临床荟萃 ›› 2022, Vol. 37 ›› Issue (11): 1048-1052.doi: 10.3969/j.issn.1004-583X.2022.11.016
收稿日期:
2022-09-08
出版日期:
2022-11-20
发布日期:
2023-01-02
通讯作者:
苗健龙
E-mail:Mjllf2000@126.com
Received:
2022-09-08
Online:
2022-11-20
Published:
2023-01-02
摘要:
抗黑色素瘤分化相关基因5(melanoma differentiation-associated gene 5,MDA5)抗体是临床无肌病皮肌炎(clinically amyopathic dermatomyositis,CADM)和皮肌炎(dermatomyositis,DM)患者中一种特异性较高的抗体。相关研究表明抗MDA5抗体阳性DM患者更易发展为快速进展性肺间质病变(rapidly progressive interstitial lung disease,RPILD),尤其是在亚裔人群中,这类患者病情较重,死亡率极高。目前对这种疾病的发病机制仍不明确,治疗在很大程度上仍然是经验性的。我们将在这篇综述中总结MDA5+ DM-ILD近年的研究进展,期望能对临床医生有所帮助。
中图分类号:
吴锦秀, 苗健龙. 抗MDA5抗体阳性皮肌炎合并间质性肺病的研究进展[J]. 临床荟萃, 2022, 37(11): 1048-1052.
[1] | Li Y, Li Y, Wu J, et al. Predictors of poor outcome of anti-MDA5-associated rapidly progressive interstitial lung disease in a Chinese cohort with dermatomyositis[J]. J Immunol Res, 2020, 2020: 2024869. |
[2] |
Lian X, Zou J, Guo Q, et al. Mortality risk prediction in amyopathic dermatomyositis associated with interstitial lung disease: The FLAIR model[J]. Chest, 2020, 158(4): 1535-1545.
doi: 10.1016/j.chest.2020.04.057 pmid: 32428508 |
[3] | Gan YZ, Zhang LH, Ma L, et al. Risk factors of interstitial lung diseases in clinically amyopathic dermatomyositis[J]. Chin Med J (Engl), 2020, 133(6): 644-649. |
[4] |
Gui X, Ma M, Ding J, et al. Cytokeratin 19 fragment is associated with severity and poor prognosis of interstitial lung disease in anti-MDA5 antibody-positive dermatomyositis[J]. Rheumatology (Oxford), 2021, 60(8): 3913-3922.
doi: 10.1093/rheumatology/keaa843 pmid: 33501503 |
[5] |
Gono T, Sato S, Kawaguchi Y, et al. Anti-MDA 5 antibody, ferritin and IL-18 are useful for the evaluation of response to treatment in interstitial lung disease with anti-MDA 5 antibody-positive dermatomyositis[J]. Rheumatology (Oxford), 2012, 51(9): 1563-1570.
doi: 10.1093/rheumatology/kes102 URL |
[6] |
Hozumi H, Fujisawa T, Nakashima R, et al. Comprehensive assessment of myositis-specific autoantibodies in polymyositis/dermatomyositis-associated interstitial lung disease[J]. Respir Med, 2016, 121: 91-99.
doi: S0954-6111(16)30282-7 pmid: 27888997 |
[7] |
Dias Junior AG, Sampaio NG, Rehwinkel J. A balancing act: MDA5 in antiviral immunity and autoinflammation[J]. Trends Microbiol, 2019, 27(1): 75-85.
doi: S0966-842X(18)30179-3 pmid: 30201512 |
[8] | Nishina N, Sato S, Masui K, et al. Seasonal and residential clustering at disease onset of anti-MDA5-associated interstitial lung disease[J]. RMD Open, 2020, 6(2): 001202. |
[9] |
Takeuchi O, Akira S. MDA5/RIG-I and virus recognition[J]. Curr Opin Immunol, 2008, 20(1): 17-22.
