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Influence of Antisynthetase Antibodies Specificities on Antisynthetase Syndrome Clinical Spectrum Time Course

by 1,*, 2, 3, 4, 5, 6, 1, 1, 7,8, 9, 9, 10, 10, 11, 12, 12, 12, 13, 13, 13, 14, 14, 6, 15, 16, 16, 17, 18, 19, 20, 21, 21, 22, 22, 23, 24, 25, 26, 8, 8, 27, 27, 28, 29, 29, 30, 30, 31, 32, 33, 33, 34, 35, 36, 36, 37, 38, 39, 40, 41, 42, 42, 43, 44, 44, 45, 45, 46, 46, 47, 48, 49, 49, 50, 50, 51, 52, 53, 53, 54, 54, 55, 56, 57, 58, 59, 60, 1, 61, 62, 62, 62, 63, 64, 64, 64, 65, 65, 4, 66, 67, 67, 68, 69, 5, 5, 70, 71, 72, 68, 2, 70,73, 1 and 72add Show full author list remove Hide full author list
Department of Rheumatology, University and IRCCS Policlinico S. Matteo Foundation of Pavia and ERN ReCONNET, 27100 Pavia, Italy
Department of Internal Medicine, Vall d’Hebron General Hospital, Universitat Autonoma de Barcelona, GEAS group, 08035 Barcelona, Spain
Department of Pneumology, University and IRCCS Policlinico S. Matteo Foundation of Pavia and ERN Lung, 27100 Pavia, Italy
Department of Rheumatology, University and ASST Spedali Civili—Brescia and ERN ReCONNET, 25123 Brescia, Italy
Interstitial Lung Disease and Rheumatology Unit, Instituto Nacional de Enfermedades Respiratorias, Ismael Cosio Villegas, 14080 Mexico City, Mexico
Department of Rheumatology, Charité—Universitätsmedizin Berlin, 10117 Berlin, Germany
Department of Rheumatology, Hôpitaux Universitaires de Strasbourg and ERN ReCONNET, 67000 Strasbourg, France
Service de Physiologie des Explorations Fonctionnelles, NHC Strasbourg, Université de Strasbourg, 67000 Strasbourg, France
Department of Rheumatology, Centro Hospitalar e Universitário de Coimbra, 3000-075 Coimbra, Portugal
Department of Rheumatology, Oslo University Hospital, 0372 Oslo, Norway
Department of Rheumatology, Cochin Hospital, 75014 Paris, France
Department of Rheumatology, Azienda Ospedaliera Universitaria Pisana, Pisa and ERN ReCONNET, 56126 Pisa, Italy
Department of Rheumatology, Azienda Ospedaliero Universitaria S. Anna, 44124 Ferrara, Italy
Department of Rheumatology, Hospital General Universitario Gregorio Marañón, 28007 Madrid, Spain
Department of Rheumatology, University of Heidelberg, 69117 Heidelberg, Germany
Department of Rheumatology, University of Padua and ERN ReCONNET, 35122 Padova, Italy
Department of Rheumatology, Hospital Universitario San Cecilio, 18016 Granada, Spain
Department of Pneumology, University Hospital of Cattinara, 34149 Trieste, Italy
Department of Rheumatology, University Hospital of Cattinara, 34149 Trieste, Italy
Department of Rheumatology, S. Maria Hospital—IRCCS, 42123 Reggio Emilia, Italy
Department of Rheumatology, Severo Ochoa Hospital, 28911 Madrid, Spain
Department of Rheumatology and Clinical Immunology, Medical Center—University of Freiburg, Faculty of Medicine, University of Freiburg, 79110 Freiburg, Germany
Department of Rheumatology, Ospedale “ Scarlato” Scafati, 84018 Scafati, Italy
Department of Rheumatology, HP Metz, Hopital Belle-Ile, 57000 Metz, France
Department of Rheumatology, ASST Papa Giovanni XXIII, 24127 Bergamo, Italy
Department of Rheumatology, Ospedale di Treviglio, 24047 Treviglio, Italy
Department of Rheumatology, Ospedale Guglielmo da Saliceto, 29121 Piacenza, Italy
