously gathered both retrospectively and prospectively, covering various aspects including demographic, genetic, clinical, laboratory, instrumental, and treatment details. Crucially, the employment of standardized common data elements ensures efficient data entry and consistency across diverse sites.</p>\n \n <p>Maintaining utmost respect for patient privacy and data security, the AIDA registries strictly adhere to EU General Data Protection Regulations and international standards. Advanced pseudonymization tools like SPIDER safeguard patient identities, facilitating secure data exchange between registries without compromising confidentiality. The AIDA network boasts a vast membership, spanning 235 clinical sites across 46 countries and five continents, with 683 investigators actively contributing to ongoing research efforts. Since the launch of the Registries on ocular inflammatory diseases, enrollment has exceeded 4,020 patients, underscoring the pivotal role of recruitment activities in routine clinical practice.</p>\n \n <p>In summary, the AIDA network and its registries epitomize a collaborative endeavor aimed at advancing the understanding and treatment of autoinflammatory and ocular inflammatory diseases on a global scale. Emphasizing the significance of data sharing and collaboration in scientific research, the network endeavors to push the boundaries of knowledge and improve patient outcomes worldwide.</p>\n \n <p>Turning the focus to the AIDA Network International Registry on Vexas Syndrome (7), this study delves into the ocular manifestations of this recently recognized monogenic autoinflammatory syndrome in adults. Vexas syndrome, characterized by its diverse organ and tissue involvement, often presents with ocular inflammatory manifestations. This study seeks to elucidate these ocular conditions and explore potential associations with other disease manifestations. Among 59 Vexas patients, 27 (45.8%) exhibited inflammatory ocular involvement, with periorbital edema, episcleritis, and scleritis being most prevalent. A significant association was noted between ocular involvement and relapsing polychondritis (Relative Risk: 4.44, 95% C.I. 1.6-14.6, <i>P</i> = 0.01). Notably, patients with ocular inflammation displayed higher mortality rates, highlighting the need to investigate ocular inflammation as a potential prognostic indicator in Vexas syndrome. Ophthalmologists play a pivotal role in the diagnostic and management processes of Vexas syndrome, underscoring the interdisciplinary nature of addressing complex autoinflammatory disorders.</p>\n \n <div><b>References</b><ol>\n \n <li>Gaggiano C, Gupta V, Agrawal R, et al. Knowledge and Current Practices in Monogenic Uveitis: An International Survey by IUSG and AIDA Network. Ophthalmol Ther. 2024 Jan;13(1):127-147. doi: 10.1007/s40123-023-00839-1. Epub 2023 Nov 4. PMID: 37924480; PMCID: PMC10776548.