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  1. Artikel ; Online: Biomarkers in axial spondyloarthritis and low back pain: a comprehensive review.

    Reveille, John D

    Clinical rheumatology

    2021  Band 41, Heft 3, Seite(n) 617–634

    Abstract: The spectrum of axial spondyloarthritis (AxSpA) (including both non-radiographic and radiographic AxSpA), also known as ankylosing spondylitis AS, has achieved growing recognition. With the development of treatments not only effective in controlling ... ...

    Abstract The spectrum of axial spondyloarthritis (AxSpA) (including both non-radiographic and radiographic AxSpA), also known as ankylosing spondylitis AS, has achieved growing recognition. With the development of treatments not only effective in controlling disease activity but also in slowing radiographic progression, and given the cost and risk profiles of these novel treatments and the limitations of current clinical criteria, imaging and peripheral blood biomarkers (C-reactive protein, HLA-B27 testing), the need for better biomarkers has never been greater. The purpose of this review is to present up-to-date information on the biomarkers for the diagnosis for assessing disease diagnosis, activity, treatment response, and radiographic progression of AxSpA, and entails multiple search strings used to identify articles of interest published in PubMed and the Cochrane database up to May 1, 2021. We present the current status of research in serologic biomarkers such as cytokines, adipokines, matrix metalloproteinases, calprotectin, CD74, antibodies, bone turnover markers, and circulating protein fragments of cartilage and connective tissue degradation and other biomarkers. Despite a great deal of work, most serologic results have been disappointing and to date none perform better than CRP. Recent promising preliminary data for some has been published, but require further confirmation. Transcriptomic biomarkers such as micro-RNAs and genetic biomarkers also show promise to assist in diagnosis and possibly for radiographic severity, including a recently developed panel of genetic risk markers used in a polygenic risk score instrument in AS diagnosis. These need further confirmation and application in AS as well as in nr-AxSpA.
    Mesh-Begriff(e) Axial Spondyloarthritis ; Biomarkers ; Humans ; Low Back Pain ; Spondylarthritis/drug therapy ; Spondylitis, Ankylosing/drug therapy
    Chemische Substanzen Biomarkers
    Sprache Englisch
    Erscheinungsdatum 2021-10-21
    Erscheinungsland Germany
    Dokumenttyp Journal Article ; Review
    ZDB-ID 604755-5
    ISSN 1434-9949 ; 0770-3198
    ISSN (online) 1434-9949
    ISSN 0770-3198
    DOI 10.1007/s10067-021-05968-1
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  2. Artikel ; Online: Twenty Years of SPARTAN: From Inception to Impact (SPARTAN 2023 Annual Meeting Proceedings).

    Ermann, Joerg / Deodhar, Atul / Khan, Muhammad Asim / Weisman, Michael H / Reveille, John D

    Current rheumatology reports

    2024  Band 26, Heft 3, Seite(n) 96–101

    Abstract: Purpose of review: This review takes a look at the past, present, and future of SPARTAN, the Spondyloarthritis Research and Treatment Network, an organization of North American healthcare professionals dedicated to advancing research, education, and ... ...

    Abstract Purpose of review: This review takes a look at the past, present, and future of SPARTAN, the Spondyloarthritis Research and Treatment Network, an organization of North American healthcare professionals dedicated to advancing research, education, and patient care in spondyloarthritis.
    Recent findings: In 2022, SPARTAN completed the Classification of Axial SpondyloarthritiS Inception Cohort (CLASSIC) study, a collaboration with the Assessment in SpondyloArthritis International Society (ASAS). CLASSIC aimed to validate the 2009 ASAS classification criteria for axial spondyloarthritis. Other ongoing SPARTAN endeavors include the development of US referral recommendations for axial spondyloarthritis, an update of the 2019 ACR/SAA/SPARTAN treatment recommendations for axial spondyloarthritis and multiple educational initiatives. Twenty years after its inception, SPARTAN continues to grow and broaden its impact, guided by the SPARTAN vision of "a world free of spondyloarthritis through leadership in research and education."
    Mesh-Begriff(e) Humans ; Axial Spondyloarthritis ; Spondylarthritis/drug therapy ; Spondylitis, Ankylosing/therapy ; Congresses as Topic
    Sprache Englisch
    Erscheinungsdatum 2024-01-12
    Erscheinungsland United States
    Dokumenttyp Journal Article ; Review
    ZDB-ID 2057357-1
    ISSN 1534-6307 ; 1523-3774
    ISSN (online) 1534-6307
    ISSN 1523-3774
    DOI 10.1007/s11926-023-01131-8
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  3. Artikel ; Online: Spondyloarthropathies: EULAR recommendations reflect advances in imaging.