Department of Immunology, Azienda Ospedaliera Universitaria Pisana, Pisa and ERN ReCONNET, 56126 Pisa, Italy
Department of Rheumatology, University Clinic and AOU of Cagliari, 09100 Cagliari, Italy
Department of Rheumatology, Johann Wolfgang Goethe-Universität, 60590 Frankfurt, Germany
Department of Rheumatology, ACURA Centre for Rheumatic Diseases, 76530 Baden-Baden, Germany
Department of Rheumatology, Skane University Hospital, 22242 Lund, Sweden
Department of Pneumology, AOU Catania, 95100 Catania, Italy
Department of Rheumatology, University Hospitals, 3000 Leuven, Belgium
Department of Rheumatology at CAAD, DiMet, University of Eastern Piedmont (UPO) and AOU “Maggiore della Carità”, 28100 Novara, Italy
Department of Public Health, Unit of Biostatistics and Clinical Epidemiology, University of Pavia, 27100 Pavia, Italy
Department of Rheumatology, Niguarda Hospital, 20162 Milan, Italy
Department of Pneumology, Ruhrlandklinik, University of Duisburg-Essen and ERN Lung, 45239 Essen, Germany
Department of Rheumatology, Ruhrlandklinik, University of Duisburg-Essen, 45239 Essen, Germany
Department of Rheumatology, Johannes Gutenberg-University, 55122 Mainz, Germany
Department of Rheumatology, Sierrallana Hospital, 39300 Torrelavega, Spain
Department of Rheumatology, Humanitas Research Hospital, Rozzano, 20089 Milan, Italy
Department of Rheumatology, Hospital Universitario La Paz, 28046 Madrid, Spain
Department of Rheumatology, Hospital Clínico Universitario de Santiago de Compostela, 15702 Santiago de Compostela, Spain
Department of Rheumatology, Città della Salute e della Scienza, 10126 Turin, Italy
Department of Rheumatology, Hospital G. Pini—CTO, 20122 Milan, Italy
Department of Rheumatology, Azienda Ospedaliera San Giovanni di Dio, 50143 Firenze, Italy
Department of Rheumatology, University of Genova 16126 Genova, Italy
Department of Rheumatology, University La Sapienza and Policlinico Umberto I, 00161 Rome, Italy
Department of Rheumatology, Ospedale San Camillo, 00152 Rome, Italy
Department of Internal Medicine, AOU Careggi, 50134 Firenze, Italy
Department of Immunology, AOU Careggi, 50134 Firenze, Italy
Department of Rheumatology, Azienda Ospedaliera Universitaria di Modena, 41125 Modena, Italy
Department of Rheumatology, Hospital Universitario Ramon y Cajal, 28034 Madrid, Spain
Department of Rheumatology, Ospedale Santa Chiara, 38122 Trento, Italy
University Medical Center- Comprehensive Pulmonary Hypertension Center & Interstitial Lung Disease Clinic Programs, Louisiana State University and Tulane University Schools of Medicine, Pulmonary Division New Orleans, New Orleans, LA 1542, USA
Department of Rheumatology, ASL Cuneo 2, 12051 Alba, Italy
Department of Rheumatology, Polytechnic University of Marche, C. Urbani Hospital, 60035 Jesi, Italy
Department of Pneumology, Hospital Universitario Marques de Valdecilla, IDIVAL, University of Cantabria Santander, 39008 Santander, Spain
Department of Clinical Sciences and Community Health, University of Milan and Gaetano Pini Hospital, 20122 Milan, Italy
Department of Neurology, IRCCS Mondino Foundation, 27100 Pavia, Italy
Department of Pneumology, Univerity of Milano Bicocca, San Gerardo Hospital, 20900 Monza, Italy
Department of Rheumatology, Mauriziano Hospital, 10126 Turin, Italy
