Autoantibodies testing in autoimmunity: Diagnostic, prognostic and classification value

Autoimmun Rev. 2023 Jul;22(7):103356. doi: 10.1016/j.autrev.2023.103356. Epub 2023 May 6.

Abstract

Diagnosis of autoimmune diseases is in most cases challenging for clinicians as there is not a single specific laboratory or histological marker to diagnose or exclude the presence of the conditions. This review focused on the current knowledge of the role of autoantibodies' testing in various diseases, such as systemic lupus erythematosus, rheumatoid arthritis, antiphospholipid syndrome, undifferentiated connective tissues disease, primary biliary cholangitis and primary sclerosing cholangitis. Similarly, the prognostic and diagnostic values of autoantibodies testing in patients with interstitial lung disease have been reviewed. In-depth research on the molecular action of these autoantibodies on immune regulation and diseases pathogenesis has been explored beyond their correlation with disease phenotypes, highlighting the impact of autoantibodies targeting on disease outcomes and etiopathogenesis.

Keywords: Antiphospholipid syndrome; Connective tissues disease; Interstitial lung disease; Primary biliary cirrhosis; Rheumatoid arthritis; Sclerosing cholangitis.

Publication types

  • Review

MeSH terms

  • Arthritis, Rheumatoid*
  • Autoantibodies
  • Autoimmune Diseases* / diagnosis
  • Autoimmunity
  • Humans
  • Prognosis

Substances

  • Autoantibodies