NATURE . COM {
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We are analyzing https://www.nature.com/articles/s41584-020-0480-7.
Title:
New insights into the role of antinuclear antibodies in systemic lupus erythematosus | Nature Reviews Rheumatology
Description:
Systemic lupus erythematosus (SLE) is a prototypic autoimmune disease characterized by antinuclear antibodies (ANAs) that form immune complexes that mediate pathogenesis by tissue deposition or cytokine induction. Some ANAs bind DNA or associated nucleosome proteins, whereas other ANAs bind protein components of complexes of RNA and RNA-binding proteins (RBPs). Levels of anti-DNA antibodies can fluctuate widely, unlike those of anti-RBP antibodies, which tend to be stable. Because anti-DNA antibody levels can reflect disease activity, repeat testing is common; by contrast, a single anti-RBP antibody determination is thought to suffice for clinical purposes. Experience from clinical trials of novel therapies has provided a new perspective on ANA expression during disease, as many patients with SLE are ANA negative at screening despite previously testing positive. Because trial results suggest that patients who are ANA negative might not respond to certain agents, screening strategies now involve ANA and anti-DNA antibody testing to identify patients with so-called ‘active, autoantibody-positive SLE’. Evidence suggests that ANA responses can decrease over time because of the natural history of disease or the effects of therapy. Together, these findings suggest that, during established disease, more regular serological testing could illuminate changes relevant to pathogenesis and disease status. Antinuclear antibodies (ANAs), characteristic features of systemic lupus erythematosus (SLE), are a requirement for disease classification and trial enrolment. In this Review, the authors re-examine the role of ANAs in SLE and discuss changing attitudes towards using ANAs as biomarkers.
Website Age:
30 years and 10 months (reg. 1994-08-11).
Title:
New insights into the role of antinuclear antibodies in systemic lupus erythematosus | Nature Reviews Rheumatology
Description:
Systemic lupus erythematosus (SLE) is a prototypic autoimmune disease characterized by antinuclear antibodies (ANAs) that form immune complexes that mediate pathogenesis by tissue deposition or cytokine induction. Some ANAs bind DNA or associated nucleosome proteins, whereas other ANAs bind protein components of complexes of RNA and RNA-binding proteins (RBPs). Levels of anti-DNA antibodies can fluctuate widely, unlike those of anti-RBP antibodies, which tend to be stable. Because anti-DNA antibody levels can reflect disease activity, repeat testing is common; by contrast, a single anti-RBP antibody determination is thought to suffice for clinical purposes. Experience from clinical trials of novel therapies has provided a new perspective on ANA expression during disease, as many patients with SLE are ANA negative at screening despite previously testing positive. Because trial results suggest that patients who are ANA negative might not respond to certain agents, screening strategies now involve ANA and anti-DNA antibody testing to identify patients with so-called ‘active, autoantibody-positive SLE’. Evidence suggests that ANA responses can decrease over time because of the natural history of disease or the effects of therapy. Together, these findings suggest that, during established disease, more regular serological testing could illuminate changes relevant to pathogenesis and disease status. Antinuclear antibodies (ANAs), characteristic features of systemic lupus erythematosus (SLE), are a requirement for disease classification and trial enrolment. In this Review, the authors re-examine the role of ANAs in SLE and discuss changing attitudes towards using ANAs as biomarkers.
Website Age:
30 years and 10 months (reg. 1994-08-11).
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Keywords {🔍}
pubmed, google, scholar, article, cas, lupus, systemic, erythematosus, central, antibodies, arthritis, patients, rheum, nature, disease, immunol, antibody, rheumatol, autoantibodies, rev, clinical, antinuclear, sle, nat, pisetsky, clin, med, rheumatology, dna, ann, complexes, cell, dis, autoantibody, immune, access, role, antidna, activity, content, review, levels, testing, reviews, lipsky, autoimmune, ana, classification, res, exp,
Topics {✒️}
medical research service nature portfolio journals permissions reprints nature portfolio privacy policy autoimmune disease research mrl/mp-lpr/lpr mice advertising author correspondence disease activity index author information authors social media anti-double-stranded dna levels anti-double-stranded dna antibodies nature+ nature cyclic gmp-amp synthase anti-double-stranded dna computer-assisted pattern recognition understanding b-cell activation nucleic acid-sensing receptors interferon-alpha pathway identifies b-cell immunomics approach endogenous ifn-alpha inducer high-throughput multiplexed serology vaccine development multi-ethnic lupus cohort anti-dna antibody levels cell-derived plasma microparticles anti-dna antibody testing anti-nuclear antibody testing drug-induced lupus serum interferon-alpha activity dna/anti-dna complexes permissions anti-dsdna autoantibody levels double-stranded dna diagnostic data springerlink instant access nucleic acid-driven inflammation personal data development autoimmune mrl mice rheumatology classification criteria cell-intrinsic tlr9 expression rna-binding proteins systematic literature review late apoptotic cells african-american sle patients content diagnostic role
Questions {❓}
- Antinuclear antibody testing: misunderstood or misbegotten?
- Is antibody clustering predictive of clinical subsets and damage in systemic lupus erythematosus?
- Systemic lupus erythematosus and dysbiosis in the microbiome: cause or effect or both?
- Which B-cell subset should we target in lupus?
Schema {🗺️}
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