Department of Internal Medicine, Friedrich-Alexander-Universität Erlangen-Nürnberg, 91054 Erlangen, Germany
Rheumatology Unit—DETO, University of Bari, 70121 Bari, Italy
Clinic of Rheumatology, Department of Medicine, Santa Maria della Misericordia Hospital and University of Udine, 33100 Udine, Italy
Rheumatology Unit, Department of Medicine, University of Perugia, 06129 Perugia, Italy
Department of Rheumatology, AOU Careggi, 50134 Firenze, Italy
Department of Rheumatology, AO Brunico, 39031 Bruneck, Italy
Department of Rheumatology, Hospital Universitario de la Princesa, IIS-Princesa, 28006 Madrid, Spain
Department of Rheumatology, ACURA Center for Rheumatic Diseases, 55543 Bad Kreuznach, Germany
Department of Rheumatology, Hospital Universitario Marques de Valdecilla, IDIVAL, University of Cantabria Santander, 39008 Santander, Spain
Catedra UAM-Roche, EPID Future, Universitad Autonoma de Madrid, 28006 Madrid, Spain
Author to whom correspondence should be addressed.
J. Clin. Med. 2019, 8(11), 2013;
Received: 13 August 2019 / Revised: 12 September 2019 / Accepted: 12 November 2019 / Published: 18 November 2019
(This article belongs to the Section Molecular Diagnostics)
Antisynthetase syndrome (ASSD) is a rare clinical condition that is characterized by the occurrence of a classic clinical triad, encompassing myositis, arthritis, and interstitial lung disease (ILD), along with specific autoantibodies that are addressed to different aminoacyl tRNA synthetases (ARS). Until now, it has been unknown whether the presence of a different ARS might affect the clinical presentation, evolution, and outcome of ASSD. In this study, we retrospectively recorded the time of onset, characteristics, clustering of triad findings, and survival of 828 ASSD patients (593 anti-Jo1, 95 anti-PL7, 84 anti-PL12, 38 anti-EJ, and 18 anti-OJ), referring to AENEAS (American and European NEtwork of Antisynthetase Syndrome) collaborative group’s cohort. Comparisons were performed first between all ARS cases and then, in the case of significance, while using anti-Jo1 positive patients as the reference group. The characteristics of triad findings were similar and the onset mainly began with a single triad finding in all groups despite some differences in overall prevalence. The “ex-novo” occurrence of triad findings was only reduced in the anti-PL12-positive cohort, however, it occurred in a clinically relevant percentage of patients (30%). Moreover, survival was not influenced by the underlying anti-aminoacyl tRNA synthetase antibodies’ positivity, which confirmed that antisynthetase syndrome is a heterogeneous condition and that antibody specificity only partially influences the clinical presentation and evolution of this condition. View Full-Text
Keywords: antisynthetase syndrome; antisynthetase antibodies; arthritis; myositis; interstitial lung disease antisynthetase syndrome; antisynthetase antibodies; arthritis; myositis; interstitial lung disease
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MDPI and ACS Style

