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Erschienen in: Current Rheumatology Reports 7/2022

10.06.2022 | Inflammatory Muscle Disease (L Diederichsen and H Chinoy, Section Editors)

Update on Biomarkers of Vasculopathy in Juvenile and Adult Myositis

verfasst von: Kirsty McLellan, Charalampia Papadopoulou

Erschienen in: Current Rheumatology Reports | Ausgabe 7/2022

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Abstract

Purpose of Review

Although rare, idiopathic inflammatory myopathies (IIM) comprise a heterogeneous group of autoimmune conditions in adults and children. Increasingly, vasculopathy is recognised to be key in the underlying pathophysiology and plays a crucial role in some of the more challenging complications including calcinosis, gastrointestinal involvement and interstitial lung disease. The exciting prospect of development of biomarkers of vasculopathy would enable earlier detection and monitoring of these complications and possible prevention of their potentially devastating consequences. The purpose was to review the current literature on biomarkers of vasculopathy in IIM and offer insight as to the biomarkers most likely to have an impact on clinical care.

Recent Findings

Multiple candidate biomarkers have been studied including circulating endothelial cells (CEC), microparticles (MP), soluble adhesion markers (ICAM-1, ICAM-3, VCAM-1), selectin proteins (E-, L-, P-selectin), coagulation factors, angiogenic factors, cytokines (including (IL-6, IL-10, TNF-α, IL-18) and interferon (IFN)-related biomarkers (including IFNα, IFN-β, IFNγ, galectin-9, interferon signature and interferon-related chemokines (MCP-1, IP-10 and MIG). There is a growing body of evidence of the potential role of biomarkers in detecting and monitoring the vasculopathy in IIM, detecting disease activity and predicting disease flares and overall prognosis.

Summary

Exciting progress has been made in the search for biomarkers of vasculopathy of IIM; however, none of the studies are validated and further research is required.
Literatur
1.
Zurück zum Zitat Meyer A, Meyer N, Schaeffer M, Gottenberg J-E, Geny B, Sibilia J. Incidence and prevalence of inflammatory myopathies: a systematic review. Rheumatology. 2015;54(1):50–63.PubMedCrossRef Meyer A, Meyer N, Schaeffer M, Gottenberg J-E, Geny B, Sibilia J. Incidence and prevalence of inflammatory myopathies: a systematic review. Rheumatology. 2015;54(1):50–63.PubMedCrossRef
2.
Zurück zum Zitat Lundberg IE, Miller FW, Tjärnlund A, Bottai M. Diagnosis and classification of idiopathic inflammatory myopathies. J Intern Med. 2016;280(1):39–51.PubMedPubMedCentralCrossRef Lundberg IE, Miller FW, Tjärnlund A, Bottai M. Diagnosis and classification of idiopathic inflammatory myopathies. J Intern Med. 2016;280(1):39–51.PubMedPubMedCentralCrossRef
3.
Zurück zum Zitat McCann LJ, Juggins AD, Maillard SM, Wedderburn LR, Davidson JE, Murray KJ, et al. The Juvenile Dermatomyositis National Registry and Repository (UK and Ireland)—clinical characteristics of children recruited within the first 5 yr. Rheumatology. 2006;45(10):1255–60.PubMedCrossRef McCann LJ, Juggins AD, Maillard SM, Wedderburn LR, Davidson JE, Murray KJ, et al. The Juvenile Dermatomyositis National Registry and Repository (UK and Ireland)—clinical characteristics of children recruited within the first 5 yr. Rheumatology. 2006;45(10):1255–60.PubMedCrossRef
4.
Zurück zum Zitat Vincze M, Danko K. Idiopathic inflammatory myopathies. Best Pract Res Clin Rheumatol. 2012;26(1):25.PubMedCrossRef Vincze M, Danko K. Idiopathic inflammatory myopathies. Best Pract Res Clin Rheumatol. 2012;26(1):25.PubMedCrossRef
5.
Zurück zum Zitat Kobayashi N, Takezaki S, Kobayashi I, Iwata N, Mori M, Nagai K, et al. Clinical and laboratory features of fatal rapidly progressive interstitial lung disease associated with juvenile dermatomyositis. Rheumatology (Oxford, England). 2015;54(5):784–91.CrossRef Kobayashi N, Takezaki S, Kobayashi I, Iwata N, Mori M, Nagai K, et al. Clinical and laboratory features of fatal rapidly progressive interstitial lung disease associated with juvenile dermatomyositis. Rheumatology (Oxford, England). 2015;54(5):784–91.CrossRef
6.
Zurück zum Zitat Gitiaux C, De Antonio M, Aouizerate J, Gherardi RK, Guilbert T, Barnerias C, et al. Vasculopathy-related clinical and pathological features are associated with severe juvenile dermatomyositis. Rheumatology. 2016;55(3):470–9.PubMed Gitiaux C, De Antonio M, Aouizerate J, Gherardi RK, Guilbert T, Barnerias C, et al. Vasculopathy-related clinical and pathological features are associated with severe juvenile dermatomyositis. Rheumatology. 2016;55(3):470–9.PubMed
9.
Zurück zum Zitat Lilleker JB, Vencovsky J, Wang G, Wedderburn LR, Diederichsen LP, Schmidt J, et al. The EuroMyositis registry: an international collaborative tool to facilitate myositis research. Ann Rheum Dis 2017/08/30 ed. 2018;77(1):30–9.PubMedCrossRef Lilleker JB, Vencovsky J, Wang G, Wedderburn LR, Diederichsen LP, Schmidt J, et al. The EuroMyositis registry: an international collaborative tool to facilitate myositis research. Ann Rheum Dis 2017/08/30 ed. 2018;77(1):30–9.PubMedCrossRef
10.
Zurück zum Zitat Wedderburn LR, Rider LG. Juvenile dermatomyositis: new developments in pathogenesis, assessment and treatment. Best Pract Res Clin Rheumatol. 2009;23(5):665–78.PubMedPubMedCentralCrossRef Wedderburn LR, Rider LG. Juvenile dermatomyositis: new developments in pathogenesis, assessment and treatment. Best Pract Res Clin Rheumatol. 2009;23(5):665–78.PubMedPubMedCentralCrossRef
11.
