New Insights into Pathogenesis and Treatment of ANCA-Associated Vasculitis: Autoantibodies and Beyond

Anti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitis is a group of rare systemic diseases affecting small-caliber vessels. The damage caused by AAV mainly involves the lung and kidneys. AAV includes three different types: granulomatosis with polyangiitis (GPA), microscopic polyangiitis...

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Main Authors: Marino Paroli, Chiara Gioia, Daniele Accapezzato
Format: Article
Language:English
Published: MDPI AG 2023-03-01
Series:Antibodies
Subjects:
Online Access:https://www.mdpi.com/2073-4468/12/1/25
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author Marino Paroli
Chiara Gioia
Daniele Accapezzato
author_facet Marino Paroli
Chiara Gioia
Daniele Accapezzato
author_sort Marino Paroli
collection DOAJ
description Anti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitis is a group of rare systemic diseases affecting small-caliber vessels. The damage caused by AAV mainly involves the lung and kidneys. AAV includes three different types: granulomatosis with polyangiitis (GPA), microscopic polyangiitis (MPA), and eosinophilic granulomatosis with polyangiitis (EGPA). Although the different phenotypic forms of AAV share common features, recent studies have shown that there are significant differences in terms of pathogenetic mechanisms involving both the adaptive and innate immune systems. Advances in our understanding of pathogenesis have enabled the development of immuno-targeted therapies. This review illustrates the characteristics of the various forms of AAV and the new therapies available for this disease that can have lethal consequences if left untreated.
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spelling doaj.art-d2e96bc475854fccbd3d2e0608effece2023-11-17T09:16:09ZengMDPI AGAntibodies2073-44682023-03-011212510.3390/antib12010025New Insights into Pathogenesis and Treatment of ANCA-Associated Vasculitis: Autoantibodies and BeyondMarino Paroli0Chiara Gioia1Daniele Accapezzato2Division of Clinical Immunology, Department of Clinical, Anesthesiologic and Cardiovascular Sciences, Sapienza University of Rome, 00185 Rome, ItalyDivision of Clinical Immunology, Department of Clinical, Anesthesiologic and Cardiovascular Sciences, Sapienza University of Rome, 00185 Rome, ItalyDivision of Clinical Immunology, Department of Clinical, Anesthesiologic and Cardiovascular Sciences, Sapienza University of Rome, 00185 Rome, ItalyAnti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitis is a group of rare systemic diseases affecting small-caliber vessels. The damage caused by AAV mainly involves the lung and kidneys. AAV includes three different types: granulomatosis with polyangiitis (GPA), microscopic polyangiitis (MPA), and eosinophilic granulomatosis with polyangiitis (EGPA). Although the different phenotypic forms of AAV share common features, recent studies have shown that there are significant differences in terms of pathogenetic mechanisms involving both the adaptive and innate immune systems. Advances in our understanding of pathogenesis have enabled the development of immuno-targeted therapies. This review illustrates the characteristics of the various forms of AAV and the new therapies available for this disease that can have lethal consequences if left untreated.https://www.mdpi.com/2073-4468/12/1/25ANCAvasculitispathogenesisB-cells: complementneutrophilseosinophils
spellingShingle Marino Paroli
Chiara Gioia
Daniele Accapezzato
New Insights into Pathogenesis and Treatment of ANCA-Associated Vasculitis: Autoantibodies and Beyond
Antibodies
ANCA
vasculitis
pathogenesis
B-cells: complement
neutrophils
eosinophils
title New Insights into Pathogenesis and Treatment of ANCA-Associated Vasculitis: Autoantibodies and Beyond
title_full New Insights into Pathogenesis and Treatment of ANCA-Associated Vasculitis: Autoantibodies and Beyond
title_fullStr New Insights into Pathogenesis and Treatment of ANCA-Associated Vasculitis: Autoantibodies and Beyond
title_full_unstemmed New Insights into Pathogenesis and Treatment of ANCA-Associated Vasculitis: Autoantibodies and Beyond
title_short New Insights into Pathogenesis and Treatment of ANCA-Associated Vasculitis: Autoantibodies and Beyond
title_sort new insights into pathogenesis and treatment of anca associated vasculitis autoantibodies and beyond
topic ANCA
vasculitis
pathogenesis
B-cells: complement
neutrophils
eosinophils
url https://www.mdpi.com/2073-4468/12/1/25
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AT danieleaccapezzato newinsightsintopathogenesisandtreatmentofancaassociatedvasculitisautoantibodiesandbeyond