PMID- 33330547 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201218 IS - 2296-858X (Print) IS - 2296-858X (Electronic) IS - 2296-858X (Linking) VI - 7 DP - 2020 TI - Classical Disease-Specific Autoantibodies in Systemic Sclerosis: Clinical Features, Gene Susceptibility, and Disease Stratification. PG - 587773 LID - 10.3389/fmed.2020.587773 [doi] LID - 587773 AB - Systemic sclerosis (SSc) is an autoimmune disease characterized by abnormalities in microcirculation, extracellular matrix accumulation, and immune activation. Autoantibodies are markers of immune abnormalities and provide diagnostic and predictive value in SSc. Anti-topoisomerase antibodies (ATAs), anticentromere antibodies (ACAs), and anti-RNA polymerase antibodies (ARAs) are the three classical specific antibodies with the highest availability and stability. In this review, we provide an overview of the recent progress in SSc research with respect to ATAs, ACAs, and ARAs, focusing on their application in distinguishing clinical phenotypes, such as malignancy and organ involvement, identifying genetic background in human leukocyte antigen (HLA) or non-HLA alleles, and their potential roles in disease pathogenesis based on the effects of antigen-antibody binding. We finally summarized the novel analysis using ATAs, ACAs, and ARAs on more detailed disease clusters. Considering these advantages, this review emphasizes that classical SSc-specific autoantibodies are still practical and have the potential for patient and risk stratification with applications in precise medicine for SSc. CI - Copyright (c) 2020 Yang, Tang, Zhu, Ding and Qiao. FAU - Yang, Changyi AU - Yang C AD - Department of Dermatology, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China. FAU - Tang, Shunli AU - Tang S AD - Department of Dermatology, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China. FAU - Zhu, Dingxian AU - Zhu D AD - Department of Dermatology, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China. FAU - Ding, Yingguo AU - Ding Y AD - Department of Dermatology, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China. FAU - Qiao, Jianjun AU - Qiao J AD - Department of Dermatology, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China. LA - eng PT - Journal Article PT - Review DEP - 20201119 PL - Switzerland TA - Front Med (Lausanne) JT - Frontiers in medicine JID - 101648047 PMC - PMC7710911 OTO - NOTNLM OT - anti-RNA polymerase antibodies OT - anti-topoisomerase antibodies OT - anticentromere antibodies OT - clinical manifestations OT - disease stratification OT - gene OT - systemic sclerosis EDAT- 2020/12/18 06:00 MHDA- 2020/12/18 06:01 PMCR- 2020/11/19 CRDT- 2020/12/17 05:54 PHST- 2020/07/27 00:00 [received] PHST- 2020/10/08 00:00 [accepted] PHST- 2020/12/17 05:54 [entrez] PHST- 2020/12/18 06:00 [pubmed] PHST- 2020/12/18 06:01 [medline] PHST- 2020/11/19 00:00 [pmc-release] AID - 10.3389/fmed.2020.587773 [doi] PST - epublish SO - Front Med (Lausanne). 2020 Nov 19;7:587773. doi: 10.3389/fmed.2020.587773. eCollection 2020.