Zurück zum Zitat Wienke J, Deakin CT, Wedderburn LR, van Wijk F, van Royen-Kerkhof A. Systemic and tissue inflammation in juvenile dermatomyositis: from pathogenesis to the quest for monitoring tools. Front Immunol. 2018;9:2951.PubMedPubMedCentralCrossRef Wienke J, Deakin CT, Wedderburn LR, van Wijk F, van Royen-Kerkhof A. Systemic and tissue inflammation in juvenile dermatomyositis: from pathogenesis to the quest for monitoring tools. Front Immunol. 2018;9:2951.PubMedPubMedCentralCrossRef
12.
Zurück zum Zitat Stenzel W, Goebel H-H, Bader-Meunier B, Gitiaux C. Inflammatory myopathies in childhood. Neuromusc Disorders : NMD. 2021;31(10):1051–61.PubMedCrossRef Stenzel W, Goebel H-H, Bader-Meunier B, Gitiaux C. Inflammatory myopathies in childhood. Neuromusc Disorders : NMD. 2021;31(10):1051–61.PubMedCrossRef
13.
Zurück zum Zitat Wedderburn LR, Varsani H, Li CKC, Newton KR, Amato AA, Banwell B, et al. International consensus on a proposed score system for muscle biopsy evaluation in patients with juvenile dermatomyositis: a tool for potential use in clinical trials. Arthritis Care Res. 2007;57(7):1192–201.CrossRef Wedderburn LR, Varsani H, Li CKC, Newton KR, Amato AA, Banwell B, et al. International consensus on a proposed score system for muscle biopsy evaluation in patients with juvenile dermatomyositis: a tool for potential use in clinical trials. Arthritis Care Res. 2007;57(7):1192–201.CrossRef
14.
Zurück zum Zitat Smith RL, Sundberg J, Shamiyah E, Dyer A, Pachman LM. Skin involvement in juvenile dermatomyositis is associated with loss of end row nailfold capillary loops. J Rheumatol. 2004;31(8):1644–9.PubMed Smith RL, Sundberg J, Shamiyah E, Dyer A, Pachman LM. Skin involvement in juvenile dermatomyositis is associated with loss of end row nailfold capillary loops. J Rheumatol. 2004;31(8):1644–9.PubMed
15.
Zurück zum Zitat • Papadopoulou C, Hong Y, Krol P, Obaidi M, Pilkington C, Wedderburn L, et al. The vasculopathy of juvenile dermatomyositis: endothelial injury, hypercoagulability, and increased arterial stiffness. Arthritis Rheum. 2021;73:1253–66 CEC, MP, cytokines and chemokines assessed in children with JDM and control populations. CEC and MP levels were elevated in JDM patients compared to healthy controls; CEC levels were increased in patients with active compared to inactive JDM. Galectin-9 was elevated in patients with active disease compared to inactive and this correlated with CEC level.CrossRef • Papadopoulou C, Hong Y, Krol P, Obaidi M, Pilkington C, Wedderburn L, et al. The vasculopathy of juvenile dermatomyositis: endothelial injury, hypercoagulability, and increased arterial stiffness. Arthritis Rheum. 2021;73:1253–66 CEC, MP, cytokines and chemokines assessed in children with JDM and control populations. CEC and MP levels were elevated in JDM patients compared to healthy controls; CEC levels were increased in patients with active compared to inactive JDM. Galectin-9 was elevated in patients with active disease compared to inactive and this correlated with CEC level.CrossRef
16.
Zurück zum Zitat • Kishi T, Chipman J, Evereklian M, Nghiem K, Stetler-Stevenson M, Rick ME, et al. Endothelial activation markers as disease activity and damage measures in juvenile dermatomyositis. J Rheumatol. 2020;47. https://doi.org/10.3899/jrheum.181275. Various important biomarkers analysed including CEC, vWF, P-selectin and thrombomodulin in children with JDM. These markers were correlated with disease activity. Key findings showed that CEC, vWF were increased in peripheral blood of JDM patients; vWF and P-selectin were not. CEC levels correlated with pulmonary disease activity. • Kishi T, Chipman J, Evereklian M, Nghiem K, Stetler-Stevenson M, Rick ME, et al. Endothelial activation markers as disease activity and damage measures in juvenile dermatomyositis. J Rheumatol. 2020;47. https://​doi.​org/​10.​3899/​jrheum.​181275. Various important biomarkers analysed including CEC, vWF, P-selectin and thrombomodulin in children with JDM. These markers were correlated with disease activity. Key findings showed that CEC, vWF were increased in peripheral blood of JDM patients; vWF and P-selectin were not. CEC levels correlated with pulmonary disease activity.
17.
Zurück zum Zitat Baka Z, Senolt L, Vencovsky J, Mann H, Simon PS, Kittel Á, et al. Increased serum concentration of immune cell derived microparticles in polymyositis/dermatomyositis. Immunol Lett. 2010;128(2):124–30.PubMedCrossRef Baka Z, Senolt L, Vencovsky J, Mann H, Simon PS, Kittel Á, et al. Increased serum concentration of immune cell derived microparticles in polymyositis/dermatomyositis. Immunol Lett. 2010;128(2):124–30.PubMedCrossRef
18.
Zurück zum Zitat Shirafuji T, Hamaguchi H, Higuchi M, Kanda F. Measurement of platelet-derived microparticle levels using an enzyme-linked immunosorbent assay in polymyositis and dermatomyositis patients. Muscle Nerve. 2009;39(5):586–90.PubMedCrossRef Shirafuji T, Hamaguchi H, Higuchi M, Kanda F. Measurement of platelet-derived microparticle levels using an enzyme-linked immunosorbent assay in polymyositis and dermatomyositis patients. Muscle Nerve. 2009;39(5):586–90.PubMedCrossRef
19.
Zurück zum Zitat Oyabu C, Morinobu A, Sugiyama D, Saegusa J, Tanaka S, Morinobu S, et al. Plasma platelet-derived microparticles in patients with connective tissue diseases. J Rheumatol. 2011;38(4):680.PubMedCrossRef Oyabu C, Morinobu A, Sugiyama D, Saegusa J, Tanaka S, Morinobu S, et al. Plasma platelet-derived microparticles in patients with connective tissue diseases. J Rheumatol. 2011;38(4):680.PubMedCrossRef
21.
