Autoantibodies in the Pathogenesis, Diagnosis, and Prognosis of Juvenile Idiopathic Arthritis

Front Immunol. 2019 Jan 14:9:3168. doi: 10.3389/fimmu.2018.03168. eCollection 2018.

Abstract

Autoantibody production occurs in juvenile idiopathic arthritis (JIA) and numerous other autoimmune diseases. In some conditions, the autoantibodies are clearly pathogenic, whereas in others the roles are less defined. Here we review various autoantibodies associated with JIA, with a particular focus on antinuclear antibodies and antibodies recognizing citrullinated self-antigens. We explore potential mechanisms that lead to the development of autoantibodies and the use of autoantibody testing in diagnosis and prognosis. Finally, we compare and contrast JIA-associated autoantibodies with those found in adults with rheumatoid arthritis (RA).

Keywords: anti-carbamylated protein antibodies; anti-citrullinated protein antibodies; antinuclear antibodies; autoantibodies; carbamylated self-antigens; citrullinated self-antigens; juvenile idiopathic arthritis; rheumatoid factor.

Publication types

  • Review

MeSH terms

  • Antibodies, Antinuclear / immunology
  • Antigen-Antibody Complex / blood
  • Antigen-Antibody Complex / immunology
  • Arthritis, Juvenile / diagnosis*
  • Arthritis, Juvenile / etiology*
  • Arthritis, Rheumatoid / diagnosis
  • Arthritis, Rheumatoid / etiology
  • Autoantibodies / immunology*
  • Autoantigens / immunology
  • Autoimmunity*
  • Biomarkers
  • Humans
  • Immune Tolerance
  • Molecular Mimicry
  • Prognosis
  • Protein Binding / immunology
  • Rheumatoid Factor / immunology

Substances

  • Antibodies, Antinuclear
  • Antigen-Antibody Complex
  • Autoantibodies
  • Autoantigens
  • Biomarkers
  • Rheumatoid Factor