The ongoing quest for biomarkers in Ankylosing Spondylitis

Int J Rheum Dis. 2015 Nov;18(8):826-34. doi: 10.1111/1756-185X.12779. Epub 2015 Oct 15.

Abstract

Ankylosing Spondylitis poses significant challenges in terms of early diagnosis, assessment of disease activity, predicting response to the treatment and monitoring radiographic progression. With better understanding of underlying immunopathogenesis, effective targeted therapies are available which improve symptoms, quality of life and possibly slow the radiographic progression. There has been a growing interest in the discovery of biomarkers for defining various aspects of disease assessment and management in Ankylosing Spondylitis. The C-reactive protein and HLA-B27 are most commonly used biomarkers. This review describes many other newer biomarkers which have potential clinical applications in this chronic inflammatory disease.

Keywords: ankylosing spondylitis; biomarker; disease activity; inflammatory bowel disease; radiographic progression.

Publication types

  • Review

MeSH terms

  • Aminopeptidases / genetics*
  • Biomarkers / blood
  • Bone Remodeling
  • Chondrogenesis
  • Disease Progression
  • Genetic Markers
  • Genetic Predisposition to Disease
  • HLA-B27 Antigen / genetics*
  • Humans
  • Inflammation Mediators / blood*
  • Minor Histocompatibility Antigens
  • Phenotype
  • Predictive Value of Tests
  • Prognosis
  • Radiography
  • Spondylitis, Ankylosing / blood
  • Spondylitis, Ankylosing / diagnosis*
  • Spondylitis, Ankylosing / diagnostic imaging
  • Spondylitis, Ankylosing / genetics
  • Spondylitis, Ankylosing / immunology

Substances

  • Biomarkers
  • Genetic Markers
  • HLA-B27 Antigen
  • Inflammation Mediators
  • Minor Histocompatibility Antigens
  • Aminopeptidases
  • ERAP1 protein, human