2013
DOI: 10.1007/s10875-013-9938-6
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Anti-Cytokine Autoantibodies Preceding Onset of Autoimmune Polyendocrine Syndrome Type I Features in Early Childhood

Abstract: This is the first study to collate the onset of clinical features, cytokine and endocrine autoantibodies in APS-I infants and siblings. The highly restricted early autoantibody responses and clinical features they show are not easily explained by mere loss of broad-specific self-tolerance inducing mechanisms, but hint at some more sharply focused early event(s) in autoimmunization.

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Cited by 66 publications
(58 citation statements)
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References 27 publications
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“…В дальнейшем проводились многочисленные работы по изучению АТ к ИФН-α и -ω, и было до-казано, что они являются высокоспецифичными и высокочувствительными маркерами АПС 1 [9,[11][12][13][14].…”
Section: сведения об авторахunclassified
“…В дальнейшем проводились многочисленные работы по изучению АТ к ИФН-α и -ω, и было до-казано, что они являются высокоспецифичными и высокочувствительными маркерами АПС 1 [9,[11][12][13][14].…”
Section: сведения об авторахunclassified
“…48 More recently, an additional criterion has been proposed based on the presence of neutralizing autoantibodies against type I interferons and interleukin (IL)-17A, IL-17F and/ or IL-22 in nearly all APS-1 patients. 49,50 The disease usually manifests in childhood with chronic candidiasis; all three of the main clinical manifestations are present by age 20 in about a third of the patients. 51 However, the clinical course and phenotype of the disease vary widely and although there is some association with certain human leukocyte antigen class II haplotypes, the specific mutation in the AIRE gene does not seem to dictate clinical phenotype.…”
Section: Autoimmune Oophoritis As a Cause For Primary Ovarian Insuffimentioning
confidence: 99%
“…All patients present autoantibodies against autoantigens expressed in the affected tissue [8] and/or against immune mediators such as interferon-omega (ω) and interleukin (IL)-22 [9,10]. Interestingly, circulating autoantibodies and AIRE -mutations can be found before development of clinical APS-1 [11,12] making the role of environmental triggers particularly relevant in the pathogenesis and phenotypic expression.…”
mentioning
confidence: 99%