    Reveille, John D

    Nature reviews. Rheumatology

    2015  Band 11, Heft 7, Seite(n) 388–389

    Mesh-Begriff(e) Diagnostic Imaging/methods ; Humans ; Spondylarthritis/diagnosis ; Spondylarthritis/therapy
    Sprache Englisch
    Erscheinungsdatum 2015-07
    Erscheinungsland United States
    Dokumenttyp Comment ; Journal Article
    ZDB-ID 2491532-4
    ISSN 1759-4804 ; 1759-4790
    ISSN (online) 1759-4804
    ISSN 1759-4790
    DOI 10.1038/nrrheum.2015.80
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  4. Artikel ; Online: Imputation-based analysis of MICA alleles in the susceptibility to ankylosing spondylitis.

    Zhou, Xiaodong / Reveille, John D

    Annals of the rheumatic diseases

    2019  Band 79, Heft 1, Seite(n) e1

    Mesh-Begriff(e) Alleles ; Gene Frequency ; HLA-B27 Antigen/genetics ; Humans ; Spondylitis, Ankylosing/genetics
    Chemische Substanzen HLA-B27 Antigen
    Sprache Englisch
    Erscheinungsdatum 2019-01-18
    Erscheinungsland England
    Dokumenttyp Letter ; Comment
    ZDB-ID 7090-7
    ISSN 1468-2060 ; 0003-4967
    ISSN (online) 1468-2060
    ISSN 0003-4967
    DOI 10.1136/annrheumdis-2018-214708
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  5. Artikel ; Online: Ankylosing spondylitis risk factors: a systematic literature review.

    Hwang, Mark C / Ridley, Lauren / Reveille, John D

    Clinical rheumatology

    2021  Band 40, Heft 8, Seite(n) 3079–3093

    Abstract: Radiographic axial spondyloarthritis (also known as ankylosing spondylitis [AS]) is a chronic immune-mediated arthritis characterized by inflammation of the axial skeleton, peripheral joints, and entheses. It is estimated that 1 in every 200 people are ... ...

    Abstract Radiographic axial spondyloarthritis (also known as ankylosing spondylitis [AS]) is a chronic immune-mediated arthritis characterized by inflammation of the axial skeleton, peripheral joints, and entheses. It is estimated that 1 in every 200 people are affected by AS, making it an important healthcare and socioeconomic issue. In this review, we aim to explore the current understanding of AS risk factors and provide a comprehensive update. Multiple search strings were used to identify articles of interest published in PubMed between January 1, 2013, and February 1, 2021. On the basis of the literature review and analysis, we present up-to-date information on the risk factors of developing AS and our viewpoints on disease onset and progression. Multiple genetic and nongenetic risk factors have been suggested in the onset of AS. HLA-B27 is known to have a strong association with the disease, but other genes have been implicated in disease development. Aside from genetics, other factors are thought to be involved; up to 70% of patients with AS have subclinical intestinal inflammation, suggesting that the origin of the disease may be in the gut. The exact mechanism by which AS onset begins is most likely complex and multifactorial. Key Points • It remains unclear how interactions between genes, microbes, mechanical stress, gender, and other environmental and lifestyle factors predispose patients to the development of ankylosing spondylitis (AS). • The exact mechanisms of AS are complex and multifactorial which will require much future research • Recognizing the risk factors, as well as understanding gene-environment interactions, may offer valuable insights into the etiology of AS and have important implications for diagnosis and treatment strategies.
    Mesh-Begriff(e) HLA-B27 Antigen/genetics ; Humans ; Inflammation ; Risk Factors ; Spondylarthritis ; Spondylitis, Ankylosing/epidemiology ; Spondylitis, Ankylosing/genetics
    Chemische Substanzen HLA-B27 Antigen
    Sprache Englisch
    Erscheinungsdatum 2021-03-22
    Erscheinungsland Germany
    Dokumenttyp Journal Article ; Systematic Review
    ZDB-ID 604755-5
    ISSN 1434-9949 ; 0770-3198
    ISSN (online) 1434-9949
    ISSN 0770-3198
    DOI 10.1007/s10067-021-05679-7
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  6. Artikel ; Online: Biomarkers for diagnosis, monitoring of progression, and treatment responses in ankylosing spondylitis and axial spondyloarthritis.

