The search for lupus biomarkers.

The search for lupus biomarkers.
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DOI:
10.1016/j.berh.2009.01.008
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发表时间:
2009-08
影响因子:
5.2
通讯作者:
Ahearn, Joseph M.
Ahearn, Joseph M.
中科院分区:
医学2区
文献类型:
--
作者:
Liu, Chau-Ching;Ahearn, Joseph M.

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很少有SLE的生物标志物被证实并用于临床决策。缺乏可靠、特异的红斑狼疮生物标志物阻碍了对红斑狼疮患者的适当临床管理,并阻碍了狼疮新疗法的发展。这一空白导致了对识别精确和特异性反映SLE病理生理和临床变化的生物标志物的新热情。一些实验室标记物已经显示出作为狼疮易感性、诊断和监测的生物标记物的早期前景。这些包括补体C4和Fcγ受体基因的多态性和拷贝数变异(疾病易感性),细胞结合补体C4d(诊断和/或疾病活动性),cd27高浆细胞(疾病活动性),“干扰素特征”(疾病活动性),抗c1q和抗nmda(疾病活动性和器官累及)。虽然这些和其他有希望的候选生物标志物已经被确定,但它们仍然需要通过严格的、大规模的多中心研究来验证。本章简要回顾了狼疮生物标志物的历史方面,并总结了目前该领域的进展。
Few biomarkers for SLE have been validated and employed for making clinical decisions. The lack of reliable, specific biomarkers for SLE hampers proper clinical management of patients with SLE, and impedes development of new lupus therapeutics. This void has led to renewed enthusiasm for identifying biomarkers that precisely and specifically reflect the pathophysiologic and clinical changes of SLE. Several laboratory markers have shown early promise as biomarkers for lupus susceptibility, diagnosis, and monitoring. These include polymorphisms and copy number variations of complement C4 and Fcγ receptor genes (disease susceptibility), cell-bound complement C4d (diagnosis and/or disease activity), CD27high plasma cells (disease activity), “interferon signature” (disease activity), and anti-C1q and anti-NMDA (disease activity and organ involvement). Although these and other promising candidate biomarkers have been identified, they still need to be validated through rigorous, large-scale multicenter studies. This chapter reviews briefly the historical aspects of lupus biomarkers and summarizes current efforts to advance the field.
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