doi: 10.1016/j.coi.2008.01.002 pmid: 18272355 |
[10] |
Kawasumi H, Katsumata Y, Nishino A, et al. Association of serum soluble CD163 with polymyositis and dermatomyositis, especially in anti-MDA5 antibody-positive cases[J]. J Rheumatol, 2018, 45(7):947-955.
doi: 10.3899/jrheum.170997 pmid: 29657141 |
[11] |
Peng Y, Zhang S, Zhao Y, et al. Neutrophil extracellular traps may contribute to interstitial lung disease associated with anti-MDA5 autoantibody positive dermatomyositis[J]. Clin Rheumatol, 2018, 37(1):107-115.
doi: 10.1007/s10067-017-3799-y pmid: 28842784 |
[12] |
Shimizu T, Koga T, Furukawa K, et al. IL-15 is a biomarker involved in the development of rapidly progressive interstitial lung disease complicated with polymyositis/dermatomyositis[J]. J Intern Med, 2021, 289(2): 206-220.
doi: 10.1111/joim.13154 URL |
[13] |
He C, Chen J, Luo X, et al. Evaluation of biomarkers related to endothelial dysfunction: Proof of vasculopathy in anti-melanoma differentiation-associated gene 5 dermatomyositis[J]. Clin Exp Rheumatol, 2021, 39(1):151-157.
doi: 10.55563/clinexprheumatol/ubov8b pmid: 32896243 |
[14] | 武雅楠, 王颖嫒, 祁福敏, 等. 抗黑色素瘤分化相关蛋白-5抗体阳性炎性肌病临床特征分析[J]. 中华风湿病学杂志, 2022, 26(02):105-114. |
[15] |
Sato S, Kuwana M, Fujita T, et al. Anti-CADM-140/MDA5 autoantibody titer correlates with disease activity and predicts disease outcome in patients with dermatomyositis and rapidly progressive interstitial lung disease[J]. Mod Rheumatol, 2013, 23(3): 496-502.
doi: 10.1007/s10165-012-0663-4 pmid: 22644102 |
[16] |
Matsushita T, Mizumaki K, Kano M, et al. Antimelanoma differentiation-associated protein 5 antibody level is a novel tool for monitoring disease activity in rapidly progressive interstitial lung disease with dermatomyositis[J]. Br J Dermatol, 2017, 176(2):395-402.
doi: 10.1111/bjd.14882 pmid: 27452897 |
[17] |
Zhang SH, Zhao Y, Xie QB, et al. Aberrant activation of the type I interferon system may contribute to the pathogenesis of anti-melanoma differentiation-associated gene 5 dermatomyositis[J]. Br J Dermatol, 2019, 180(5):1090-1098.
doi: 10.1111/bjd.16917 pmid: 29947075 |
[18] | 鞠伟威, 王培绒, 杨国欢, 等. 抗MDA-5抗体阳性炎性肌病合并间质性肺病的临床特点和预后分析[J]. 国际呼吸杂志, 2022, 42(4):267-274. |
[19] |
Li J, Liu Y, Li Y, et al. Associations between anti-melanoma differentiation-associated gene 5 antibody and demographics, clinical characteristics and laboratory results of patients with dermatomyositis: A systematic meta-analysis[J]. J Dermatol., 2018, 45(1):46-52.
doi: 10.1111/1346-8138.14092 URL |
[20] | 陈望, 史晓飞, 陈殿森, 等. 抗黑色素瘤分化相关基因5抗体阳性皮肌炎的胸部高分辨率CT分析与临床特征[J]. 中华风湿病学杂志, 2022, 26(1):22-26. |
[21] |
Tanizawa K, Handa T, Nakashima R, et al. HRCT features of interstitial lung disease in dermatomyositis with anti-CADM-140 antibody[J]. Respir Med, 2011, 105(9): 1380-1387.