Zurück zum Zitat Kumamoto T, Abe T, Ueyama H, Sugihara R, Shigenaga T, Tsuda T. Elevated soluble intercellular adhesion molecules-1 in inflammatory myopathy. Acta Neurol Scand. 1997;95(1):34–7.PubMedCrossRef Kumamoto T, Abe T, Ueyama H, Sugihara R, Shigenaga T, Tsuda T. Elevated soluble intercellular adhesion molecules-1 in inflammatory myopathy. Acta Neurol Scand. 1997;95(1):34–7.PubMedCrossRef
22.
Zurück zum Zitat Figarella-Branger D, Schleinitz N, Boutière-Albanèse B, Camoin L, Bardin N, Guis S, et al. Platelet-endothelial cell adhesion molecule-1 and CD146: soluble levels and in situ expression of cellular adhesion molecules implicated in the cohesion of endothelial cells in idiopathic inflammatory myopathies. J Rheumatol. 2006;33(8):1623.PubMed Figarella-Branger D, Schleinitz N, Boutière-Albanèse B, Camoin L, Bardin N, Guis S, et al. Platelet-endothelial cell adhesion molecule-1 and CD146: soluble levels and in situ expression of cellular adhesion molecules implicated in the cohesion of endothelial cells in idiopathic inflammatory myopathies. J Rheumatol. 2006;33(8):1623.PubMed
23.
Zurück zum Zitat Wienke J, Pachman LM, Morgan GA, Yeo JG, Amoruso MC, Hans V, et al. Endothelial and inflammation biomarker profiles at diagnosis reflecting clinical heterogeneity and serving as a prognostic tool for treatment response in two independent cohorts of patients with juvenile dermatomyositis. Arthritis Rheum. 2020;72(7):1214–26.CrossRef Wienke J, Pachman LM, Morgan GA, Yeo JG, Amoruso MC, Hans V, et al. Endothelial and inflammation biomarker profiles at diagnosis reflecting clinical heterogeneity and serving as a prognostic tool for treatment response in two independent cohorts of patients with juvenile dermatomyositis. Arthritis Rheum. 2020;72(7):1214–26.CrossRef
24.
Zurück zum Zitat Bloom BJ, Miller LC, Blier PR. Soluble adhesion molecules in pediatric rheumatic diseases. J Rheumatol. 2002;29(4):832.PubMed Bloom BJ, Miller LC, Blier PR. Soluble adhesion molecules in pediatric rheumatic diseases. J Rheumatol. 2002;29(4):832.PubMed
25.
Zurück zum Zitat Limaye VS, Bonder CS, Sun WY, Lester S, Roberts-Thomson PJ, Blumbergs P. Levels of soluble adhesion molecules and their associations in inflammatory myositis. Int J Rheum Dis. 2013;16(1):99–101.PubMedCrossRef Limaye VS, Bonder CS, Sun WY, Lester S, Roberts-Thomson PJ, Blumbergs P. Levels of soluble adhesion molecules and their associations in inflammatory myositis. Int J Rheum Dis. 2013;16(1):99–101.PubMedCrossRef
26.
Zurück zum Zitat Kubo M, Ihn H, Yamane K, Yazawa N, Kikuchi K, Soma Y, et al. Increased serum levels of soluble vascular cell adhesion molecule-1 and soluble E-selectin in patients with polymyositis/dermatomyositis. Br J Dermatol. 2000;143(2):392–8.PubMedCrossRef Kubo M, Ihn H, Yamane K, Yazawa N, Kikuchi K, Soma Y, et al. Increased serum levels of soluble vascular cell adhesion molecule-1 and soluble E-selectin in patients with polymyositis/dermatomyositis. Br J Dermatol. 2000;143(2):392–8.PubMedCrossRef
27.
Zurück zum Zitat Kim E, Cook-Mills J, Morgan G, Sredni ST, Pachman LM. Increased expression of vascular cell adhesion molecule 1 in muscle biopsy samples from juvenile dermatomyositis patients with short duration of untreated disease is regulated by miR-126. Arthritis Rheum. 2012;64(11):3809–17.PubMedPubMedCentralCrossRef Kim E, Cook-Mills J, Morgan G, Sredni ST, Pachman LM. Increased expression of vascular cell adhesion molecule 1 in muscle biopsy samples from juvenile dermatomyositis patients with short duration of untreated disease is regulated by miR-126. Arthritis Rheum. 2012;64(11):3809–17.PubMedPubMedCentralCrossRef
28.
Zurück zum Zitat Komiya T, Negoro N, Kondo K, Miura K, Hirota Y, Yoshikawa J. Clinical significance of von Willebrand factor in patients with adult dermatomyositis. Clin Rheumatol. 2005;24(4):352–7.PubMedCrossRef Komiya T, Negoro N, Kondo K, Miura K, Hirota Y, Yoshikawa J. Clinical significance of von Willebrand factor in patients with adult dermatomyositis. Clin Rheumatol. 2005;24(4):352–7.PubMedCrossRef
29.
Zurück zum Zitat Funauchi M, Shimadsu H, Tamaki C, Yamagata T, Nozaki Y, Sugiyama M, et al. Role of endothelial damage in the pathogenesis of interstitial pneumonitis in patients with polymyositis and dermatomyositis. J Rheumatol. 2006;33(5):903.PubMed Funauchi M, Shimadsu H, Tamaki C, Yamagata T, Nozaki Y, Sugiyama M, et al. Role of endothelial damage in the pathogenesis of interstitial pneumonitis in patients with polymyositis and dermatomyositis. J Rheumatol. 2006;33(5):903.PubMed
30.
Zurück zum Zitat Scott JP, Arroyave C. Activation of complement and coagulation in juvenile dermatomyositis. Arthritis Rheum. 1987;30(5):572–6.PubMedCrossRef Scott JP, Arroyave C. Activation of complement and coagulation in juvenile dermatomyositis. Arthritis Rheum. 1987;30(5):572–6.PubMedCrossRef
31.
Zurück zum Zitat Chai K-X, Chen Y-Q, Fan P-L, Yang J, Yuan X. STROBE: The correlation of Cyr61, CTGF, and VEGF with polymyositis/dermatomyositis. Medicine (Baltimore). 2018;97(34):e11775.CrossRef Chai K-X, Chen Y-Q, Fan P-L, Yang J, Yuan X. STROBE: The correlation of Cyr61, CTGF, and VEGF with polymyositis/dermatomyositis. Medicine (Baltimore). 2018;97(34):e11775.CrossRef
32.