</li>\n \n <li>Fonollosa A, Pelegrín L, García-Morillo S et al. Spanish Society of Ocular Inflammation (SEIOC) and the AutoInflammatory Diseases Alliance (AIDA) Network et al. Ocular involvement in adult and paediatric patients with monogenic autoinflammatory diseases: a Spanish multicentre retrospective study. Clin Exp Rheumatol. 2023 Oct;41(10):2105-2114. doi: 10.55563/clinexprheumatol/ukegcc. Epub 2023 Sep 28. PMID: 37812477.</li>\n \n <li>Vitale A, Della Casa F, Ragab G, et al. Autoinflammatory Diseases Alliance (AIDA) Network. Development and implementation of the AIDA International Registry for patients with Behçet's disease. Intern Emerg Med. 2022 Oct;17(7):1977-1986. doi: 10.1007/s11739-022-03038-1. Epub 2022 Jul 14. PMID: 35831701; PMCID: PMC9522756.</li>\n \n <li>Della Casa F, Vitale A, Pereira RM, et al. Autoinflammatory Diseases Alliance (AIDA) Network. Development and Implementation of the AIDA International Registry for Patients with Non-Infectious Scleritis. Ophthalmol Ther. 2022 Apr;11(2):887-897. doi: 10.1007/s40123-022-00466-2. Epub 2022 Jan 29. PMID: 35092604; PMCID: PMC8927486.</li>\n \n <li>Casa FD, Vitale A, Guerriero S,et al. Autoinflammatory Diseases Alliance (AIDA) Network. Development and Implementation of the AIDA International Registry for Patients with Non-Infectious Uveitis. Ophthalmol Ther. 2022 Apr;11(2):899-911. doi: 10.1007/s40123-022-00459-1. Epub 2022 Jan 31. PMID: 35099782; PMCID: PMC8927492.</li>\n \n <li>Gaggiano C, Vitale A, Tufan A,et al. Autoinflammatory Diseases Alliance (AIDA) Network. The Autoinflammatory Diseases Alliance Registry of monogenic autoinflammatory diseases. Front Med (Lausanne). 2022 Sep 9;9:980679. doi: 10.3389/fmed.2022.980679. PMID: 36160138; PMCID: PMC9500177.</li>\n \n <li>Vitale A, Caggiano V, Della Casa F, et al. Autoinflammatory Diseases Alliance (AIDA) Network. Development and Implementation of the AIDA International Registry for Patients With VEXAS Syndrome. Front Med (Lausanne). 2022 Jul 11;9:926500. doi: 10.3389/fmed.2022.926500. 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Ocular involvement in adult and paediatric patients with monogenic autoinflammatory diseases: a Spanish multicentre retrospective study. Clin Exp Rheumatol. 2023 Oct;41(10):2105-2114. doi: 10.55563/clinexprheumatol/ukegcc. Epub 2023 Sep 28. PMID: 37812477.</li>\\n \\n <li>Vitale A, Della Casa F, Ragab G, et al. Autoinflammatory Diseases Alliance (AIDA) Network. Development and implementation of the AIDA International Registry for patients with Behçet's disease. Intern Emerg Med. 2022 Oct;17(7):1977-1986. doi: 10.1007/s11739-022-03038-1. Epub 2022 Jul 14. PMID: 35831701; PMCID: PMC9522756.</li>\\n \\n <li>Della Casa F, Vitale A, Pereira RM, et al. Autoinflammatory Diseases Alliance (AIDA) Network. Development and Implementation of the AIDA International Registry for Patients with Non-Infectious Scleritis. Ophthalmol Ther. 2022 Apr;11(2):887-897. doi: 10.1007/s40123-022-00466-2. Epub 2022 Jan 29. PMID: 35092604; PMCID: PMC8927486.</li>\\n \\n <li>Casa FD, Vitale A, Guerriero S,et al. 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引用次数: 0

