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This book attempts to organize the knowledge collected by those who have extensively studied autoimmune diseases (ADs) into a comprehensive overview of how the immune system, governed by its own complex yet limited pathways, turns against self targeting distinct tissues in different conditions according to a balance determined by the genetic predisposition of the host, its gender, environmental circumstances and other co-factors that modify the outcomes of a similar pathological process (…).
Contents
- Icons used in this book
- Preface
- Section I. Introduction to immunology and molecular biology
- 1. Gene expression and regulationSandra Ramírez-Clavijo and Gladis Montoya-Ortíz.
- 2. Innate immune systemBeatriz Aristizábal and Ángel González.
- 3. Toll-like receptors and autoimmunityGloria Vásquez and Soraya Zorro.
- 4. The complement systemRafael Parra-Medina, Paula Quintero-Ronderos, and Édgar Garavito Rodríguez.
- Introduction
- The complement cascade
- The complement regulatory factors
- The complement receptors
- The complement system and adaptive immunity
- The complement system and infectious diseases
- The complement system and dead cell clearance
- The complement system and diseases
- The complement system and atherosclerosis
- The complement system and ischemia-reperfusion injury
- The complement system and neurodegenerative diseases
- The complement system and osteoarthritis
- The complement system and allergy
- The complement system and cancer
- The complement system and autoimmune diseases
- The complement system and therapeutic target
- References
- 5. Introduction to T and B lymphocytesR Luz Elena Cano and H. Damaris E. Lopera.
- 6. B lymphocytes in autoimmunityJorge H. Izquierdo, Carlos A. Cañas, and Gabriel J. Tobón.
- 7. T lymphocytes in autoimmunityAlejandro Ruiz-Argüelles.
- Introduction
- Generation of T cell receptors
- Immunologic tolerance
- Mechanisms of tolerance
- Role of co-stimulatory signals in maintenance and breakdown of self-tolerance
- Pathogenetic role of T cells in autoimmunity
- Pathogenic role of autoreactive CD8+ T cells
- Cross-tolerance and autoreactive CD8+T cells
- Antigen driven-dendritic cell activation in autoimmunity
- References
- 8. Are autoimmune diseases autoimmune epithelitis?Édgar Garavito Rodríguez and Grégory Alfonso García Morán.
- Are autoimmune diseases considered autoimmune epithelitis?
- Epithelium as the most representative of all tissues present within the animal kingdom
- Epithelium as the entrance point for microorganisms
- The majority of organs and tissues affected by autoimmune diseases have fenestrate capillaries
- Epithelial tissues are the ones which suffer the most apoptosis
- Epithelium as a target of viral infection
- Viral infection associated with autoimmune disease
- Epithelial cells act as antigen presenting cells
- Epithelial cells select the repertoire of T lymphocytes within the thymus
- The epithelium is frequently compromised by autoimmune polyglandular syndromes
- Epigenetics and autoimmunity: Is the epithelial cell an epigenetic target? What are the implications of that?
- References
- 9. Cytokines, chemokines and growth factorsGrégory Alfonso García Morán, Rafael Parra-Medina, Ananías García Cardona, Paula Quintero-Ronderos, and Édgar Garavito Rodríguez.
- Introduction
- Fundamental classification
- Cytokines and cytokine-receptors general characteristics and properties
- Cytokines, cytokine receptors, and their signaling pathways specific characteristics and properties
- Cytokine family signaling through class II cytokine receptors (IL-10/IFN superfamily)
- Cytokine family signaling through immunoglobulin cytokine receptor superfamily
- Cytokines families signaling through immunoglobulin cytokine receptors superfamily non-receptor tyrosine-kinase (RTK)-class
- Cytokines from TNF Family signal through TNF receptor family, other cytokines with TNF-domains and non TNF-ligands
- Chemokine superfamily
- Orphan or other cytokine family members
- References
- Suggested bibliographic sources
- 10. Major histocompatibility complex: Antigen processing and presentationPaola Cruz-Tapias, John Castiblanco, and Juan-Manuel Anaya.
- 11. ImmunosenescenceGladis Montoya-Ortíz.