Zurück zum Zitat Silva T, Silva M, Shinjo S. Relevance of serum angiogenic cytokines in adult patients with dermatomyositis. Adv Rheumatol. 2018;58:17.PubMedCrossRef Silva T, Silva M, Shinjo S. Relevance of serum angiogenic cytokines in adult patients with dermatomyositis. Adv Rheumatol. 2018;58:17.PubMedCrossRef
33.
Zurück zum Zitat Szodoray P, Alex P, Knowlton N, Centola M, Dozmorov I, Csipo I, et al. Idiopathic inflammatory myopathies, signified by distinctive peripheral cytokines, chemokines and the TNF family members B-cell activating factor and a proliferation inducing ligand. Rheumatology (Oxford). 2010/06/29 ed. 2010;49(10)):1867–77.CrossRef Szodoray P, Alex P, Knowlton N, Centola M, Dozmorov I, Csipo I, et al. Idiopathic inflammatory myopathies, signified by distinctive peripheral cytokines, chemokines and the TNF family members B-cell activating factor and a proliferation inducing ligand. Rheumatology (Oxford). 2010/06/29 ed. 2010;49(10)):1867–77.CrossRef
34.
Zurück zum Zitat Tawalbeh SM, Marin W, Morgan GA, Dang UJ, Hathout Y, Pachman LM. Serum protein biomarkers for juvenile dermatomyositis: a pilot study. BMC Rheumatol. 2020;4:52.PubMedPubMedCentralCrossRef Tawalbeh SM, Marin W, Morgan GA, Dang UJ, Hathout Y, Pachman LM. Serum protein biomarkers for juvenile dermatomyositis: a pilot study. BMC Rheumatol. 2020;4:52.PubMedPubMedCentralCrossRef
35.
Zurück zum Zitat Liao AP, Salajegheh M, Nazareno R, Kagan JC, Jubin RG, Greenberg SA. Interferon β is associated with type 1 interferon-inducible gene expression in dermatomyositis. Ann Rheum Dis. 2011;70(5):831.PubMedCrossRef Liao AP, Salajegheh M, Nazareno R, Kagan JC, Jubin RG, Greenberg SA. Interferon β is associated with type 1 interferon-inducible gene expression in dermatomyositis. Ann Rheum Dis. 2011;70(5):831.PubMedCrossRef
36.
Zurück zum Zitat Chen M, Quan C, Diao L, Xue F, Xue K, Wang B, et al. Measurement of cytokines and chemokines and association with clinical severity of dermatomyositis and clinically amyopathic dermatomyositis. Br J Dermatol. 2018;179(6):1334–41.PubMedCrossRef Chen M, Quan C, Diao L, Xue F, Xue K, Wang B, et al. Measurement of cytokines and chemokines and association with clinical severity of dermatomyositis and clinically amyopathic dermatomyositis. Br J Dermatol. 2018;179(6):1334–41.PubMedCrossRef
37.
Zurück zum Zitat Gono T, Kaneko H, Kawaguchi Y, Hanaoka M, Kataoka S, Kuwana M, et al. Cytokine profiles in polymyositis and dermatomyositis complicated by rapidly progressive or chronic interstitial lung disease. Rheumatology. 2014;53(12):2196–203.PubMedCrossRef Gono T, Kaneko H, Kawaguchi Y, Hanaoka M, Kataoka S, Kuwana M, et al. Cytokine profiles in polymyositis and dermatomyositis complicated by rapidly progressive or chronic interstitial lung disease. Rheumatology. 2014;53(12):2196–203.PubMedCrossRef
38.
Zurück zum Zitat Melki I, Devilliers H, Gitiaux C, Bondet V, Belot A, Bodemer C, et al. Circulating Interferon-α measured with a highly sensitive assay as a biomarker for juvenile inflammatory myositis activity: comment on the article by Mathian et al. Arthritis Rrheumatol (Hoboken, NJ). 2020;72(1):195–7. Melki I, Devilliers H, Gitiaux C, Bondet V, Belot A, Bodemer C, et al. Circulating Interferon-α measured with a highly sensitive assay as a biomarker for juvenile inflammatory myositis activity: comment on the article by Mathian et al. Arthritis Rrheumatol (Hoboken, NJ). 2020;72(1):195–7.
39.
Zurück zum Zitat Rodero MP, Decalf J, Bondet V, Hunt D, Rice GI, Werneke S, et al. Detection of interferon alpha protein reveals differential levels and cellular sources in disease. J Exp Med 2017/04/18 ed. 2017;214(5):1547–55.PubMedPubMedCentralCrossRef Rodero MP, Decalf J, Bondet V, Hunt D, Rice GI, Werneke S, et al. Detection of interferon alpha protein reveals differential levels and cellular sources in disease. J Exp Med 2017/04/18 ed. 2017;214(5):1547–55.PubMedPubMedCentralCrossRef
40.
Zurück zum Zitat Niewold TB, Kariuki SN, Morgan GA, Shrestha S, Pachman LM. Elevated serum interferon-alpha activity in juvenile dermatomyositis: associations with disease activity at diagnosis and after thirty-six months of therapy. Arthritis Rheum. 2009;60(6):1815–24.PubMedPubMedCentralCrossRef Niewold TB, Kariuki SN, Morgan GA, Shrestha S, Pachman LM. Elevated serum interferon-alpha activity in juvenile dermatomyositis: associations with disease activity at diagnosis and after thirty-six months of therapy. Arthritis Rheum. 2009;60(6):1815–24.PubMedPubMedCentralCrossRef
41.
Zurück zum Zitat Greenberg SA, Higgs BW, Morehouse C, Walsh RJ, Won Kong S, Brohawn P, et al. Relationship between disease activity and type 1 interferon- and other cytokine-inducible gene expression in blood in dermatomyositis and polymyositis. Genes Immun. 2012;13(3):207–13.PubMedCrossRef Greenberg SA, Higgs BW, Morehouse C, Walsh RJ, Won Kong S, Brohawn P, et al. Relationship between disease activity and type 1 interferon- and other cytokine-inducible gene expression in blood in dermatomyositis and polymyositis. Genes Immun. 2012;13(3):207–13.PubMedCrossRef
42.
Zurück zum Zitat Walsh RJ, Kong SW, Yao Y, Jallal B, Kiener PA, Pinkus JL, et al. Type I interferon-inducible gene expression in blood is present and reflects disease activity in dermatomyositis and polymyositis. Arthritis Rheum. 2007;56(11):3784–92.PubMedPubMedCentralCrossRef Walsh RJ, Kong SW, Yao Y, Jallal B, Kiener PA, Pinkus JL, et al. Type I interferon-inducible gene expression in blood is present and reflects disease activity in dermatomyositis and polymyositis. Arthritis Rheum. 2007;56(11):3784–92.PubMedPubMedCentralCrossRef
43.