摘要

通信:Claudia Fabiani博士,锡耶纳大学医学、外科和神经科学系眼科科和意大利国立大学[罕见免疫缺陷、自身炎症和自身免疫性疾病欧洲参考网络(ERN) (RITA)中心],polilinico“Le Scotte”,viale Bracci 16, 53100锡耶纳;自身炎症疾病联盟(AIDA)网络代表了医生和研究人员之间的全球合作,旨在促进自身炎症疾病和眼部炎症疾病的知识和见解交流。(1,2)该倡议的核心是国际登记处,这些登记处经过精心设计,可作为全面的数据存储库,以便更好地了解这些复杂的情况。目前,AIDA团队已经建立了10个医生驱动的针对特定炎症疾病的登记,包括非感染性葡萄膜炎、非感染性巩膜炎、白塞病、Still病、脊柱炎、单基因自身炎症疾病和Vexas综合征。这些登记对于积累与影响眼部结构的疾病相关的详细临床数据至关重要,从而促进了广泛的研究工作。这些登记的主要目的是减轻炎症性眼病固有的临床和研究经验的碎片化,从而使基于大型患者队列的强有力的研究成为可能。已发表的论文已详细概述了AIDA登记处的目标和方法。(3-7)采用医生驱动、人口和电子为基础的方法,这些登记处利用REDCap平台进行全面的数据收集。数据的回顾性和前瞻性都是精心收集的,涵盖了人口统计学、遗传学、临床、实验室、仪器和治疗细节等各个方面。至关重要的是,使用标准化的公共数据元素确保了高效的数据输入和跨不同站点的一致性。为了最大限度地尊重患者隐私和数据安全,AIDA注册中心严格遵守欧盟通用数据保护条例和国际标准。像SPIDER这样的高级假名化工具保护患者身份,促进注册中心之间的安全数据交换,而不会损害机密性。AIDA网络拥有庞大的成员,涵盖五大洲46个国家的235个临床站点,683名研究人员积极参与正在进行的研究工作。自眼部炎症疾病登记处启动以来,登记的患者已超过4,020例,强调了招募活动在常规临床实践中的关键作用。总之,AIDA网络及其注册中心是一项协作努力的缩影,旨在在全球范围内促进对自身炎症和眼部炎症疾病的理解和治疗。该网络强调数据共享和科学研究合作的重要性,努力推动知识的界限,改善全球患者的治疗效果。本研究将重点转向AIDA网络国际登记处的Vexas综合征(7),深入研究了这种最近被认可的成人单基因自身炎症综合征的眼部表现。Vexas综合征的特点是累及多种器官和组织,常表现为眼部炎症。本研究旨在阐明这些眼部疾病,并探讨与其他疾病表现的潜在联系。59例Vexas患者中,27例(45.8%)表现为眼部炎症性受累,以眶周水肿、眼膜炎和巩膜炎最为常见。眼部受累与复发性多软骨炎之间存在显著相关性(相对危险度:4.44,95% C.I. 1.6-14.6, P = 0.01)。值得注意的是,眼部炎症患者显示出更高的死亡率,这突出了研究眼部炎症作为Vexas综合征潜在预后指标的必要性。眼科医生在维克斯综合征的诊断和治疗过程中发挥关键作用,强调解决复杂的自身炎症性疾病的跨学科性质。Gaggiano C, Gupta V, Agrawal R,等。单基因葡萄膜炎的知识和实践:IUSG和AIDA网络的国际调查。眼科杂志,2024;13(1):127-147。doi: 10.1007 / s40123 - 023 - 00839 - 1。Epub 2023 11月4日PMID: 37924480;PMCID: PMC10776548。冯志强,Pelegrín L, García-Morillo S等。西班牙眼炎症学会(SEIOC)和自身炎症疾病联盟(AIDA)网络等。 成人和儿童单基因自身炎症性疾病患者的眼部受累:一项西班牙多中心回顾性研究中华风湿病杂志,2013,31(10):555 - 561。doi: 10.55563 / clinexprheumatol / ukegcc。Epub 2023 9月28日PMID: 37812477。张建军,张建军,张建军,等。自身炎症疾病联盟(AIDA)网络。开发和实施AIDA behaperet病患者国际注册。实习急诊医学。2022年10月;17(7):1977-1986。doi: 10.1007 / s11739 - 022 - 03038 - 1。2022年7月14日。PMID: 35831701;PMCID: PMC9522756。Della Casa F, Vitale A, Pereira RM,等。自身炎症疾病联盟(AIDA)网络。AIDA非传染性巩膜炎患者国际注册的发展和实施。中华眼科杂志,2017,11(2):887-897。doi: 10.1007 / s40123 - 022 - 00466 - 2。2022年1月29日。PMID: 35092604;PMCID: PMC8927486。张建军,张建军,张建军,等。自身炎症性疾病联盟(AIDA)网络。AIDA非传染性葡萄膜炎患者国际注册的发展和实施。中华眼科杂志,2016,31(2):899- 991。doi: 10.1007 / s40123 - 022 - 00459 - 1。2022年1月31日PMID: 35099782;PMCID: PMC8927492。Gaggiano C, Vitale A, Tufan A,等。自身炎症性疾病联盟(AIDA)网络。自体炎症性疾病联盟单基因自体炎症性疾病登记。前地中海(洛桑)。2022年9月9日;9:980679。doi: 10.3389 / fmed.2022.980679。PMID: 36160138;PMCID: PMC9500177。杨建军,刘建军,张建军,等。自身炎症疾病联盟(AIDA)网络。发展和实施的AIDA国际注册的患者与VEXAS综合征。前地中海(洛桑)。2022年7月11日;9:926500。doi: 10.3389 / fmed.2022.926500。PMID: 35899212;PMCID: PMC9309690。
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Autoinflammatory syndromes: Recent data from the international aida network registries