- 12. The endocrine system and autoimmunityLuis J. Jara, Gabriela Medina, Stephanie Voorduin, Griselda Romero-Sánchez, Miguel A. Saavedra, and Olga Vera-Lastra.
- Introduction
- Immune-neuro-endocrine interaction and risk of developing an autoimmune disease
- Immune–neuro-endocrine interaction in rheumatoid arthritis
- Immune-neuro-endocrine interaction in systemic lupus erythematosus
- Immune neuroendocrine interaction in autoimmune uveitis
- Circadian rhythm from hormones and cytokines in health/disease processes
- Concluding remarks
- Abbreviation list
- References
- 13. Cell DeathLuisa Marina Matheus Merino, Rafael Parra-Medina, Mónica Ararat Sarria, and Jaime Alberto Díaz Galvis.
- 1. Gene expression and regulation
- Section II. From the mosaic of autoimmunity to the autoimmune tautology
- 14. From the Mosaic of Autoimmunity to the Autoimmune TautologyJuan-Manuel Anaya, Adriana Rojas-Villarraga, and Yehuda Shoenfeld.
- 15. Evolution and AutoimmunityCarlos A. Cañas, Fabio Bonilla-Abadía, and Gabriel J. Tobón.
- Introduction
- Evolutionary theories that may explain autoimmune phenomena development in humans
- Influence of the first form of evolutionary memory on the autoimmune phenomena
- Influence of the second form of evolutionary memory in autoimmune phenomena
- Influence of the third form of evolutionary memory in the autoimmune phenomena
- Influence of the fourth form of evolutionary memory in the autoimmune phenomena
- Conclusion
- References
- 16. Introduction to Genetics of Autoimmune DiseasesJohn Castiblanco, Mauricio Arcos-Burgos, and Juan-Manuel Anaya.
- 17. HLA Association with Autoimmune DiseasesPaola Cruz-Tapias, John Castiblanco, and Juan-Manuel Anaya.
- 18. Non-HLA genes and autoimmune diseasesJuan-Manuel Anaya, John Castiblanco, and Christopher J. Lessard.
- 19. Infection and autoimmune diseasesMaría-Teresa Arango, Yehuda Shoenfeld, Ricard Cervera, and Juan-Manuel Anaya.
- 20. Autoimmune ecologyAdriana Rojas-Villarraga, Juan Castellanos-de la Hoz, Oscar M. Pérez-Fernández, Jenny Amaya-Amaya, Juan-Sebastián Franco, and Juan-Manuel Anaya.
- 21. Molecular mimicry in autoimmunity and vaccinationsMiri Blank, Eitan Israeli, Smadar Gertel, Howard Amital, and Yehuda Shoenfeld.
- 22. Epigenetics and autoimmune diseasesPaula Quintero-Ronderos and Gladis Montoya-Ortíz.
- 23. Immunological computationGerardo Quintana López, Luis Antonio Morales, and Luis Fernando Niño.
- 14. From the Mosaic of Autoimmunity to the Autoimmune Tautology
- Section III. Autoimmune Diseases
- 24. Rheumatoid arthritisJenny Amaya-Amaya, Adriana Rojas-Villarraga, Rubén D. Mantilla, and Juan-Manuel Anaya.
- 25. Systemic lupus erythematosusMario García-Carrasco, Claudia Mendoza Pinto, Juan Carlos Solís Poblano, Ivet Etchegaray Morales, Ricard Cervera, and Juan-Manuel Anaya.
- 26. Antiphospholipid syndromeMario García-Carrasco, Claudia Mendoza Pinto, César Jiménez Hernández, Juan Carlos Solís Poblano, Ivet Etchegaray Morales, and Socorro Méndez Martínez.
- 27. Systemic autoimmune diseases and pregnancyRoger A. Levy, Claudia Mendoza Pinto, Vinicius Domingues, Guilherme de Jesús, Mario García-Carrasco, Nilson Ramírez de Jesús, and Ricard Cervera.