Zurück zum Zitat Rigolet M, Hou C, Amer Y, Aouizerate J, Periou B, Gherardi R, et al. Distinct interferon signatures stratify inflammatory and dysimmune myopathies. RMD Open. 2019;5:e000811.PubMedPubMedCentralCrossRef Rigolet M, Hou C, Amer Y, Aouizerate J, Periou B, Gherardi R, et al. Distinct interferon signatures stratify inflammatory and dysimmune myopathies. RMD Open. 2019;5:e000811.PubMedPubMedCentralCrossRef
44.
Zurück zum Zitat Baechler EC, Bauer JW, Slattery CA, Ortmann WA, Espe KJ, Novitzke J, et al. An interferon signature in the peripheral blood of dermatomyositis patients is associated with disease activity. Mol Med. 2007;13(1–2):59–68.PubMedPubMedCentralCrossRef Baechler EC, Bauer JW, Slattery CA, Ortmann WA, Espe KJ, Novitzke J, et al. An interferon signature in the peripheral blood of dermatomyositis patients is associated with disease activity. Mol Med. 2007;13(1–2):59–68.PubMedPubMedCentralCrossRef
45.
Zurück zum Zitat Reed AM, Peterson E, Bilgic H, Ytterberg SR, Amin S, Hein MS, et al. Changes in novel biomarkers of disease activity in juvenile and adult dermatomyositis are sensitive biomarkers of disease course. Arthritis Rheum. 2012;64(12):4078–86.PubMedPubMedCentralCrossRef Reed AM, Peterson E, Bilgic H, Ytterberg SR, Amin S, Hein MS, et al. Changes in novel biomarkers of disease activity in juvenile and adult dermatomyositis are sensitive biomarkers of disease course. Arthritis Rheum. 2012;64(12):4078–86.PubMedPubMedCentralCrossRef
46.
Zurück zum Zitat Bilgic H, Ytterberg SR, Amin S, McNallan KT, Wilson JC, Koeuth T, et al. Interleukin-6 and type I interferon–regulated genes and chemokines mark disease activity in dermatomyositis. Arthritis Rheum. 2009;60(11):3436–46.PubMedCrossRef Bilgic H, Ytterberg SR, Amin S, McNallan KT, Wilson JC, Koeuth T, et al. Interleukin-6 and type I interferon–regulated genes and chemokines mark disease activity in dermatomyositis. Arthritis Rheum. 2009;60(11):3436–46.PubMedCrossRef
47.
Zurück zum Zitat Piper CJM, Wilkinson MGL, Deakin CT, Otto GW, Dowle S, Duurland CL, et al. CD19(+)CD24(hi)CD38(hi) B cells are expanded in juvenile dermatomyositis and exhibit a pro-inflammatory phenotype after activation through toll-like receptor 7 and interferon-α. Front Immunol. 2018;9:1372.PubMedPubMedCentralCrossRef Piper CJM, Wilkinson MGL, Deakin CT, Otto GW, Dowle S, Duurland CL, et al. CD19(+)CD24(hi)CD38(hi) B cells are expanded in juvenile dermatomyositis and exhibit a pro-inflammatory phenotype after activation through toll-like receptor 7 and interferon-α. Front Immunol. 2018;9:1372.PubMedPubMedCentralCrossRef
48.
Zurück zum Zitat • Wienke J, Bellutti Enders F, Lim J, Mertens JS, van den Hoogen LL, Wijngaarde CA, et al. Galectin-9 and CXCL10 as biomarkers for disease activity in juvenile dermatomyositis: a Longitudinal Cohort Study and Multicohort Validation. Arthritis Rrheumatol (Hoboken, NJ). 2019;71(8):1377–90 Elevated galectin-9 and CXCL-10 in patients with active JDM compared to patients with inactive disease, levels of these biomarkers rose prior to a flare of the JDM. These biomarkers were also elevated in adult patients with active IIM compared to inactive disease. • Wienke J, Bellutti Enders F, Lim J, Mertens JS, van den Hoogen LL, Wijngaarde CA, et al. Galectin-9 and CXCL10 as biomarkers for disease activity in juvenile dermatomyositis: a Longitudinal Cohort Study and Multicohort Validation. Arthritis Rrheumatol (Hoboken, NJ). 2019;71(8):1377–90 Elevated galectin-9 and CXCL-10 in patients with active JDM compared to patients with inactive disease, levels of these biomarkers rose prior to a flare of the JDM. These biomarkers were also elevated in adult patients with active IIM compared to inactive disease.
49.
Zurück zum Zitat Bellutti Enders F, van Wijk F, Scholman R, Hofer M, Prakken BJ, van Royen-Kerkhof A, et al. Correlation of CXCL10, tumor necrosis factor receptor type II, and Galectin 9 with disease activity in juvenile dermatomyositis. Arthritis Rheum. 2014;66(8):2281–9.CrossRef Bellutti Enders F, van Wijk F, Scholman R, Hofer M, Prakken BJ, van Royen-Kerkhof A, et al. Correlation of CXCL10, tumor necrosis factor receptor type II, and Galectin 9 with disease activity in juvenile dermatomyositis. Arthritis Rheum. 2014;66(8):2281–9.CrossRef
50.
Zurück zum Zitat Matsuda S, Kotani T, Ishida T, Fukui K, Fujiki Y, Suzuka T, et al. Exploration of pathomechanism using comprehensive analysis of serum cytokines in polymyositis/dermatomyositis-interstitial lung disease. Rheumatology. 2020;59(2):310–8.PubMedCrossRef Matsuda S, Kotani T, Ishida T, Fukui K, Fujiki Y, Suzuka T, et al. Exploration of pathomechanism using comprehensive analysis of serum cytokines in polymyositis/dermatomyositis-interstitial lung disease. Rheumatology. 2020;59(2):310–8.PubMedCrossRef
51.