doi: 10.1016/j.rmed.2011.05.006 pmid: 21632230 |
[22] |
Kurasawa K, Arai S, Namiki Y, et al. Tofacitinib for refractory interstitial lung diseases in anti-melanoma differentiation-associated 5 gene antibody-positive dermatomyositis[J]. Rheumatology (Oxford), 2018, 57(12): 2114-2119.
doi: 10.1093/rheumatology/key188 pmid: 30060040 |
[23] |
Zuo Y, Ye L, Chen F, et al. Different multivariable risk factors for rapid progressive interstitial lung disease in anti-MDA5 positive dermatomyositis and anti-synthetase syndrome[J]. Front Immunol., 2022, 13:845988.
doi: 10.3389/fimmu.2022.845988 URL |
[24] |
Jiang L, Wang Y, Peng Q, et al. Serum YKL-40 level is associated with severity of interstitial lung disease and poor prognosis in dermatomyositis with anti-MDA5 antibody[J]. Clin Rheumatol, 2019, 38(6): 1655-1663.
doi: 10.1007/s10067-019-04457-w pmid: 30739212 |
[25] |
Tsuji H, Nakashima R, Hosono Y, et al. Multicenter prospective study of the efficacy and safety of combined immunosuppressive therapy with high-dose glucocorticoid, tacrolimus, and cyclophosphamide in interstitial lung diseases accompanied by anti-melanoma differentiation-associated gene 5-positive dermatomyositis[J]. Arthritis Rheumatol, 2020, 72(3): 488-498.
doi: 10.1002/art.41105 URL |
[26] |
Matsuda KM, Yoshizaki A, Kuzumi A, et al. Combined immunosuppressive therapy provides favorable prognosis and increased risk of cytomegalovirus reactivation in anti-melanoma differentiation-associated gene 5 antibody-positive dermatomyositis[J]. J Dermatol, 2020, 47(5):483-489.
doi: 10.1111/1346-8138.15274 URL |
[27] |
Chen Z, Wang X, Ye S. Tofacitinib in amyopathic dermatomyositis-associated interstitial lung disease[J]. N Engl J Med, 2019, 381(3): 291-293.
doi: 10.1056/NEJMc1900045 URL |
[28] | Zhang X, Zhou S, Wu C, et al. Tocilizumab for refractory rapidly progressive interstitial lung disease related to anti-MDA5-positive dermatomyositis[J]. Rheumatology (Oxford), 2021, 60(7):227-228. |
[29] |
So H, Wong VTL, Lao VWN, et al. Rituximab for refractory rapidly progressive interstitial lung disease related to anti-MDA5 antibody-positive amyopathic dermatomyositis[J]. Clin Rheumatol, 2018, 37(7): 1983-1989.
doi: 10.1007/s10067-018-4122-2 pmid: 29713969 |
[30] |
Ge Y, Li S, Tian X, et al. Anti-melanoma differentiation-associated gene 5 (MDA5) antibody-positive dermatomyositis responds to rituximab therapy[J]. Clin Rheumatol, 2021, 40(6): 2311-2317.
doi: 10.1007/s10067-020-05530-5 pmid: 33411136 |
[31] |
Romero-Bueno F, Diaz Del Campo P, Trallero-Araguás E, et al. Recommendations for the treatment of anti-melanoma differentiation-associated gene 5-positive dermatomyositis-associated rapidly progressive interstitial lung disease[J]. Semin Arthritis Rheum, 2020, 50(4):776-790.
doi: 10.1016/j.semarthrit.2020.03.007 URL |
[32] | Sasaki N, Ishii A, Kurabayashi T, et al. Early initiation of plasma exchange therapy for a patient with anti-MDA5 autoantibody-positive dermatomyositis developing rapidly progressive interstitial lung disease[J]. Mod Rheumatol Case Rep, 2021, 5(1):87-94. |
[33] |
Yamagata A, Arita M, Tanaka A, et al. Therapeutic plasma exchange for clinically amyopathic dermatomyositis (CADM) associated with rapidly progressive interstitial pneumonia[J]. J Clin Apher, 2020, 35(5):435-443.
