Association of anti-HSC70 autoantibodies with cutaneous ulceration and severe disease in juvenile dermatomyositis Article Swipe
Rie Karasawa
,
Kazuo Yudoh
,
Toshiko Sato
,
Megumi Tanaka
,
Mayumi Tamaki
,
Sara Sabbagh
,
Terrance P. OʼHanlon
,
Payam Noroozi Farhadi
,
Ira N. Targoff
,
Willy A. Flegel
,
Andrew L. Mammen
,
Frederick W. Miller
,
Mark D. Hicar
,
Lisa G. Rider
,
James N. Jarvis
·
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1093/rheumatology/keab846
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1093/rheumatology/keab846
Objectives JDM is an inflammatory myopathy characterized by prominent vasculopathy. AECAs are frequently detected in inflammatory and autoimmune diseases. We sought to determine whether AECAs correlate with clinical features of JDM, and thus serve as biomarkers to guide therapy or predict outcome. Methods Plasma samples from 63 patients with JDM, 49 patients with polyarticular JIA and 40 juvenile healthy controls were used to detect anti-heat shock cognate 71 kDa protein (HSC70) autoantibodies, a newly identified AECA, in ELISA assays. Clinical features were compared between JDM patients with and without anti-HSC70 autoantibodies. Results Anti-HSC70 autoantibodies were detected in 35% of patients with JDM, in 0% of patients with JIA (P < 0.0001) and in 0% of healthy donors (P < 0.0001). Both the presence of cutaneous ulcers (59% vs 17%, P < 0.002) and the use of wheelchairs and/or assistive devices (64% vs 27%, P < 0.007) were strongly associated with anti-HSC70 autoantibodies in JDM. High scores on the severity of myositis damage measures at the time of measurement of anti-HSC70 autoantibodies and an increased number of hospitalizations were also associated with anti-HSC70 autoantibodies. Intravenous immunoglobulin therapy was used more often in anti-HSC70 autoantibody-positive patients. Conclusion Anti-HCS70 autoantibodies are detected frequently in children with JDM and are novel myositis-associated autoantibodies correlating with disease severity.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1093/rheumatology/keab846
- OA Status
- green
- Cited By
- 7
- References
- 37
- Related Works
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- OpenAlex ID
- https://openalex.org/W3211953202
All OpenAlex metadata
Raw OpenAlex JSON
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https://openalex.org/W3211953202Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1093/rheumatology/keab846Digital Object Identifier
- Title
-
Association of anti-HSC70 autoantibodies with cutaneous ulceration and severe disease in juvenile dermatomyositisWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2021Year of publication
- Publication date
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2021-11-09Full publication date if available
- Authors
-
Rie Karasawa, Kazuo Yudoh, Toshiko Sato, Megumi Tanaka, Mayumi Tamaki, Sara Sabbagh, Terrance P. OʼHanlon, Payam Noroozi Farhadi, Ira N. Targoff, Willy A. Flegel, Andrew L. Mammen, Frederick W. Miller, Mark D. Hicar, Lisa G. Rider, James N. JarvisList of authors in order
- Landing page
-
https://doi.org/10.1093/rheumatology/keab846Publisher landing page
- Open access
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YesWhether a free full text is available
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greenOpen access status per OpenAlex
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https://www.ncbi.nlm.nih.gov/pmc/articles/9258543Direct OA link when available
- Concepts
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Juvenile dermatomyositis, Autoantibody, Medicine, Dermatomyositis, Myositis, Immunology, Connective tissue disease, Inflammatory myopathy, Autoimmune disease, Internal medicine, Antibody, Pathology, GastroenterologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
7Total citation count in OpenAlex
- Citations by year (recent)
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2024: 2, 2023: 4, 2022: 1Per-year citation counts (last 5 years)
- References (count)
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37Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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