PMID- 25065441 OWN - NLM STAT- MEDLINE DCOM- 20151214 LR - 20191210 IS - 1468-3083 (Electronic) IS - 0926-9959 (Linking) VI - 29 IP - 3 DP - 2015 Mar TI - Autoantibodies against TIF-1-gamma and CADM-140 in Spanish patients with clinically amyopathic dermatomyositis (CADM): clinical significance and diagnostic utility. PG - 482-9 LID - 10.1111/jdv.12591 [doi] AB - BACKGROUND: Patients with clinically amyopathic dermatomyositis (CADM) appear to be at risk for developing cancer and interstitial lung diseases, but population data to confirm this hypothesis are limited. Moreover, CADM presents cutaneous and histological findings that may overlap with subacute cutaneous lupus erythematosus (SCLE). OBJECTIVES: To determine the association between myositis-specific autoantibodies, myositis-associated autoantibodies and CADM in Spanish patients. In addition, to study the usefulness of these autoantibodies in the differential diagnosis between CADM and SCLE. METHODS: Serum samples were tested for myositis-specific autoantibodies and myositis-associated autoantibodies through immunoprecipitation and other standardized methods. RESULTS: Anti-CADM-p140 and anti-p155 antibodies were the only myositis-specific autoantibodies found and were associated with interstitial lung diseases and cancer respectively. No myositis-associated autoantibodies were found in CADM. Moreover, clinical subsets and proportions seemed to differ from Asian cohorts, where anti-CADM-p140 is considered a CADM hallmark antibody and a risk factor for the development of interstitial lung disease. Interestingly, anti-SSA was highly associated with SCLE, whereas no myositis-specific autoantibodies were found in this entity. LIMITATIONS OF THE STUDY: Association between CADM and myositis-specific autoantibodies and differences between CADM and SCLE were tested on a relatively small cohort of patients. CONCLUSION: There is an association between cancer-associated myositis and interstitial lung diseases and their hallmark autoantibodies in our cohort. In addition, the combined determination of myositis-specific autoantibodies and SSA autoantibodies may help to accurately discriminate SCLE from CADM. CI - (c) 2014 European Academy of Dermatology and Venereology. FAU - Cuesta-Mateos, C AU - Cuesta-Mateos C AD - Departamento de Inmunologia, Instituto de Investigacion Sanitaria Hospital Universitario de la Princesa, Madrid, Spain; IMMED S.L., Immunological and Medicinal Products, Madrid, Spain. FAU - Colom-Fernandez, B AU - Colom-Fernandez B FAU - Portero-Sainz, I AU - Portero-Sainz I FAU - Tejedor, R AU - Tejedor R FAU - Garcia-Garcia, C AU - Garcia-Garcia C FAU - Concha-Garzon, M J AU - Concha-Garzon MJ FAU - De las Heras-Alonso, M E AU - De las Heras-Alonso ME FAU - Martinez, M A AU - Martinez MA FAU - Juarez, C AU - Juarez C FAU - Munoz-Calleja, C AU - Munoz-Calleja C LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140728 PL - England TA - J Eur Acad Dermatol Venereol JT - Journal of the European Academy of Dermatology and Venereology : JEADV JID - 9216037 RN - 0 (Apoptosis Regulatory Proteins) RN - 0 (Autoantibodies) RN - 0 (CADM-140 peptide, human) RN - 0 (Intercellular Signaling Peptides and Proteins) RN - 0 (Nuclear Proteins) RN - 0 (Peptides) RN - 0 (TIAF1 protein, human) RN - Amyopathic dermatomyositis SB - IM MH - Adult MH - Aged MH - Apoptosis Regulatory Proteins/*immunology MH - Autoantibodies/*immunology MH - Dermatomyositis/diagnosis/*immunology MH - Female MH - Humans MH - Intercellular Signaling Peptides and Proteins MH - Male MH - Middle Aged MH - Nuclear Proteins/*immunology MH - Peptides/*immunology MH - Spain EDAT- 2014/07/30 06:00 MHDA- 2015/12/15 06:00 CRDT- 2014/07/29 06:00 PHST- 2013/12/16 00:00 [received] PHST- 2014/05/13 00:00 [accepted] PHST- 2014/07/29 06:00 [entrez] PHST- 2014/07/30 06:00 [pubmed] PHST- 2015/12/15 06:00 [medline] AID - 10.1111/jdv.12591 [doi] PST - ppublish SO - J Eur Acad Dermatol Venereol. 2015 Mar;29(3):482-9. doi: 10.1111/jdv.12591. Epub 2014 Jul 28.