- Introduction
- Antiphospholipid syndrome
- Systemic lupus erythematosus
- Rheumatoid arthritis
- Undifferentiated connective tissue disease
- Sjögren’s syndrome
- Systemic sclerosis
- Polymyositis and dermatomyositis
- Mixed connective tissue disease
- Systemic necrotizing vasculitides
- Takayasu’s arteritis
- Granulomatosis with angiitis
- Microscopic polyangiitis
- Churg-Strauss syndrome
- Behçet’s disease
- Disease modifying anti-rheumatic drugs and its use during pregnancy and breastfeeding
- References
- 28. Sjögren’s syndromeJuan Camilo Sarmiento-Monroy, Rubén D. Mantilla, Adriana Rojas-Villarraga, and Juan-Manuel Anaya.
- 29. Autoimmune diabetes mellitus (Type 1A)Andrés F. Echeverri and Gabriel J. Tobón.
- 30. Thyroid disease and autoimmune diseasesJuan-Sebastián Franco, Jenny Amaya-Amaya, and Juan-Manuel Anaya.
- 31. Autoimmune hepatitisNazarena Ferreyra Solari and Alejandra Claudia Cherñavsky.
- 32. Primary biliary cirrhosisDahyana Cadavid, Andrés F. Echeverri, and Carlos A. Cañas.
- 33. Celiac diseaseRafael Parra-Medina and Alejandra Claudia Cherñavsky.
- 34. Dermatological autoimmune diseasesEsperanza Ávalos-Díaz and Rafael Herrera Esparza.
- 35. Systemic sclerosisPaola Ximena Coral-Alvarado, Paul Alejandro Méndez Patarroyo, and Gerardo Quintana López.
- 36. Systemic vasculitisAna Beatriz Santos Bacchiega, Manuella Lima Gomes Ochtrop, and Alexandre W S de Souza.
- Introduction
- Classification of vasculitis
- Pathogenesis
- Approach to the patient with suspected vasculitis
- Disease activity assessment
- Giant cell arteritis
- Takayasu arteritis
- Polyarteritis nodosa
- Kawasaki disease
- Cryoglobuilinemic vasculitis
- Anca-associated vasculitis (AAV)
- Iga vasculitis (henoch-schönlein purpura)
- Hypersensitivity vasculitis
- Behçet’s disease
- Cogan syndrome
- Single-organ vasculitis
- Vasculitis associated with systemic disease
- Vasculitis mimics
- References
- 37. Autoimmune uveitisManuel J. Amador-Patarroyo, Alba Cristina Peñaranda, and María Teresa Bernal.
- 38. Cardiovascular involvement in autoimmune diseasesJenny Amaya-Amaya, Juan Camilo Sarmiento-Monroy, and Adriana Rojas-Villarraga.
- 39. Autoimmune diseases and cancerMichael Ehrenfeld.
- 40. The early autoimmune disease clinic. The case of rheumatoid arthritisCarlos E. Toro-Gutiérrez, Lorena Bejarano-Pineda, Juan Manuel Pino, Yiset Adriana Fernández, Alejandro López, León Felipe Jaramillo, and Álvaro Arbeláez-Cortés.
- 24. Rheumatoid arthritis
- Section IV. Innovative therapies
- 41. Intravenous immunoglobulin-customized therapyGisele Zandman-Goddard and Yehuda Shoenfeld.
- 42. Autologous peripheral hematopoietic stem cell transplantationÁlvaro Arbeláez-Cortés, Lorena Bejarano-Pineda, and Carlos E. Toro-Gutiérrez.
- Introduction
- Hematopoietic stem cell transplantation
- Types of HSCT
- Autologous peripheral hematopoietic stem cell transplantation (AHSCT)
- Stem cell collection
- Conditioning regimens
- Aplastic phase and engraftment
- Candidate selection
- Post-Transplant care
- Rational use and therapeutic mechanisms of HSCT in AD
- Preclinical data
- Clinical data
- Indications for autologous HSCT in ADs
- Results of HSCT in ADs
- Multiple sclerosis (MS)
- Systemic sclerosis (SSc)
- Systemic lupus erythematosus (SLE)
- Rheumatoid arthritis (RA)
- Juvenile idiopathic arthritis (JIA)
- Type 1 diabetes mellitus (T1D)
- Other ADs
- Complications of HSCT
- Conclusions
- References
- 43. RNAi and autoimmunityFelipe Cañas-Orduz, Gabriel J. Tobón, and Carlos A. Cañas.