Correspondence to: Dr Claudia Fabiani, Ophthalmology Unit, Department of Medicine, Surgery and Neurosciences, University of Siena and Azienda Ospedaliero-Universitaria Senese [European Reference Network (ERN) for Rare Immunodeficiency, Autoinflammatory, and Autoimmune Diseases (RITA) Center], Policlinico “Le Scotte”, viale Bracci 16, 53100 Siena, Italy; email: [email protected]

The AutoInflammatory Disease Alliance (AIDA) network represents a global collaboration among physicians and researchers aimed at fostering the exchange of knowledge and insights into autoinflammatory disorders and ocular inflammatory diseases. (1,2) At the core of this initiative are international registries, meticulously designed to serve as comprehensive repositories of data for better understanding these complex conditions. Presently, the AIDA team has established ten physician-driven registries targeting specific inflammatory diseases, encompassing a wide spectrum such as non-infectious uveitis, non-infectious scleritis, Behcet's disease, Still's disease, spondyloarthritis, monogenic autoinflammatory diseases, and Vexas syndrome. These registries are pivotal in accumulating detailed clinical data related to diseases affecting ocular structures, thus facilitating extensive research endeavors.

The primary objective of these registries is to mitigate the fragmentation of clinical and research experiences inherent in inflammatory ocular diseases, thereby enabling robust research based on large patient cohorts. The aims and methodologies of the AIDA registries have been meticulously outlined in published papers. (3-7) Employing a physician-driven, population- and electronic-based approach, these registries utilize the REDCap platform for comprehensive data collection. Data are meticulously gathered both retrospectively and prospectively, covering various aspects including demographic, genetic, clinical, laboratory, instrumental, and treatment details. Crucially, the employment of standardized common data elements ensures efficient data entry and consistency across diverse sites.

Maintaining utmost respect for patient privacy and data security, the AIDA registries strictly adhere to EU General Data Protection Regulations and international standards. Advanced pseudonymization tools like SPIDER safeguard patient identities, facilitating secure data exchange between registries without compromising confidentiality. The AIDA network boasts a vast membership, spanning 235 clinical sites across 46 countries and five continents, with 683 investigators actively contributing to ongoing research efforts. Since the launch of the Registries on ocular inflammatory diseases, enrollment has exceeded 4,020 patients, underscoring the pivotal role of recruitment activities in routine clinical practice.

In summary, the AIDA network and its registries epitomize a collaborative endeavor aimed at advancing the understanding and treatment of autoinflammatory and ocular inflammatory diseases on a global scale. Emphasizing the significance of data sharing and collaboration in scientific research, the network endeavors to push the boundaries of knowledge and improve patient outcomes worldwide.

Turning the focus to the AIDA Network International Registry on Vexas Syndrome (7), this study delves into the ocular manifestations of this recently recognized monogenic autoinflammatory syndrome in adults. Vexas syndrome, characterized by its diverse organ and tissue involvement, often presents with ocular inflammatory manifestations. This study seeks to elucidate these ocular conditions and explore potential associations with other disease manifestations. Among 59 Vexas patients, 27 (45.8%) exhibited inflammatory ocular involvement, with periorbital edema, episcleritis, and scleritis being most prevalent. A significant association was noted between ocular involvement and relapsing polychondritis (Relative Risk: 4.44, 95% C.I. 1.6-14.6, P = 0.01). Notably, patients with ocular inflammation displayed higher mortality rates, highlighting the need to investigate ocular inflammation as a potential prognostic indicator in Vexas syndrome. Ophthalmologists play a pivotal role in the diagnostic and management processes of Vexas syndrome, underscoring the interdisciplinary nature of addressing complex autoinflammatory disorders.

