Juvenile Dermatomyositis: Immunopathogenesis, Role of Myositis-Specific Autoantibodies, and Review of Rituximab Use

被引:28
作者
Chiu, Yvonne E. [1 ]
Co, Dominic O. [2 ]
机构
[1] Med Coll Wisconsin, Dept Dermatol, Div Pediat Dermatol, Milwaukee, WI 53226 USA
[2] Med Coll Wisconsin, Dept Pediat, Rheumatol Sect, Milwaukee, WI 53226 USA
关键词
IDIOPATHIC INFLAMMATORY MYOPATHIES; PLASMACYTOID DENDRITIC CELLS; CLINICALLY AMYOPATHIC DERMATOMYOSITIS; SIGNAL RECOGNITION PARTICLE; INTERSTITIAL LUNG-DISEASE; REGULATORY T-CELLS; PERIPHERAL-BLOOD; AUTOIMMUNE-DISEASES; INFLAMED MUSCLE; POLYMYOSITIS;
D O I
10.1111/j.1525-1470.2011.01501.x
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100227 [皮肤病学];
摘要
Juvenile dermatomyositis (JDM) is an autoimmune disease of the skin and muscle that affects children. The etiology is poorly understood, but genetic susceptibility, environmental triggers, and abnormal immune responses are each thought to play a part. T cells have traditionally been implicated in the immunopathogenesis of JDM, but dendritic cells, B cells, and microchimerism are increasingly associated. Additionally, myositis-specific autoantibodies (MSA) can be present in the sera of affected patients and may correlate with distinct clinical phenotypes. Given the role of humoral immunity and MSA, there has been recent interest in the use of rituximab to treat JDM. Early results are mixed, but it is hoped that a prospective clinical trial will shed light on the issue in the near future.
引用
收藏
页码:357 / 367
页数:11
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