“…Therefore, the lower expression of HSP90AA1 still indicated the more activated immune status in cluster A. HSP90AA1 belongs to the family of heat shock proteins (HSPs), which play crucial roles in innate and adaptive immunity and are closely linked to the pathophysiology of numerous immune-mediated illnesses [ 35 ]. It has been discovered that HSP90AA1 expression was elevated in the peripheral blood mononuclear cells of a number of autoimmune diseases, including ankylosing spondylitis, systemic lupus erythematosus, and fibromyalgia syndrome [ 36 , 37 , 38 , 39 , 40 ], which was seemingly inconsistent with our results that HSP90AA1 was downregulated in IC/BPS. However, mounting proof indicated that various factors could influence the regulatory effect of HSPs, such as the physio-pathological environment, the concentration of HSPs, and action time, among other factors [ 36 , 37 , 38 , 39 , 40 , 41 , 42 ].…”