Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, University of Michigan.
Scleroderma Program, Division of Rheumatology, Department of Internal Medicine, University of Michigan.
Immunol Allergy Clin North Am. 2023 May;43(2):411-433. doi: 10.1016/j.iac.2023.01.012. Epub 2023 Mar 3.
Interstitial lung disease (ILD) complicates connective tissue disease (CTD) with variable incidence and is a leading cause of death in these patients. To improve CTD-ILD outcomes, early recognition and management of ILD is critical. Blood-based and radiologic biomarkers that assist in the diagnosis CTD-ILD have long been studied. Recent studies, including -omic investigations, have also begun to identify biomarkers that may help prognosticate such patients. This review provides an overview of clinically relevant biomarkers in patients with CTD-ILD, highlighting recent advances to assist in the diagnosis and prognostication of CTD-ILD.
间质性肺病(ILD)是结缔组织病(CTD)的并发症,其发病率存在差异,也是此类患者的主要致死原因。为改善 CTD-ILD 患者的预后,早期识别和管理ILD 至关重要。长期以来,人们一直在研究用于辅助诊断 CTD-ILD 的基于血液和影像学的生物标志物。最近的研究,包括组学研究,也开始鉴定可能有助于此类患者预后判断的生物标志物。本文综述了 CTD-ILD 患者中具有临床意义的生物标志物,重点介绍了有助于 CTD-ILD 诊断和预后判断的最新进展。