Zurück zum Zitat Bai J, Wu C, Zhong D, Xu D, Wang Q, Zeng X. Hierarchical cluster analysis of cytokine profiles reveals a cutaneous vasculitis-associated subgroup in dermatomyositis. Clin Rheumatol. 2021;40(3):999–1008.PubMedCrossRef Bai J, Wu C, Zhong D, Xu D, Wang Q, Zeng X. Hierarchical cluster analysis of cytokine profiles reveals a cutaneous vasculitis-associated subgroup in dermatomyositis. Clin Rheumatol. 2021;40(3):999–1008.PubMedCrossRef
52.
Zurück zum Zitat Sanner H, Schwartz T, Flatø B, Vistnes M, Christensen G, Sjaastad I. Increased levels of eotaxin and MCP-1 in juvenile dermatomyositis median 16.8 years after disease onset; associations with disease activity, duration and organ damage. PLoS One. 2014;9(3):e92171.PubMedPubMedCentralCrossRef Sanner H, Schwartz T, Flatø B, Vistnes M, Christensen G, Sjaastad I. Increased levels of eotaxin and MCP-1 in juvenile dermatomyositis median 16.8 years after disease onset; associations with disease activity, duration and organ damage. PLoS One. 2014;9(3):e92171.PubMedPubMedCentralCrossRef
53.
Zurück zum Zitat Crowson CS, Hein MS, Pendegraft RS, Strausbauch MA, Niewold TB, Ernste FC, et al. Interferon Chemokine score and other cytokine measures track with changes in disease activity in patients with juvenile and adult dermatomyositis. ACR Open Rheumatol. 2019;1(2):83–9.PubMedPubMedCentralCrossRef Crowson CS, Hein MS, Pendegraft RS, Strausbauch MA, Niewold TB, Ernste FC, et al. Interferon Chemokine score and other cytokine measures track with changes in disease activity in patients with juvenile and adult dermatomyositis. ACR Open Rheumatol. 2019;1(2):83–9.PubMedPubMedCentralCrossRef
54.
Zurück zum Zitat Marstein H, Schwartz T, Aaløkken M, Lund M, Flatø B, Sjaastad I, et al. Novel associations between cytokines and pulmonary involvement in juvenile dermatomyositis - a cross-sectional study of long-term disease. Rheumatology (Oxford, England). 2019;18:59. Marstein H, Schwartz T, Aaløkken M, Lund M, Flatø B, Sjaastad I, et al. Novel associations between cytokines and pulmonary involvement in juvenile dermatomyositis - a cross-sectional study of long-term disease. Rheumatology (Oxford, England). 2019;18:59.
55.
Zurück zum Zitat Xu D, Huang C-C, Kachaochana A, Morgan GA, Bonaldo MF, Soares MB, et al. MicroRNA-10a regulation of proinflammatory mediators: an important component of untreated juvenile dermatomyositis. J Rheumatol. 2016;43(1):161.PubMedCrossRef Xu D, Huang C-C, Kachaochana A, Morgan GA, Bonaldo MF, Soares MB, et al. MicroRNA-10a regulation of proinflammatory mediators: an important component of untreated juvenile dermatomyositis. J Rheumatol. 2016;43(1):161.PubMedCrossRef
56.
Zurück zum Zitat Wu H, Chen H, Hu P. Circulating endothelial cells and endothelial progenitors as surrogate biomarkers in vascular dysfunction. Clin Lab. 2007;53:285–95.PubMed Wu H, Chen H, Hu P. Circulating endothelial cells and endothelial progenitors as surrogate biomarkers in vascular dysfunction. Clin Lab. 2007;53:285–95.PubMed
57.
Zurück zum Zitat Blann A, Woywodt A, Bertolini F, Bull T, Buyon J, Clancy R, et al. Circulating endothelial cells. Biomarker of vascular disease. Thromb Haemost. 2005;93:228–35.PubMedCrossRef Blann A, Woywodt A, Bertolini F, Bull T, Buyon J, Clancy R, et al. Circulating endothelial cells. Biomarker of vascular disease. Thromb Haemost. 2005;93:228–35.PubMedCrossRef
58.
Zurück zum Zitat Sabatier F, Camoin-Jau L, Anfosso F, Sampol J, Dignat-George F. Circulating endothelial cells, microparticles and progenitors: key players towards the definition of vascular competence. J Cell Mol Med. 2009;13(3):454–71.PubMedCrossRef Sabatier F, Camoin-Jau L, Anfosso F, Sampol J, Dignat-George F. Circulating endothelial cells, microparticles and progenitors: key players towards the definition of vascular competence. J Cell Mol Med. 2009;13(3):454–71.PubMedCrossRef
59.
Zurück zum Zitat Clarke LA, Hong Y, Eleftheriou D, Shah V, Arrigoni F, Klein NJ, et al. Endothelial injury and repair in systemic vasculitis of the young. Arthritis Rheum. 2010;62(6):1770–80.PubMedCrossRef Clarke LA, Hong Y, Eleftheriou D, Shah V, Arrigoni F, Klein NJ, et al. Endothelial injury and repair in systemic vasculitis of the young. Arthritis Rheum. 2010;62(6):1770–80.PubMedCrossRef
60.
Zurück zum Zitat Clancy RM. Circulating endothelial cells and vascular injury in systemic lupus erythematosus. Curr Rheumatol Rep. 2000;2(1):39–43.PubMedCrossRef Clancy RM. Circulating endothelial cells and vascular injury in systemic lupus erythematosus. Curr Rheumatol Rep. 2000;2(1):39–43.PubMedCrossRef
61.
Zurück zum Zitat Woywodt A, Streiber F, de Groot K, Regelsberger H, Haller H, Haubitz M. Circulating endothelial cells as markers for ANCA-associated small-vessel vasculitis. Lancet (British edition). 2003;361(9353):206–10. Woywodt A, Streiber F, de Groot K, Regelsberger H, Haller H, Haubitz M. Circulating endothelial cells as markers for ANCA-associated small-vessel vasculitis. Lancet (British edition). 2003;361(9353):206–10.
63.
Zurück zum Zitat Morel O, Jesel L, Freyssinet J-M, Toti F. Cellular mechanisms underlying the formation of circulating microparticles. Arterioscler Thromb Vasc Biol. 2011;31(1):15–26.PubMedCrossRef Morel O, Jesel L, Freyssinet J-M, Toti F. Cellular mechanisms underlying the formation of circulating microparticles. Arterioscler Thromb Vasc Biol. 2011;31(1):15–26.PubMedCrossRef
64.