    Reveille, John D

    Clinical rheumatology

    2015  Band 34, Heft 6, Seite(n) 1009–1018

    Abstract: With the growing awareness of the impact of chronic back pain and axial spondyloarthritis and recent breakthroughs in genetics and the development of novel treatments which may impact best on early disease, the need for markers that can facilitate early ... ...

    Abstract With the growing awareness of the impact of chronic back pain and axial spondyloarthritis and recent breakthroughs in genetics and the development of novel treatments which may impact best on early disease, the need for markers that can facilitate early diagnosis and profiling those individuals at the highest risk for a bad outcome has never been greater. The genetic basis of ankylosing spondylitis has been considerably advanced, and HLA-B27 testing has a role in the diagnosis. Knowledge is still incomplete of the rest of the genetic contribution to disease susceptibility, and it is likely premature to use extensive genetic testing (other than HLA-B27) for diagnosis. Serum and plasma biomarkers have been examined extensively in assessing disease activity, treatment response, and as predictors or radiographic severity. For assessing disease activity, other than C-reactive protein and erythrocyte sedimentation rate, the most work has been in examining cytokines (particularly interleukin 17 and 23), matrix metalloproteinase (MMP) markers (particularly MMP3). For assessing those at the highest risk for radiographic progression, biomarkers of bony metabolism, cartilage and connective tissue degradation products, and adipokines have been most extensively assessed. The problem is that no individual biomarkers has been reproducibly shown to assess disease activity or predict outcome, and this area still remains an unmet need, of relevance to industry stakeholders, to regulatory bodies, to the healthcare system, to academic investigators, and finally to patients and providers.
    Mesh-Begriff(e) Adipokines/metabolism ; Aggrecans/metabolism ; Biomarkers/metabolism ; Bone and Bones/metabolism ; Cartilage/metabolism ; Cartilage Oligomeric Matrix Protein/metabolism ; Chitinase-3-Like Protein 1 ; Connective Tissue/metabolism ; Cytokines/metabolism ; Disease Progression ; Genetic Markers/genetics ; HLA-B27 Antigen/genetics ; Humans ; Lectins/metabolism ; Leukocyte L1 Antigen Complex/metabolism ; Matrix Metalloproteinases/metabolism ; Osteoprotegerin/metabolism ; Spondylarthropathies/diagnosis ; Spondylarthropathies/metabolism ; Spondylarthropathies/therapy ; Spondylitis, Ankylosing/diagnosis ; Spondylitis, Ankylosing/metabolism ; Spondylitis, Ankylosing/therapy ; Treatment Outcome
    Chemische Substanzen Adipokines ; Aggrecans ; Biomarkers ; CHI3L1 protein, human ; Cartilage Oligomeric Matrix Protein ; Chitinase-3-Like Protein 1 ; Cytokines ; Genetic Markers ; HLA-B27 Antigen ; Lectins ; Leukocyte L1 Antigen Complex ; Osteoprotegerin ; Matrix Metalloproteinases (EC 3.4.24.-)
    Sprache Englisch
    Erscheinungsdatum 2015-06
    Erscheinungsland Germany
    Dokumenttyp Journal Article ; Review
    ZDB-ID 604755-5
    ISSN 1434-9949 ; 0770-3198
    ISSN (online) 1434-9949
    ISSN 0770-3198
    DOI 10.1007/s10067-015-2949-3
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  7. Artikel ; Online: An update on the contribution of the MHC to AS susceptibility.