- Introduction
- Types of RNAi
- RNAi precursor biogenesis
- Development of RNAis active forms from their pre-RNAi precursor
- Gene regulation of the RNAi
- Mechanisms of action of miRNA and siRNA
- RNAi and the immune system
- RNAi and autoimmune diseases
- miRNA and RA
- miRNA in SLE
- Other autoimmune diseases
- Conclusion
- References
- 44. Nanotechnology and autoimmunityArley Gómez López.
- 41. Intravenous immunoglobulin-customized therapy
- Section V. Basic principles of laboratory
- 45. Cell culture and cell analysisMaría-Teresa Arango, Paula Quintero-Ronderos, John Castiblanco, and Gladis Montoya-Ortíz.
- 46. Analysis of nucleic acidsPaola Cruz-Tapias, John Castiblanco, Nidia E. Correa, and Gladis Montoya-Ortíz.
- 47. A primer on current and common sequencing technologiesJohn Castiblanco.
- 48. Analysis of proteins and antibodiesPaula Quintero-Ronderos, María-Teresa Arango, John Castiblanco, Nidia E. Correa, and Gladis Montoya-Ortíz.
- 49. Epigenetic tools in autoimmune diseasesPaula Quintero-Ronderos, Marcela Burgos, and Gladis Montoya-Ortíz.
- 45. Cell culture and cell analysis
- Contributors
Juan-Manuel Anaya, MD, PhD. Director of the Center for Autoimmune Diseases Research (CREA) at the School of Medicine and Health Sciences, Universidad del Rosario, and Méderi Hospital Universitario Mayor in Bogota, Colombia. His research interests include both clinical and translational aspects of immunogenetics of autoimmune diseases. He focuses his research on the identification of common physiopathological mechanisms of these diseases. He has authored more than 200 scientific articles and served as Senior Editor of major books and journals in the field of rheumatology and autoimmunity. Professor Anaya is a member of several scientific societies including the National Academy of Medicine of Colombia.
Yehuda Shoenfeld, MD, FRCP (UK). Founder and head of the Zabludowicz Center for Autoimmune Diseases at the Sheba Medical Center, which is affiliated with the Sackler Faculty of Medicine at Tel-Aviv University in Israel. Professor Shoenfeld is the Incumbent of the Laura Schwarz-Kipp Chair for Research of Autoimmune Diseases at Tel-Aviv University. He is also Visiting Professor at the Universidad del Rosario, in Bogota, Colombia. His clinical and scientific work focuses on autoimmune and rheumatic diseases. He has published more than 1,700 papers in the most highly reputed journals and authored and edited 25 books, some of which became cornerstones in science and clinical practice. He is on the editorial board of 43 journals in the field of rheumatology and autoimmunity and is the founder and editor of the IMAJ (Israel Medical Association Journal) as well as the founder and editor of “Autoimmunity Reviews” and Co-Editor of “Journal of Autoimmunity.” He has organized over 20 international congresses on autoimmunity. Professor Shoenfeld received the EULAR prize in 2005, the gold medal from the Slovak Society of Physicians for his contribution to Israel – Slovakia collaboration (March 2006), and the Nelson’s Prize for Humanity and Science for 2008. He has recently been awarded a Life Contribution Prize in Internal Medicine in Israel, 2012. Professor Shoenfeld has educated a long list of students who have become heads of departments and institutes.
Adriana Rojas-Villarraga, MD. Coordinator of the Center for Autoimmune Diseases Research (CREA) at the School of Medicine and Health Sciences, Universidad del Rosario, and Méderi Hospital Universitario Mayor in Bogota, Colombia. Her major areas of research are clinical manifestations and immunogenetics of autoimmune diseases as well as rheumatological musculoskeletal imagenology. She has published more than 50 scientific articles in her research fields of interest and in clinical epidemiology. Professor Rojas-Villarraga also leads the Translational Medicine Group at the CREA.
