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Ankylosing spondylitis: etiology, pathogenesis, and treatments

TLDR
The current study reviewed the etiology and pathogenesis of AS, including genome-wide association studies and cytokine pathways, and summarized the current pharmaceutical and surgical treatment with a discussion of future potential therapies.
Abstract
Ankylosing spondylitis (AS), a common type of spondyloarthropathy, is a chronic inflammatory autoimmune disease that mainly affects spine joints, causing severe, chronic pain; additionally, in more advanced cases, it can cause spine fusion. Significant progress in its pathophysiology and treatment has been achieved in the last decade. Immune cells and innate cytokines have been suggested to be crucial in the pathogenesis of AS, especially human leukocyte antigen (HLA)‑B27 and the interleukin‑23/17 axis. However, the pathogenesis of AS remains unclear. The current study reviewed the etiology and pathogenesis of AS, including genome-wide association studies and cytokine pathways. This study also summarized the current pharmaceutical and surgical treatment with a discussion of future potential therapies.

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Journal ArticleDOI

Role of the IL-23/IL-17 Pathway in Rheumatic Diseases: An Overview.

TL;DR: In this paper, a review aims to elucidate the most recent studies and literature data on the pathogenetic role of IL-23 and Th17 cells in inflammatory rheumatic diseases.
Journal ArticleDOI

Ankylosing spondylitis: an autoimmune or autoinflammatory disease?

TL;DR: In this article, the authors present the evidence for autoinflammation and evidence of autoimmunity in AS and, by discussing the pathophysiological factors associated with each, aims to reconcile the two hypotheses.
Journal ArticleDOI

The role of gut microbiota and IL-23/IL-17 pathway in ankylosing spondylitis immunopathogenesis: New insights and updates

TL;DR: The IL-23/IL-17 immune axis has been detected as an important factor in the immunopathogenesis of AS and therapeutic options targeting this signaling pathway have been demonstrated to be effective in various other inflammatory diseases that share similar genetic etiology and pathogenetic pathways.
Journal ArticleDOI

Cell death in chronic inflammation: breaking the cycle to treat rheumatic disease.

TL;DR: In this article, the authors outline pathways for the major cell death programs (apoptosis, necroptosis, pyroptosis and NETosis) and their potential roles in chronic inflammation.
Journal ArticleDOI

The Role of the IL-23/IL-17 Pathway in the Pathogenesis of Spondyloarthritis.

TL;DR: The current knowledge of the pathomechanism is summarized by focusing on the IL-23/IL-17 pathway and the recent clinical studies of biological agents targeting IL- 23 and IL-17 in the treatment of SpA are examined.
References
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Journal ArticleDOI

Genome-wide meta-analysis increases to 71 the number of confirmed Crohn's disease susceptibility loci

Andre Franke, +97 more
- 01 Dec 2010 - 
TL;DR: A meta-analysis of six Crohn's disease genome-wide association studies and a series of in silico analyses highlighted particular genes within these loci implicated functionally interesting candidate genes including SMAD3, ERAP2, IL10, IL2RA, TYK2, FUT2, DNMT3A, DENND1B, BACH2 and TAGAP.
Journal ArticleDOI

Ankylosing spondylitis and hl-a 27

TL;DR: Using a standard microcytotoxicity technique of tissue typing, the HL-A 27 antigen was identified in 72 out of 75 patients with classical ankylosing spondylitis and in 3 out of75 controls.
Journal ArticleDOI

Dendritic cells, monocytes and macrophages: a unified nomenclature based on ontogeny

TL;DR: This Opinion article suggests that the mononuclear phagocyte system can be classified primarily by their ontogeny and secondarily by their location, function and phenotype, which permits a more robust classification during both steady-state and inflammatory conditions.
Journal ArticleDOI

Association scan of 14,500 nonsynonymous SNPs in four diseases identifies autoimmunity variants

Paul Burton, +224 more
- 01 Nov 2007 - 
TL;DR: In this paper, the authors report initial association and independent replication in a North American sample of two new loci related to ankylosing spondylitis, ARTS1 and IL23R, and confirm the previously reported association of AITD with TSHR and FCRL3.
Journal ArticleDOI

High Association of an HL-A Antigen, W27, with Ankylosing Spondylitis

TL;DR: The frequencies of 24 HL-A antigens were examined in patients with ankylosing spondylitis, 119 with rheumatoid arthritis, and 66 with gout, finding no significant deviation from control frequen...
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Identification of multiple risk variants for ankylosing spondylitis through high-density genotyping of immune-related loci.

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Association scan of 14,500 nonsynonymous SNPs in four diseases identifies autoimmunity variants

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Interaction between ERAP1 and HLA-B27 in ankylosing spondylitis implicates peptide handling in the mechanism for HLA-B27 in disease susceptibility

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Trending Questions (1)
What is Ankylosing spondylitis?

Ankylosing spondylitis (AS) is a chronic inflammatory autoimmune disease that mainly affects spine joints, causing severe, chronic pain and spine fusion in advanced cases.