References
  1. Gaggiano C, Gupta V, Agrawal R, et al. Knowledge and Current Practices in Monogenic Uveitis: An International Survey by IUSG and AIDA Network. Ophthalmol Ther. 2024 Jan;13(1):127-147. doi: 10.1007/s40123-023-00839-1. Epub 2023 Nov 4. PMID: 37924480; PMCID: PMC10776548.
  2. Fonollosa A, Pelegrín L, García-Morillo S et al. Spanish Society of Ocular Inflammation (SEIOC) and the AutoInflammatory Diseases Alliance (AIDA) Network et al. Ocular involvement in adult and paediatric patients with monogenic autoinflammatory diseases: a Spanish multicentre retrospective study. Clin Exp Rheumatol. 2023 Oct;41(10):2105-2114. doi: 10.55563/clinexprheumatol/ukegcc. Epub 2023 Sep 28. PMID: 37812477.
  3. Vitale A, Della Casa F, Ragab G, et al. Autoinflammatory Diseases Alliance (AIDA) Network. Development and implementation of the AIDA International Registry for patients with Behçet's disease. Intern Emerg Med. 2022 Oct;17(7):1977-1986. doi: 10.1007/s11739-022-03038-1. Epub 2022 Jul 14. PMID: 35831701; PMCID: PMC9522756.
  4. Della Casa F, Vitale A, Pereira RM, et al. Autoinflammatory Diseases Alliance (AIDA) Network. Development and Implementation of the AIDA International Registry for Patients with Non-Infectious Scleritis. Ophthalmol Ther. 2022 Apr;11(2):887-897. doi: 10.1007/s40123-022-00466-2. Epub 2022 Jan 29. PMID: 35092604; PMCID: PMC8927486.
  5. Casa FD, Vitale A, Guerriero S,et al. Autoinflammatory Diseases Alliance (AIDA) Network. Development and Implementation of the AIDA International Registry for Patients with Non-Infectious Uveitis. Ophthalmol Ther. 2022 Apr;11(2):899-911. doi: 10.1007/s40123-022-00459-1. Epub 2022 Jan 31. PMID: 35099782; PMCID: PMC8927492.
  6. Gaggiano C, Vitale A, Tufan A,et al. Autoinflammatory Diseases Alliance (AIDA) Network. The Autoinflammatory Diseases Alliance Registry of monogenic autoinflammatory diseases. Front Med (Lausanne). 2022 Sep 9;9:980679. doi: 10.3389/fmed.2022.980679. PMID: 36160138; PMCID: PMC9500177.
  7. Vitale A, Caggiano V, Della Casa F, et al. Autoinflammatory Diseases Alliance (AIDA) Network. Development and Implementation of the AIDA International Registry for Patients With VEXAS Syndrome. Front Med (Lausanne). 2022 Jul 11;9:926500. doi: 10.3389/fmed.2022.926500. PMID: 35899212; PMCID: PMC9309690.
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来源期刊
Acta Ophthalmologica
Acta Ophthalmologica 医学-眼科学
CiteScore
7.60
自引率
5.90%
发文量
433
审稿时长
6 months
期刊介绍: Acta Ophthalmologica is published on behalf of the Acta Ophthalmologica Scandinavica Foundation and is the official scientific publication of the following societies: The Danish Ophthalmological Society, The Finnish Ophthalmological Society, The Icelandic Ophthalmological Society, The Norwegian Ophthalmological Society and The Swedish Ophthalmological Society, and also the European Association for Vision and Eye Research (EVER). Acta Ophthalmologica publishes clinical and experimental original articles, reviews, editorials, educational photo essays (Diagnosis and Therapy in Ophthalmology), case reports and case series, letters to the editor and doctoral theses.
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