Roger A. Levy, MD, PhD. Professor of Rheumatology at The State University of Rio de Janeiro, Brazil. Professor Levy holds positions on a number of editorial boards. He has organized several international meetings. He is currently coordinating the vasculopathy committee of the Brazilian Society of Rheumatology and chaired the XIV International Antiphospholipid Congress (APLA) and the Latin American Congress of Autoimmunity (LACA) in Rio de Janeiro in 2013. His research is based on the clinical and immunological aspects of systemic lupus erythematosus, antiphospholipid syndrome, Sjögren’s syndrome, and pregnancy in rheumatic patients. He has published over 80 articles in medical journals, over 100 abstracts, and more than 20 book chapters.
Ricard Cervera, MD, PhD, FRCP (UK). Head of the Department of Autoimmune Diseases, Hospital Clínic de Barcelona, Barcelona, Spain, Director of the Research Group on Systemic Autoimmune Diseases at the Institut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS) in Barcelona, and as Associate Professor at the Department of Medicine, Universitat de Barcelona, Barcelona, Spain. He is also Visiting Professor at the Universidad del Rosario, Bogota, Colombia. He is the coordinator of the EuroLupus Project and of the European Working Party on Systemic Lupus Erythematosus. Among other awards, he has received the Prizes of the 5th European Conference on Systemic Lupus Erythematosus, EULAR 2003, and EULAR 2005. Professor Cervera has published more than 500 scientific papers, including original articles at prestigious journals. He is the coeditor of more than 25 books on Autoimmunity and related conditions. He is also a member of the editorial boards of several medical journals. His current major research interest includes clinical and epidemiological aspects of systemic autoimmune diseases, particularly systemic lupus erythematosus and the antiphospholipid syndrome.
Center for Autoimmune Diseases Research, CREA Texts Collection, School of Medicine and Health Sciences, El Rosario University
© 2013 Editorial Universidad del Rosario
© 2013 Juan-Manuel Anaya, Yehuda Shoenfeld, Adriana Rojas-Villarraga, Roger A. Levy, Ricard Cervera.
© 2013 Alba Cristina Peñaranda, Alejandra Claudia Cherñavsky, Alejandro López, Alejandro Ruiz-Argüelles, Alexandre W S de Souza, Álvaro Arbeláez-Cortés, Ana Beatriz Santos Bacchiega, Ananías García Cardona, Andrés F. Echeverri, Ángel González, Arley Gómez López, Beatriz Aristizábal, Carlos A. Cañas, Carlos E. Toro-Gutiérrez, César Jiménez Hernández, Christopher J. Lessard, Claudia Mendoza Pinto, Dahyana Cadavid, Damaris E. Lopera H, Édgar Garavito Rodríguez, Eitan Israeli, Esperanza Ávalos-Díaz, Fabio Bonilla-Abadía, Felipe Cañas-Orduz, Gabriel J. Tobón, Gabriela Medina, Gerardo Quintana López, Gisele Zandman-Goddard, Gladis Montoya-Ortíz, Gloria Vásquez, Grégory Alfonso García Morán, Griselda Romero-Sánchez, Guilherme de Jesús, Howard Amital, Ivet Etchegaray Morales, Jaime Alberto Díaz Galvis, Jenny Amaya-Amaya, John Castiblanco, Jorge H. Izquierdo, Juan Camilo Sarmiento-Monroy, Juan Carlos Solís Poblano, Juan Castellanos-de la Hoz, Juan Manuel Pino, Juan-Sebastián Franco, León Felipe Jaramillo, Lorena Bejarano-Pineda, Luis Antonio Morales, Luis Fernando Niño, Luis J. Jara, Luisa Marina Matheus Merino, Luz Elena Cano R, Manuel J. Amador-Patarroyo, Marcela Burgos, María Teresa Bernal, María-Teresa Arango, Mario García-Carrasco, Manuella Lima Gomes Ochtrop, Mauricio Arcos-Burgos, Michael Ehrenfeld, Miguel A. Saavedra, Miri Blank, Mónica Ararat Sarria, Nazarena Ferreyra Solari, Nidia E. Correa, Nilson Ramírez de Jesús, Olga Vera- Lastra, Oscar M. Pérez-Fernández, Paola Cruz-Tapias, Paola Ximena Coral-Alvarado, Paul Alejandro Méndez Patarroyo, Paula Quintero-Ronderos, Rafael Herrera Esparza, Rafael Parra-Medina, Rubén D. Mantilla, Sandra Ramírez-Clavijo, Smadar Gertel, Socorro Méndez Martínez, Soraya Zorro, Stephanie Voorduin, Vinicius Domingues, Yiset Adriana Fernández.
