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An Immunohistopathologic Study to Profile the Folate Receptor Beta Macrophage and Vascular Immune Microenvironment in Giant Cell Arteritis
Published on: February 8, 2019
Systemic vasculitides
Miguel A González-Gay1, Carlos García-Porrúa
1Rheumatology Division, Hospital Xeral-Calde, Dr Ochoa s/n, 27004, Lugo, Spain. miguelaggay@hotmail.com
Insights
Vasculitis involves blood vessel inflammation and necrosis, with increasing incidence and geographic variations. Genetic factors, like HLA-DRB1 alleles, influence susceptibility and severity in these complex autoimmune diseases.
Area of Science:
- Rheumatology
- Immunology
- Genetics
Background:
- Vasculitides are a diverse group of diseases causing blood vessel inflammation and necrosis.
- Manifestations vary widely based on vessel size and location.
- Recent epidemiological studies indicate a progressive increase in vasculitis incidence.
Purpose of the Study:
- To review the epidemiology and pathogenesis of vasculitides.
- To highlight the role of environmental factors and genetic susceptibility.
- To discuss recent findings on genetic associations in specific vasculitis types.
Main Methods:
- Review of epidemiological data and recent scientific literature.
- Analysis of genetic association studies in large and small-sized vasculitides.
- Examination of environmental factors implicated in pathogenesis.
Main Results:
- Vasculitis incidence is increasing, with geographic variations noted for giant cell arteritis and Wegener's granulomatosis.
- Genetic factors, including HLA-DRB1 alleles, are associated with susceptibility to giant cell arteritis and Henoch-Schönlein purpura.
- Gene polymorphisms, such as interleukin-1 receptor antagonist, may influence disease severity in cutaneous vasculitis.
Conclusions:
- Vasculitis pathogenesis is complex, involving both environmental and genetic factors.
- Genetic predisposition plays a significant role in disease susceptibility and severity.
- Further research into genetic and environmental interactions is crucial for understanding and managing vasculitis.
Abstract:
The vasculitides are a heterogeneous group of diseases that are characterized by blood vessel inflammation and necrosis. They have a wide spectrum of manifestations due to the involvement of arteries and other vessels of various sizes and locations. Classification criteria are useful in improving our understanding of the epidemiology of these conditions but they are not diagnostic criteria. In recent years a progressive increase in incidence has been reported. Both giant cell arteritis and Wegener's granulomatosis are more common in the Northern hemisphere. Environmental factors have been implicated in the pathogenesis of these syndromes. Recent studies in patients with large and small-sized vasculitides support a genetic influence in disease susceptibility. They have confirmed the association of giant cell arteritis and Henoch-Schönlein purpura with HLA-DRB1 alleles. Moreover, the polymorphisms of other genes, such as interleukin-1 receptor antagonist, seem to be implicated in disease severity in patients with cutaneous vasculitis.
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