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An update on autoantibodies in the idiopathic inflammatory myopathies

Title: An update on autoantibodies in the idiopathic inflammatory myopathies
Authors: Allameen, NA; Ramos-Lisbona, AI; Wedderburn, LR; Lundberg, IE; Isenberg, DA
Source: Nature Reviews Rheumatology , 21 (1) pp. 46-62. (2025)
Publisher Information: NATURE PORTFOLIO
Publication Year: 2025
Collection: University College London: UCL Discovery
Subject Terms: Science & Technology; Life Sciences & Biomedicine; Rheumatology; INTERSTITIAL LUNG-DISEASE; MYOSITIS-SPECIFIC AUTOANTIBODIES; NEUTROPHIL EXTRACELLULAR TRAPS; SIGNAL RECOGNITION PARTICLE; CYTOSOLIC 5'-NUCLEOTIDASE 1A; CONNECTIVE-TISSUE DISEASE; TRANSFER-RNA-SYNTHETASE; GENE 5; CLINICAL-SIGNIFICANCE; SYSTEMIC-SCLEROSIS
Description: Myositis-specific autoantibodies (MSAs) have become pivotal biomarkers for idiopathic inflammatory myopathies and have revolutionized understanding of the heterogeneous disease spectrum that affects both adults and children. The discovery and characterization of MSAs have substantially enhanced patient stratification based on clinical phenotype, thereby facilitating more precise diagnosis and ultimately improving management strategies. Advances in immunoassay technologies in the past 20 years have further propelled the field forward, enabling the detection of a growing repertoire of autoantibodies with high specificity and sensitivity; however, evolving research over the past decade has revealed that even within antibody-defined subsets, considerable clinical diversity exists, suggesting a broader spectrum of disease manifestations than previously acknowledged. Challenges persist, particularly among patients who are seronegative, where the failure to identify certain rare MSAs stems from the use of diverse detection methodologies and inadequate consensus-guided standardization and validation protocols. Bridging these diagnostic gaps is crucial for optimizing patient care and refining prognostic stratification in idiopathic inflammatory myopathies.
Document Type: article in journal/newspaper
File Description: text
Language: English
Relation: https://discovery.ucl.ac.uk/id/eprint/10203702/1/Wedderburn_AllameenNRRClean20012025.pdf; https://discovery.ucl.ac.uk/id/eprint/10203702/
Availability: https://discovery.ucl.ac.uk/id/eprint/10203702/1/Wedderburn_AllameenNRRClean20012025.pdf; https://discovery.ucl.ac.uk/id/eprint/10203702/
Rights: open
Accession Number: edsbas.EAE1CEE7
Database: BASE