Cavagna, L.; Trallero-Araguás, E.; Meloni, F.; Cavazzana, I.; Rojas-Serrano, J.; Feist, E.; Zanframundo, G.; Morandi, V.; Meyer, A.; Pereira da Silva, J.A.; Matos Costa, C.J.; Molberg, O.; Andersson, H.; Codullo, V.; Mosca, M.; Barsotti, S.; Neri, R.; Scirè, C.; Govoni, M.; Furini, F.; Lopez-Longo, F.J.; Martinez-Barrio, J.; Schneider, U.; Lorenz, H.-M.; Doria, A.; Ghirardello, A.; Ortego-Centeno, N.; Confalonieri, M.; Tomietto, P.; Pipitone, N.; Rodriguez Cambron, A.B.; Blázquez Cañamero, M.Á.; Voll, R.E.; Wendel, S.; Scarpato, S.; Maurier, F.; Limonta, M.; Colombelli, P.; Giannini, M.; Geny, B.; Arrigoni, E.; Bravi, E.; Migliorini, P.; Mathieu, A.; Piga, M.; Drott, U.; Delbrueck, C.; Bauhammer, J.; Cagnotto, G.; Vancheri, C.; Sambataro, G.; De Langhe, E.; Sainaghi, P.P.; Monti, C.; Gigli Berzolari, F.; Romano, M.; Bonella, F.; Specker, C.; Schwarting, A.; Villa Blanco, I.; Selmi, C.; Ceribelli, A.; Nuno, L.; Mera-Varela, A.; Perez Gomez, N.; Fusaro, E.; Parisi, S.; Sinigaglia, L.; Del Papa, N.; Benucci, M.; Cimmino, M.A.; Riccieri, V.; Conti, F.; Sebastiani, G.D.; Iuliano, A.; Emmi, G.; Cammelli, D.; Sebastiani, M.; Manfredi, A.; Bachiller-Corral, J.; Sifuentes Giraldo, W.A.; Paolazzi, G.; Saketkoo, L.A.; Giorgi, R.; Salaffi, F.; Cifrian, J.; Caporali, R.; Locatelli, F.; Marchioni, E.; Pesci, A.; Dei, G.; Pozzi, M.R.; Claudia, L.; Distler, J.; Knitza, J.; Schett, G.; Iannone, F.; Fornaro, M.; Franceschini, F.; Quartuccio, L.; Gerli, R.; Bartoloni, E.; Bellando Randone, S.; Zampogna, G.; Gonzalez Perez, M.I.; Mejia, M.; Vicente, E.; Triantafyllias, K.; Lopez-Mejias, R.; Matucci-Cerinic, M.; Selva-O’Callaghan, A.; Castañeda, S.; Montecucco, C.; Gonzalez-Gay, M.A. Influence of Antisynthetase Antibodies Specificities on Antisynthetase Syndrome Clinical Spectrum Time Course. J. Clin. Med. 2019, 8, 2013.

AMA Style

Cavagna L, Trallero-Araguás E, Meloni F, Cavazzana I, Rojas-Serrano J, Feist E, Zanframundo G, Morandi V, Meyer A, Pereira da Silva JA, Matos Costa CJ, Molberg O, Andersson H, Codullo V, Mosca M, Barsotti S, Neri R, Scirè C, Govoni M, Furini F, Lopez-Longo FJ, Martinez-Barrio J, Schneider U, Lorenz H-M, Doria A, Ghirardello A, Ortego-Centeno N, Confalonieri M, Tomietto P, Pipitone N, Rodriguez Cambron AB, Blázquez Cañamero MÁ, Voll RE, Wendel S, Scarpato S, Maurier F, Limonta M, Colombelli P, Giannini M, Geny B, Arrigoni E, Bravi E, Migliorini P, Mathieu A, Piga M, Drott U, Delbrueck C, Bauhammer J, Cagnotto G, Vancheri C, Sambataro G, De Langhe E, Sainaghi PP, Monti C, Gigli Berzolari F, Romano M, Bonella F, Specker C, Schwarting A, Villa Blanco I, Selmi C, Ceribelli A, Nuno L, Mera-Varela A, Perez Gomez N, Fusaro E, Parisi S, Sinigaglia L, Del Papa N, Benucci M, Cimmino MA, Riccieri V, Conti F, Sebastiani GD, Iuliano A, Emmi G, Cammelli D, Sebastiani M, Manfredi A, Bachiller-Corral J, Sifuentes Giraldo WA, Paolazzi G, Saketkoo LA, Giorgi R, Salaffi F, Cifrian J, Caporali R, Locatelli F, Marchioni E, Pesci A, Dei G, Pozzi MR, Claudia L, Distler J, Knitza J, Schett G, Iannone F, Fornaro M, Franceschini F, Quartuccio L, Gerli R, Bartoloni E, Bellando Randone S, Zampogna G, Gonzalez Perez MI, Mejia M, Vicente E, Triantafyllias K, Lopez-Mejias R, Matucci-Cerinic M, Selva-O’Callaghan A, Castañeda S, Montecucco C, Gonzalez-Gay MA. Influence of Antisynthetase Antibodies Specificities on Antisynthetase Syndrome Clinical Spectrum Time Course. Journal of Clinical Medicine. 2019; 8(11):2013.