    Reveille, John D

    Clinical rheumatology

    2014  Band 33, Heft 6, Seite(n) 749–757

    Abstract: The 40-year-old association of HLA-B27 with ankylosing spondylitis is one of the best examples of disease association with a hereditary marker. Genomewide association and family studies suggest that other important major histocompatibility complex (MHC) ... ...

    Abstract The 40-year-old association of HLA-B27 with ankylosing spondylitis is one of the best examples of disease association with a hereditary marker. Genomewide association and family studies suggest that other important major histocompatibility complex (MHC) influences are operative in ankylosing spondylitis (AS) susceptibility. HLA-B27 positive hepatitis C individuals are immunologically more efficient in combating viral infections such as HIV-1, hepatitis C, and influenza and less efficient in combating against certain bacteria (and perhaps other organisms) capable of surviving intracellularly. A recent representative population survey of the frequency of HLA-B27 in the USA found a lower frequency of HLA-B27 in older US adults, perhaps reflecting this. Other HLA class I and class II alleles have been implicated in AS susceptibility, the most consistent being HLA-B*40/B60 (B*40:01) but also B14, B15, A*0201, DRB1*04:04, and certain DPA1 and DPB1 alleles. Non-HLA MHC alleles have also been implicated, although many such studies have been inconsistent, likely due to power issues related to the low number of HLA-B27-negative AS patients examined. The best evidence is for major histocompatibility complex class I chain-related gene A (MICA) whose recognition by intestinal epithelial T cells expressing different V-delta-1 gamma/delta TCR further implicates the gut in AS pathogenesis. The HLA class I and class II and other non-HLA allelic associations underscore the importance of T cells in AS pathogenesis.
    Mesh-Begriff(e) Adult ; Aged ; Alleles ; Female ; Genetic Predisposition to Disease ; Genome-Wide Association Study ; Geography ; HLA-B27 Antigen/genetics ; Humans ; Major Histocompatibility Complex/genetics ; Male ; Middle Aged ; Spondylarthritis/genetics ; Spondylarthritis/immunology ; Spondylitis, Ankylosing/genetics ; Spondylitis, Ankylosing/immunology ; United States ; Young Adult
    Chemische Substanzen HLA-B27 Antigen
    Sprache Englisch
    Erscheinungsdatum 2014-05-18
    Erscheinungsland Germany
    Dokumenttyp Journal Article ; Research Support, N.I.H., Extramural ; Review
    ZDB-ID 604755-5
    ISSN 1434-9949 ; 0770-3198
    ISSN (online) 1434-9949
    ISSN 0770-3198
    DOI 10.1007/s10067-014-2662-7
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  8. Artikel ; Online: A registry of ankylosing spondylitis registries and prospects for global interfacing.

    Reveille, John D

    Current opinion in rheumatology

    2013  Band 25, Heft 4, Seite(n) 468–476

    Abstract: Purpose of review: To review the optimal criteria and conditions for establishing a clinical registry, as well as detailing their application in a number of ankylosing spondylitis (AS) and axial spondyloarthritis (axSpA) Registries already in existence.! ...

    Abstract Purpose of review: To review the optimal criteria and conditions for establishing a clinical registry, as well as detailing their application in a number of ankylosing spondylitis (AS) and axial spondyloarthritis (axSpA) Registries already in existence.
    Recent findings: Recent genetic studies and studies of long-term treatment efficacy and side-effects have underscored the need for large numbers of patients, much larger than would be possible from a single center or consortium. An optimal Registry should have its aims established upfront, with appropriate governance and oversight, and inclusion and exclusion criteria for participating collaborators and subject defined. Collaborators contributing subjects to a Registry should use validated instruments for which they have been previously trained. The numerous cross-sectional and longitudinal Registries on AS and axSpA have been recently established that differ widely depending on the referral and selection issues.
    Summary: The challenge of large-scale examinations of genetics, comorbidities, medication usage, and side-effects in spondyloarthritis underscores the need for combining data from well characterized registries of AS patients which require careful planning. There are currently many such registries available internationally, offering promise for collaborations and data pooling that can answer some of the pressing questions facing rheumatology clinicians and researchers.
    Mesh-Begriff(e) Humans ; International Cooperation ; Prevalence ; Registries ; Spondylitis, Ankylosing/diagnosis ; Spondylitis, Ankylosing/epidemiology ; Spondylitis, Ankylosing/therapy ; Treatment Outcome
    Sprache Englisch
    Erscheinungsdatum 2013-05-09
    Erscheinungsland United States
    Dokumenttyp Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 1045317-9
    ISSN 1531-6963 ; 1040-8711
    ISSN (online) 1531-6963
    ISSN 1040-8711
    DOI 10.1097/BOR.0b013e3283620e1d
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  9. Artikel ; Online: Biological treatment usage in patients with HIV and rheumatic disease, 2003-2021: long-term safety and follow-up.