Zurück zum Zitat Curtis AM, Edelberg J, Jonas R, Rogers WT, Moore JS, Syed W, et al. Endothelial microparticles: sophisticated vesicles modulating vascular function. Vasc Med. 2013;18(4):204–14.PubMedPubMedCentralCrossRef Curtis AM, Edelberg J, Jonas R, Rogers WT, Moore JS, Syed W, et al. Endothelial microparticles: sophisticated vesicles modulating vascular function. Vasc Med. 2013;18(4):204–14.PubMedPubMedCentralCrossRef
65.
Zurück zum Zitat Hugel B, Martínez MC, Kunzelmann C, Freyssinet J-M. Membrane microparticles: two sides of the coin. Physiology. 2005;20(1):22–7.PubMedCrossRef Hugel B, Martínez MC, Kunzelmann C, Freyssinet J-M. Membrane microparticles: two sides of the coin. Physiology. 2005;20(1):22–7.PubMedCrossRef
66.
Zurück zum Zitat Falati S, Liu Q, Gross P, Merrill-Skoloff G, Chou J, Vandendries E, et al. Accumulation of tissue factor into developing thrombi in vivo is dependent upon microparticle P-selectin glycoprotein ligand 1 and platelet P-selectin. J Exp Med. 2003;197(11):1585–98.PubMedPubMedCentralCrossRef Falati S, Liu Q, Gross P, Merrill-Skoloff G, Chou J, Vandendries E, et al. Accumulation of tissue factor into developing thrombi in vivo is dependent upon microparticle P-selectin glycoprotein ligand 1 and platelet P-selectin. J Exp Med. 2003;197(11):1585–98.PubMedPubMedCentralCrossRef
67.
Zurück zum Zitat Katopodis JN, Kolodny L, Jy W, Horstman LL, De Marchena EJ, Tao JG, et al. Platelet microparticles and calcium homeostasis in acute coronary ischemias. Am J Hematol. 1997;54(2):95–101.PubMedCrossRef Katopodis JN, Kolodny L, Jy W, Horstman LL, De Marchena EJ, Tao JG, et al. Platelet microparticles and calcium homeostasis in acute coronary ischemias. Am J Hematol. 1997;54(2):95–101.PubMedCrossRef
68.
69.
Zurück zum Zitat Sallum AME, Marie SKN, Wakamatsu A, Sachetti S, Vianna MAAG, Silva CAA, et al. Immunohistochemical analysis of adhesion molecule expression on muscle biopsy specimens from patients with juvenile dermatomyositis. J Rheumatol. 2004;31(4):801.PubMed Sallum AME, Marie SKN, Wakamatsu A, Sachetti S, Vianna MAAG, Silva CAA, et al. Immunohistochemical analysis of adhesion molecule expression on muscle biopsy specimens from patients with juvenile dermatomyositis. J Rheumatol. 2004;31(4):801.PubMed
70.
Zurück zum Zitat Bartoccioni E, Gallucci S, Scuderi F, Ricci E, Servidei S, Broccolini A, et al. MHC class I, MHC class II and intercellular adhesion molecule-1 (ICAM-1) expression in inflammatory myopathies. Clin Exp Immunol. 1994;95(1):166–72.PubMedPubMedCentralCrossRef Bartoccioni E, Gallucci S, Scuderi F, Ricci E, Servidei S, Broccolini A, et al. MHC class I, MHC class II and intercellular adhesion molecule-1 (ICAM-1) expression in inflammatory myopathies. Clin Exp Immunol. 1994;95(1):166–72.PubMedPubMedCentralCrossRef
71.
Zurück zum Zitat Tews DS, Goebel HH. Expression of cell adhesion molecules in inflammatory myopathies. J Neuroimmunol. 1995;59(1):185–94.PubMedCrossRef Tews DS, Goebel HH. Expression of cell adhesion molecules in inflammatory myopathies. J Neuroimmunol. 1995;59(1):185–94.PubMedCrossRef
72.
Zurück zum Zitat Jain A, Sharma CM, Sarkar C, Singh S, Handa R. Increased expression of cell adhesion molecules in inflammatory myopathies: diagnostic utility and pathogenetic insights. Folia Neuropathol. 2009;47(1):33–42.PubMed Jain A, Sharma CM, Sarkar C, Singh S, Handa R. Increased expression of cell adhesion molecules in inflammatory myopathies: diagnostic utility and pathogenetic insights. Folia Neuropathol. 2009;47(1):33–42.PubMed
73.
Zurück zum Zitat Carruthers EC, Choi HK, Sayre EC, Aviña-Zubieta JA. Risk of deep venous thrombosis and pulmonary embolism in individuals with polymyositis and dermatomyositis: a general population-based study. Ann Rheum Dis 2014/09/05 ed. 2016;75(1):110–6.PubMedCrossRef Carruthers EC, Choi HK, Sayre EC, Aviña-Zubieta JA. Risk of deep venous thrombosis and pulmonary embolism in individuals with polymyositis and dermatomyositis: a general population-based study. Ann Rheum Dis 2014/09/05 ed. 2016;75(1):110–6.PubMedCrossRef
74.
Zurück zum Zitat Wahezi D, Arena V, Choi J, Gao Q. The role of Von Willebrand factor as a disease biomarker in the clinical assessment of children with juvenile dermatomyositis [abstract]. Arthritis Rheumatol. 2016;68 (supple 10). Wahezi D, Arena V, Choi J, Gao Q. The role of Von Willebrand factor as a disease biomarker in the clinical assessment of children with juvenile dermatomyositis [abstract]. Arthritis Rheumatol. 2016;68 (supple 10).
75.
Zurück zum Zitat Barnes TC, Anderson ME, Moots RJ. The many faces of interleukin-6: the role of IL-6 in inflammation, vasculopathy, and fibrosis in systemic sclerosis. Int J Rheumatol. 2011;2011:721608–6.PubMedPubMedCentral Barnes TC, Anderson ME, Moots RJ. The many faces of interleukin-6: the role of IL-6 in inflammation, vasculopathy, and fibrosis in systemic sclerosis. Int J Rheumatol. 2011;2011:721608–6.PubMedPubMedCentral
76.