Chicago/Turabian Style

Cavagna, Lorenzo, Ernesto Trallero-Araguás, Federica Meloni, Ilaria Cavazzana, Jorge Rojas-Serrano, Eugen Feist, Giovanni Zanframundo, Valentina Morandi, Alain Meyer, Jose A. Pereira da Silva, Carlo J. Matos Costa, Oyvind Molberg, Helena Andersson, Veronica Codullo, Marta Mosca, Simone Barsotti, Rossella Neri, Carlo Scirè, Marcello Govoni, Federica Furini, Francisco J. Lopez-Longo, Julia Martinez-Barrio, Udo Schneider, Hanns-Martin Lorenz, Andrea Doria, Anna Ghirardello, Norberto Ortego-Centeno, Marco Confalonieri, Paola Tomietto, Nicolò Pipitone, Ana B. Rodriguez Cambron, María Á. Blázquez Cañamero, Reinhard E. Voll, Sarah Wendel, Salvatore Scarpato, Francois Maurier, Massimiliano Limonta, Paolo Colombelli, Margherita Giannini, Bernard Geny, Eugenio Arrigoni, Elena Bravi, Paola Migliorini, Alessandro Mathieu, Matteo Piga, Ulrich Drott, Christiane Delbrueck, Jutta Bauhammer, Giovanni Cagnotto, Carlo Vancheri, Gianluca Sambataro, Ellen De Langhe, Pier P. Sainaghi, Cristina Monti, Francesca Gigli Berzolari, Mariaeva Romano, Francesco Bonella, Christof Specker, Andreas Schwarting, Ignacio Villa Blanco, Carlo Selmi, Angela Ceribelli, Laura Nuno, Antonio Mera-Varela, Nair Perez Gomez, Enrico Fusaro, Simone Parisi, Luigi Sinigaglia, Nicoletta Del Papa, Maurizio Benucci, Marco A. Cimmino, Valeria Riccieri, Fabrizio Conti, Gian D. Sebastiani, Annamaria Iuliano, Giacomo Emmi, Daniele Cammelli, Marco Sebastiani, Andreina Manfredi, Javier Bachiller-Corral, Walter A. Sifuentes Giraldo, Giuseppe Paolazzi, Lesley A. Saketkoo, Roberto Giorgi, Fausto Salaffi, Jose Cifrian, Roberto Caporali, Francesco Locatelli, Enrico Marchioni, Alberto Pesci, Giulia Dei, Maria R. Pozzi, Lomater Claudia, Jorg Distler, Johannes Knitza, George Schett, Florenzo Iannone, Marco Fornaro, Franco Franceschini, Luca Quartuccio, Roberto Gerli, Elena Bartoloni, Silvia Bellando Randone, Giuseppe Zampogna, Montserrat I. Gonzalez Perez, Mayra Mejia, Esther Vicente, Konstantinos Triantafyllias, Raquel Lopez-Mejias, Marco Matucci-Cerinic, Albert Selva-O’Callaghan, Santos Castañeda, Carlomaurizio Montecucco, and Miguel A. Gonzalez-Gay. 2019. "Influence of Antisynthetase Antibodies Specificities on Antisynthetase Syndrome Clinical Spectrum Time Course" Journal of Clinical Medicine 8, no. 11: 2013.

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