© 2013 Francesco M. Marincola, MD, FACS. Preface
First Edition: Bogota D.C., September 2013
Editorial Coordination: El Rosario University Press
Proofreader: Cecile Dunn
Graphic Design: Elizabeth E. Cruz Tapias
Images: Elizabeth E. Cruz Tapias
Cover Desing: Miguel Ramírez, Kilka DG.
Special Images: The pathogenesis of the Antiphospholipid Syndrome, Bill Giannakopoulos, Steven A. Krilis, Volume No. 368. Copyright © 2013.
Massachusetts Medical Society. Reprinted with permission from Massachusetts Medical Society.”
Macmillan Publishers Ltd on behalf of Cancer Research UK: Nature Reviews Rheumatology, Topical and systemic medicators for the treatment of primary Sjogren’s syndrome. Copyright © 2013.
The IMGT/HLA database. Nucleic acids research. Robinson J, et al. copyright © 2013.
BMC Genomics. The human genome: a multifractal analysis. Copyright © 2011.
Macmillan Publishers Ltd. From: Raychaudhuri S, et al. Five amino acids in three HLA proteins explain most of the association between MHC and seropositive rheumatoid arthritis. Nature genetics. 44: 291–6, copyright (2012).
Impression: Imos Gráfica e Editora Ltda.
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Autoimmunity. From Bench to Bedside / Editors Juan-Manuel Anaya… [and others]; preface, Francesco M. Marincola.-- Bogota: El Rosario University Press. School of de Medicine and Health Sciences, CREA.
xiv, 856 pages: ill.—(Texts Collection)
ISBN: 978-958-738-366-9 (Paper)
ISBN: 978-958-738-376-8 (Digital)
Immunology / Molecular Biology / Tautology / Autoimmune Diseases – Diagnosis and Treatment / Clinical Laboratories / Tests Laboratory / Genetics / I. Anaya, Juan-Manuel / II. Shoenfeld, Yehuda / III. Rojas-Villarraga, Adriana / IV. Levy, Roger A. / V. Cervera, Ricard Title / VI. Marincola M., Francesco, preface / VII. Title / VIII. Series.
616.079 SCDD 20
Source Catalog – El Rosario University. Library
amv July 18, 2013
Made in Colombia
All rights reserved. No part of this publication may be reproduced without prior written permission from El Rosario University Press.
“In the end, we only have what we have given”
Isabel Allende
In “Ines of my Soul”
“Everything is autoimmune until proven otherwise”
Yehuda Shoenfeld
“EDITORIAL UNIVERSIDAD DEL ROSARIO” 15 años

This book was written in Open Sans font, size 9, it was printed on Propal paper 70 gr, and bound with Hot-Melt, on September 2013, Bogota D.C., Colombia.
This book strikes a great balance at the experimental and translational intersection in presenting cutting edge views of ADs in the broader context of autoimmunology”.
Francesco M. Marincola, MD, FACS.
[From the Preface]
The CREA Collection of “Universidad del Rosario” offers to the medical community and related areas, texts on translational autoimmunity, by which new and relevant biomedical discoveries are applied to autoimmune diseases, in their prediction, diagnosis improvement, treatment, prognosis, and prevention.
- NLM CatalogRelated NLM Catalog Entries
- AutoimmunityAutoimmunity
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