Zurück zum Zitat Wakiguchi H, Hasegawa S, Hirano R, Kaneyasu H, Wakabayashi-Takahara M, Ohga S. Successful control of juvenile dermatomyositis-associated macrophage activation syndrome and interstitial pneumonia: distinct kinetics of interleukin-6 and -18 levels. Pediatr Rheumatol Online J. 2015;13:49.PubMedPubMedCentralCrossRef Wakiguchi H, Hasegawa S, Hirano R, Kaneyasu H, Wakabayashi-Takahara M, Ohga S. Successful control of juvenile dermatomyositis-associated macrophage activation syndrome and interstitial pneumonia: distinct kinetics of interleukin-6 and -18 levels. Pediatr Rheumatol Online J. 2015;13:49.PubMedPubMedCentralCrossRef
77.
Zurück zum Zitat Gitiaux C, Latroche C, Weiss-Gayet M, Rodero MP, Duffy D, Bader-Meunier B, et al. Myogenic progenitor cells exhibit type I interferon–driven proangiogenic properties and molecular signature during juvenile dermatomyositis. Arthritis Rheum. 2018;70(1):134–45.CrossRef Gitiaux C, Latroche C, Weiss-Gayet M, Rodero MP, Duffy D, Bader-Meunier B, et al. Myogenic progenitor cells exhibit type I interferon–driven proangiogenic properties and molecular signature during juvenile dermatomyositis. Arthritis Rheum. 2018;70(1):134–45.CrossRef
78.
Zurück zum Zitat Ladislau L, Suárez-Calvet X, Toquet S, Landon-Cardinal O, Amelin D, Depp M, et al. JAK inhibitor improves type I interferon induced damage: proof of concept in dermatomyositis. Brain (London, England : 1878). 2018;141(6):1609–21. Ladislau L, Suárez-Calvet X, Toquet S, Landon-Cardinal O, Amelin D, Depp M, et al. JAK inhibitor improves type I interferon induced damage: proof of concept in dermatomyositis. Brain (London, England : 1878). 2018;141(6):1609–21.
79.
Zurück zum Zitat Kim H. Updates on interferon in juvenile dermatomyositis: pathogenesis and therapy. Curr Opin Rheumatol. 2021;33(5):371–7.PubMedCrossRef Kim H. Updates on interferon in juvenile dermatomyositis: pathogenesis and therapy. Curr Opin Rheumatol. 2021;33(5):371–7.PubMedCrossRef
80.
Zurück zum Zitat Barrat FJ, Crow MK, Ivashkiv LB. Interferon target-gene expression and epigenomic signatures in health and disease. Nat Immunol. 2019;20(12):1574–83.PubMedPubMedCentralCrossRef Barrat FJ, Crow MK, Ivashkiv LB. Interferon target-gene expression and epigenomic signatures in health and disease. Nat Immunol. 2019;20(12):1574–83.PubMedPubMedCentralCrossRef
81.
Zurück zum Zitat Kim H, Gunter-Rahman F, McGrath JA, Lee E, de Jesus AA, Targoff IN, et al. Expression of interferon-regulated genes in juvenile dermatomyositis versus Mendelian autoinflammatory interferonopathies. Arthritis Res Ther. 2020;22(1):69–12.PubMedPubMedCentralCrossRef Kim H, Gunter-Rahman F, McGrath JA, Lee E, de Jesus AA, Targoff IN, et al. Expression of interferon-regulated genes in juvenile dermatomyositis versus Mendelian autoinflammatory interferonopathies. Arthritis Res Ther. 2020;22(1):69–12.PubMedPubMedCentralCrossRef
82.
Zurück zum Zitat Schwartz T, Sjaastad I, Flatø B, Vistnes M, Christensen G, Sanner H. In active juvenile dermatomyositis, elevated eotaxin and MCP-1 and cholesterol levels in the upper normal range are associated with cardiac dysfunction. Rheumatology. 2014;53(12):2214–22.PubMedCrossRef Schwartz T, Sjaastad I, Flatø B, Vistnes M, Christensen G, Sanner H. In active juvenile dermatomyositis, elevated eotaxin and MCP-1 and cholesterol levels in the upper normal range are associated with cardiac dysfunction. Rheumatology. 2014;53(12):2214–22.PubMedCrossRef
83.
Zurück zum Zitat Wienke J, Mertens JS, Garcia S, Lim J, Wijngaarde CA, Yeo JG, et al. Biomarker profiles of endothelial activation and dysfunction in rare systemic autoimmune diseases: implications for cardiovascular risk. Rheumatology. 2021;60(2):785–801.PubMedCrossRef Wienke J, Mertens JS, Garcia S, Lim J, Wijngaarde CA, Yeo JG, et al. Biomarker profiles of endothelial activation and dysfunction in rare systemic autoimmune diseases: implications for cardiovascular risk. Rheumatology. 2021;60(2):785–801.PubMedCrossRef
84.
Zurück zum Zitat Lutz J, Huwiler KG, Fedczyna T, Lechman TS, Crawford S, Kinsella TR, et al. Increased plasma thrombospondin-1 (TSP-1) levels are associated with the TNFα-308A allele in children with juvenile dermatomyositis. Clin Immunol. 2002;103(3):260–3.PubMedCrossRef Lutz J, Huwiler KG, Fedczyna T, Lechman TS, Crawford S, Kinsella TR, et al. Increased plasma thrombospondin-1 (TSP-1) levels are associated with the TNFα-308A allele in children with juvenile dermatomyositis. Clin Immunol. 2002;103(3):260–3.PubMedCrossRef
85.
Zurück zum Zitat Pachman LM, Liotta-Davis MR, Hong DK, Kinsella TR, Mendez EP, Kinder JM, et al. TNFα-308A allele in juvenile dermatomyositis: association with increased production of tumor necrosis factor α, disease duration, and pathologic calcifications. Arthritis Rheum. 2000;43(10):2368–77.PubMedCrossRef Pachman LM, Liotta-Davis MR, Hong DK, Kinsella TR, Mendez EP, Kinder JM, et al. TNFα-308A allele in juvenile dermatomyositis: association with increased production of tumor necrosis factor α, disease duration, and pathologic calcifications. Arthritis Rheum. 2000;43(10):2368–77.PubMedCrossRef
Metadaten
Titel
Update on Biomarkers of Vasculopathy in Juvenile and Adult Myositis
verfasst von
Kirsty McLellan
Charalampia Papadopoulou
Publikationsdatum
10.06.2022
Verlag
Springer US
Erschienen in
Current Rheumatology Reports / Ausgabe 7/2022
Print ISSN: 1523-3774
Elektronische ISSN: 1534-6307
DOI
https://doi.org/10.1007/s11926-022-01076-4

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