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Biological classification of childhood arthritis: roadmap to a molecular nomenclature

Title: Biological classification of childhood arthritis: roadmap to a molecular nomenclature
Authors: Nigrovic PA; Colbert RA; Holers VM; Ozen S; Ruperto N; Thompson SD; Wedderburn LR; Yeung RSM; Martini A
Contributors: Nigrovic, P; Colbert, R; Holers, V; Ozen, S; Ruperto, N; Thompson, S; Wedderburn, L; Yeung, R; Martini, A
Publisher Information: Nature Research; GB
Publication Year: 2021
Collection: Università degli Studi di Milano-Bicocca: BOA (Bicocca Open Archive)
Subject Terms: Arthritis; Juvenile; Child; Computational Biology; Human; Phenotype; Polymorphism; Single Nucleotide; Terminology as Topic
Description: Chronic inflammatory arthritis in childhood is heterogeneous in presentation and course. Most forms exhibit clinical and genetic similarity to arthritis of adult onset, although at least one phenotype might be restricted to children. Nevertheless, paediatric and adult rheumatologists have historically addressed disease classification separately, yielding a juvenile idiopathic arthritis (JIA) nomenclature that exhibits no terminological overlap with adult-onset arthritis. Accumulating clinical, genetic and mechanistic data reveal the critical limitations of this strategy, necessitating a new approach to defining biological categories within JIA. In this Review, we provide an overview of the current evidence for biological subgroups of arthritis in children, delineate forms that seem contiguous with adult-onset arthritis, and consider integrative genetic and bioinformatic strategies to identify discrete entities within inflammatory arthritis across all ages.
Document Type: article in journal/newspaper
File Description: STAMPA
Language: English
Relation: info:eu-repo/semantics/altIdentifier/pmid/33731872; info:eu-repo/semantics/altIdentifier/wos/WOS:000629887500001; volume:17; issue:5; firstpage:257; lastpage:269; numberofpages:13; journal:NATURE REVIEWS. RHEUMATOLOGY; https://hdl.handle.net/10281/524023
DOI: 10.1038/s41584-021-00590-6
Availability: https://hdl.handle.net/10281/524023; https://doi.org/10.1038/s41584-021-00590-6
Rights: info:eu-repo/semantics/closedAccess ; license:Tutti i diritti riservati ; license uri:iris.PRI01
Accession Number: edsbas.468AF443
Database: BASE