doi: 10.1002/jca.21824 URL |
[34] |
Huang K, Vinik O, Shojania K, et al. Clinical spectrum and therapeutics in Canadian patients with anti-melanoma differentiation-associated gene 5 (MDA5)-positive dermatomyositis: A case-based review[J]. Rheumatol Int, 2019, 39(11): 1971-1981.
doi: 10.1007/s00296-019-04398-2 pmid: 31375890 |
[35] |
Leclair V, Labirua-Iturburu A, Lundberg IE. Successful lung transplantation in a case of rapidly progressive interstitial lung disease associated with antimelanoma differentiation-associated gene 5 antibodies[J]. J Rheumatol, 2018, 45(4):581-583.
doi: 10.3899/jrheum.171047 pmid: 29606647 |
[36] | Deitchman AR, Kalchiem-Dekel O, Todd N, et al. Rapidly progressive interstitial lung disease due to anti-melanoma differentiation associated protein-5 requiring a bilateral lung transplant, and complicated by kennel cough[J]. Respir Med Case Rep, 2019, 28:100886. |
[37] |
Marchiset A, Neuville M, Voiriot G, et al. High-emergency lung transplantation for interstitial lung disease associated with anti-MDA5 dermatomyositis: A case report[J]. Transplant Proc, 2021, 53(8):2613-2615.
doi: 10.1016/j.transproceed.2021.08.012 URL |
[1] | 孙瑜, 宋学琴. 特发性炎性肌病的临床研究进展[J]. 临床荟萃, 2022, 37(1): 81-86. |
[2] | 黄华,彭晨星,陈宇彬. 皮肌炎/多发性肌炎死亡危险因素分析[J]. 临床荟萃, 2020, 35(10): 927-930. |
[3] | 唐子猗a,王聃a,郑建雄a,周闻君a,秦倩a,熊琴b,易婷a,张全波b,青玉凤a. 多发性肌炎与皮肌炎合并恶性肿瘤14例临床分析[J]. 临床荟萃, 2019, 34(3): 257-261. |
[4] | 汪泱;赵兰兰;陈晓梅;朱晔涵. 皮肌炎继发间质性肺疾病临床特征及预后分析[J]. 临床荟萃, 2014, 29(3): 301-304. |
[5] | 黄斌;吕冬华;柯孔良;宋效成;谢秋平;赵书红. 皮肌炎或多发性肌炎伴发恶性肿瘤222例国内文献复习[J]. 临床荟萃, 2013, 28(7): 792-794. |
[6] | 曹文秀;张青春. 多发性皮肌炎误诊蜂窝织炎1例[J]. 临床荟萃, 2012, 27(6): 540-0. |
[7] | 孙熠锋;宫心鹏;郭惠芳;石淑娟;马树臣. 皮肌炎85例临床分析[J]. 临床荟萃, 2008, 23(14): 1035-1037. |
[8] | 李艳华;李美洲;高顺强. 2型糖尿病伴发混合源性皮肌炎1例[J]. 临床荟萃, 2006, 21(5): 365-365. |
[9] | 张莹;余霞珍. 皮肌炎患者呼吸中枢兴奋性的测定[J]. 临床荟萃, 2004, 19(9): 502-504. |
[10] | 罗倩;曹敏. 皮肌炎或多发性肌炎合并间质性肺炎10例临床分析[J]. 临床荟萃, 2003, 18(4): 208-209. |
[11] | 王少坤;袁威玲. 皮肌炎并间质性肺炎及纵隔、皮下气肿3例分析[J]. 临床荟萃, 2003, 18(18): 1069-1070. |
阅读次数 | ||||||
全文 |
|
|||||
摘要 |
|
|||||