Vasculitis Pathogenesis: Can We Talk About Precision Medicine?

Frontiers in Immunology
Seza Ozen, Ezgi Deniz Batu

Abstract

Precision medicine is designing the medical care by taking into account the individual variability for each person. We have tried to address whether the existing data may guide precision medicine in primary systemic vasculitides (PSV). We have reviewed genome-wide association studies (GWAS) data, lessons from monogenic mimics of these diseases, and biomarker studies in immunoglobulin A vasculitis/Henoch-Schönlein purpura, Kawasaki disease, anti-neutrophil cytoplasmic antibody-associated vasculitis, polyarteritis nodosa (PAN), Takayasu arteritis, and Behçet's disease (BD). GWAS provide insights about the pathogenesis of PSV while whole exome sequencing studies lead to discovery of monogenic vasculitides, phenotype of which could mimic other types of vasculitis such as PAN and BD. Monogenic vasculitides form a subgroup of vasculitis which are caused by single gene alterations and discovery of these diseases has enabled more specific therapies in these patients. With increasing number of studies on biomarkers, new targets for treatment appear and better and structured follow-up of PSV patients will become possible. Proteomics and metabolomics studies are required to better categorize our patients with PSV so that we can manage the...Continue Reading

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Citations

May 30, 2019·Rheumatology International·Elif Arslanoglu AydinSeza Ozen
Dec 6, 2019·Current Rheumatology Reviews·Ezgi Deniz Batu, Seza Ozen
Jan 11, 2020·Frontiers in Immunology·Erkan DemirkayaIvona Aksentijevich
Jul 17, 2020·Frontiers in Cardiovascular Medicine·Mark Daniel Hicar
Nov 16, 2018·Rheumatology International·Ezgi Deniz Batu
Jan 4, 2019·Rheumatology International·Amra Adrovic, Ozgur Kasapcopur

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Methods Mentioned

BETA
exome sequencing
glycosylation
ESR

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