    Naovarat, Benjamin Sornrung / Salazar, Gloria / Ishimori, Mariko / Williams, Francis M / Reveille, John D

    RMD open

    2022  Band 8, Heft 2

    Abstract: Objective: This study examined the safety and efficacy of biological agents, especially tumour necrosis factor (TNF) inhibitors, for HIV-positive rheumatology patients refractory to standard therapy.: Methods: This study is a retrospective case ... ...

    Abstract Objective: This study examined the safety and efficacy of biological agents, especially tumour necrosis factor (TNF) inhibitors, for HIV-positive rheumatology patients refractory to standard therapy.
    Methods: This study is a retrospective case series including patients derived from a community HIV clinic as well as from two academic centres. Initial visit data collected included: sociodemographic characteristics, CD4 counts, HIV viral load and medication use. Patients with persistent disease activity despite standard conservative therapy were begun on biological agents.The main outcomes were patient and physician global assessment of treatment response and medication side effects in patients with rheumatological disorders treated with biological medications over time.
    Results: Seventeen patients were seen from 2003 to 2021, including eight from our previous cohort published in 2008 and nine seen since then, five of whom taking TNF blockers for more than 10 years. Three (17.7%) had rheumatoid arthritis, five (29.4%) psoriatic arthritis, four (23.5%) axial spondyloarthritis and the rest (29.4%) peripheral spondyloarthritis. Antiretroviral therapy had been used in 15. All but one had at least a partial response to biological therapy. There were no major infectious episodes necessitating the discontinuation of medications with only one patient discontinuing treatment due to rising HIV viral load. Patients not on antiretroviral therapy reported no adverse side effects from biological therapy. Four patients were switched to ustekinumab, secukinumab, tocilizumab or upadacitinib from anti-TNF therapy without complications.
    Conclusions: These data suggest that biological therapy, especially anti-TNF agents are safe and well tolerated in HIV positive individuals even over several years.
    Mesh-Begriff(e) Follow-Up Studies ; Humans ; Retrospective Studies ; Rheumatic Diseases/drug therapy ; Tumor Necrosis Factor Inhibitors ; Tumor Necrosis Factor-alpha
    Chemische Substanzen Tumor Necrosis Factor Inhibitors ; Tumor Necrosis Factor-alpha
    Sprache Englisch
    Erscheinungsdatum 2022-07-19
    Erscheinungsland England
    Dokumenttyp Journal Article ; Research Support, U.S. Gov't, P.H.S.
    ZDB-ID 2812592-7
    ISSN 2056-5933 ; 2056-5933
    ISSN (online) 2056-5933
    ISSN 2056-5933
    DOI 10.1136/rmdopen-2022-002282
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  10. Buch: Ankylosing spondylitis and the spondyloarthropathies

    Weisman, Michael H. / Heijde, Désirée M. van der / Reveille, John D.

    [a companion to Rheumatology]

    2006  

    Verfasserangabe Michael H. Weisman ; Désirée van der Heijde ; John d. Reveille
    Schlagwörter Spondylarthropathies ; Spondylitis, Ankylosing
    Sprache Englisch
    Umfang XI, 229 S., [3] Bl. : Ill., graph. Darst., 27 cm
    Verlag Mosby Elsevier
    Erscheinungsort Philadelphia, Pa. u.a.
    Erscheinungsland Vereinigte Staaten
    Dokumenttyp Buch
    Anmerkung Includes bibliographical references and index
    HBZ-ID HT015234142
    ISBN 0-323-03104-8 ; 978-0-323-03104-2
    Datenquelle Katalog ZB MED Medizin, Gesundheit

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