Clinical Study

Spondyloarthropathies in Autoimmune Diseases and Vice Versa

Table 1

Classification criteria for autoimmune diseases in humans. Comparison between ADs and autoinflammatory diseases.

Diseases
SLERASSASPsAIBD

Direct proofAntibody-mediatedCirculating ABs which alter the function+++
Localized ABs+++
IC located at lesion++++
Passive transference++
Cells-mediatedIn vitro T-cell proliferation in respond to autoantigen+
In vitro T-cell transference to immune-deficient mice+
In vitro T-cell cytotoxicity against target organ cells+++

Indirect proofDisease reproduction by experimental immunization++++++
Disease reproduction by idiotypes+++
Spontaneous animal models++++++
Animal models produced by immune system deregulation++++++

Circumstantial evidenceAuto-ABs+++
Other AD association+++++
HLA association ++++++
Lymphocytic infiltration in target organ+++++
Good response to immune suppression++++++

AS: ankylosing spondylitis, PsA: psoriatic arthritis, IBD: inflammatory bowel disease, SS: Sjögren’s syndrome, RA: rheumatoid arthritis, SLE: systemic lupus erythematosus, AD: autoimmune disease, ABs: antibodies, and IC: immune complexes.