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Characterization of autoantibody anti-melanoma differentiation associated gene 5 (anti-MDA5) in patients with dermatomyositis and polymyositis

Grant number: 15/12628-0
Support Opportunities:Scholarships in Brazil - Scientific Initiation
Effective date (Start): October 01, 2015
Effective date (End): December 31, 2016
Field of knowledge:Health Sciences - Medicine - Medical Clinics
Principal Investigator:Samuel Katsuyuki Shinjo
Grantee:Isabela Bruna Pires Borges
Host Institution: Faculdade de Medicina (FM). Universidade de São Paulo (USP). São Paulo , SP, Brazil


The idiopathic inflammatory myopathies (IIM) are a heterogeneous group of chronic autoimmune disease, systemic, associated with high morbidity and functional disability. Considering the clinical and histopathological features, the MII can be classified into polymyositis (PM), dermatomyositis (DM), inclusion body myositis (IBM), among others. The cause of both DM and PM remains unknown, but is believed to be multifactorial involving genetic, immunological and environmental. Thus, the presence of lymphocytic infiltrates in muscle tissue in most patients with IIM, as well as myositis-specific autoantibodies and myositis-associated circulation and deposits in the endothelial cells of blood vessels found in muscle biopsies, strongly suggest the involvement of processes in the pathogenesis of IIM immune compromising muscle function. On the other hand, the description of these autoantibodies has allowed a better characterization of the diagnosis of IIM, and extrapolate their possible associations with clinical, immunogenic, evolution, and prognosis.Among these autoantibodies, the anti-melanoma differentiation associated gene 5 (MDA5) has been described only recently. Apparently this autoantibody correlates with (a) patients with clinically amyopathic DM who have rapidly progressive pulmonary involvement; (b) cutaneous lesions, articular, pulmonary involvements and/or worse prognosis of patients with IIM.However, to date, no reports of evaluation of the profile and the distribution of this autoantibody anti-MDA5 in the Brazilian population with DM / PM and its clinical association. Thus, it would be of interest to establish a comparison of the reactivity pattern of our patients with that already described in other populations.

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Scientific publications
(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)
PIRES BORGES, ISABELA BRUNA; SHINJO, SAMUEL KATSUYUKI. Safety of statin drugs in patients with dyslipidemia and stable systemic autoimmune myopathies. RHEUMATOLOGY INTERNATIONAL, v. 39, n. 2, p. 311-316, . (15/12628-0, 16/20371-1)
PIRES BORGES, ISABELA BRUNA; SILVA, MARILDA GUIMARES; MISSE, RAFAEL GIOVANE; SHINJO, SAMUEL KATSUYUKI. Lipid-lowering agent-triggered dermatomyositis and polymyositis: a case series and literature review. RHEUMATOLOGY INTERNATIONAL, v. 38, n. 2, p. 293-301, . (14/09079-1, 15/12628-0, 16/23574-0)
PIRES BORGES, ISABELA BRUNA; SILVA, MARILDA GUIMARAES; SHINJO, SAMUEL KATSUYUKI. Prevalence and reactivity of anti-melanoma differentiation-associated gene 5 (anti-MDA-5) autoantibody in Brazilian patients with dermatomyositis. ANAIS BRASILEIROS DE DERMATOLOGIA, v. 93, n. 4, p. 517-523, . (15/12628-0, 14/09079-1)

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