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Autoimmune polyendocrinopathy

MedGen UID:
39042
•Concept ID:
C0085409
•
Disease or Syndrome
Synonyms: Autoimmune Polyendocrinopathy; Polyendocrinopathies, Autoimmune; Polyendocrinopathy, Autoimmune
SNOMED CT: Lloyd's syndrome (41864002); Polyendocrine autoimmunity syndrome (41864002); Autoimmune polyglandular failure (41864002); APS - autoimmune polyglandular syndrome (41864002); Autoimmune polyendocrinopathy (41864002); Polyglandular autoimmune syndrome (41864002); Autoimmune polyglandular syndrome (41864002)
 
Monarch Initiative: MONDO:0017278
Orphanet: ORPHA282196

Definition

A group of rare endocrine diseases characterized by autoimmune activity against more than one endocrine organ, with possible additional involvement of non-endocrine organs. Autoimmunity is typically directed against different target antigens in different tissues. The two more common autoimmune polyendocrine syndromes (APS), APS type 1 and type 2, have a strong genetic background and have Addison's disease as a major feature. The group furthermore includes APS type 3 and type 4. [from ORDO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVAutoimmune polyendocrinopathy
Follow this link to review classifications for Autoimmune polyendocrinopathy in Orphanet.

Professional guidelines

PubMed

APECED-Associated Hepatitis: Clinical, Biochemical, Histological and Treatment Data From a Large, Predominantly American Cohort.
Chascsa DM, Ferré EMN, Hadjiyannis Y, Alao H, Natarajan M, Quinones M, Kleiner DE, Simcox TL, Chitsaz E, Rose SR, Hallgren A, Kampe O, Marko J, Ali RO, Auh S, Koh C, Belkaid Y, Lionakis MS, Heller T
Hepatology 2021 Mar;73(3):1088-1104. doi: 10.1002/hep.31421. PMID: 32557834Free PMC Article
Anti-interferon alpha treatment in SLE.
Kirou KA, Gkrouzman E
Clin Immunol 2013 Sep;148(3):303-12. Epub 2013 Mar 1 doi: 10.1016/j.clim.2013.02.013. PMID: 23566912
Diagnosis and management of polyendocrinopathy syndromes.
Owen CJ, Cheetham TD
Endocrinol Metab Clin North Am 2009 Jun;38(2):419-36, x. doi: 10.1016/j.ecl.2009.01.007. PMID: 19328420

Recent clinical studies

Etiology

Human autoantibodies neutralizing type I IFNs: From 1981 to 2023.
Bastard P, Gervais A, Le Voyer T, Philippot Q, Cobat A, Rosain J, Jouanguy E, Abel L, Zhang SY, Zhang Q, Puel A, Casanova JL
Immunol Rev 2024 Mar;322(1):98-112. Epub 2024 Jan 9 doi: 10.1111/imr.13304. PMID: 38193358Free PMC Article
Association pernicious anemia and autoimmune polyendocrinopathy: a retrospective study.
Zulfiqar AA, Andres E
J Med Life 2017 Oct-Dec;10(4):250-253. PMID: 29362601Free PMC Article
Chronic Candidiasis in Children.
Green L, Dolen WK
Curr Allergy Asthma Rep 2017 May;17(5):31. doi: 10.1007/s11882-017-0699-9. PMID: 28429308
Gastrointestinal manifestations in APECED syndrome.
Kluger N, Jokinen M, Krohn K, Ranki A
J Clin Gastroenterol 2013 Feb;47(2):112-20. doi: 10.1097/MCG.0b013e31827356e1. PMID: 23314667
Autoimmune polyendocrinopathy--candidiasis--ectodermal dystrophy (APECED).
Perheentupa J
Horm Metab Res 1996 Jul;28(7):353-6. doi: 10.1055/s-2007-979814. PMID: 8858385

Diagnosis

Human autoantibodies neutralizing type I IFNs: From 1981 to 2023.
Bastard P, Gervais A, Le Voyer T, Philippot Q, Cobat A, Rosain J, Jouanguy E, Abel L, Zhang SY, Zhang Q, Puel A, Casanova JL
Immunol Rev 2024 Mar;322(1):98-112. Epub 2024 Jan 9 doi: 10.1111/imr.13304. PMID: 38193358Free PMC Article
Autoimmune Polyendocrinopathy.
Frommer L, Kahaly GJ
J Clin Endocrinol Metab 2019 Oct 1;104(10):4769-4782. doi: 10.1210/jc.2019-00602. PMID: 31127843
Lessons from primary immunodeficiencies: Autoimmune regulator and autoimmune polyendocrinopathy-candidiasis-ectodermal dystrophy.
Constantine GM, Lionakis MS
Immunol Rev 2019 Jan;287(1):103-120. doi: 10.1111/imr.12714. PMID: 30565240Free PMC Article
Autoimmune polyendocrinopathy candidiasis ectodermal dystrophy.
Kisand K, Peterson P
J Clin Immunol 2015 Jul;35(5):463-78. Epub 2015 Jul 5 doi: 10.1007/s10875-015-0176-y. PMID: 26141571
Anticytokine autoantibody-associated immunodeficiency.
Browne SK
Annu Rev Immunol 2014;32:635-57. Epub 2014 Feb 5 doi: 10.1146/annurev-immunol-032713-120222. PMID: 24499273

Therapy

JAK Inhibition Immunotherapy for APS-1.
Su MA
N Engl J Med 2024 May 30;390(20):1918-1921. doi: 10.1056/NEJMe2403419. PMID: 38810191
Chronic Mucocutaneous Candidiasis in Autoimmune Polyendocrine Syndrome Type 1.
Humbert L, Cornu M, Proust-Lemoine E, Bayry J, Wemeau JL, Vantyghem MC, Sendid B
Front Immunol 2018;9:2570. Epub 2018 Nov 19 doi: 10.3389/fimmu.2018.02570. PMID: 30510552Free PMC Article
IL-17 and infections.
Ling Y, Puel A
Actas Dermosifiliogr 2014 Oct;105 Suppl 1:34-40. doi: 10.1016/S0001-7310(14)70016-X. PMID: 25398490
Anti-interferon alpha treatment in SLE.
Kirou KA, Gkrouzman E
Clin Immunol 2013 Sep;148(3):303-12. Epub 2013 Mar 1 doi: 10.1016/j.clim.2013.02.013. PMID: 23566912
The autoimmune polyendocrinopathy-candidiasis-ectodermal dystrophy or autoimmune polyglandular syndrome type 1.
Lankisch TO, Jaeckel E, Strassburg CP
Semin Liver Dis 2009 Aug;29(3):307-14. Epub 2009 Aug 12 doi: 10.1055/s-0029-1233535. PMID: 19676003

Prognosis

Identification of unstable regulatory and autoreactive effector T cells that are expanded in patients with FOXP3 mutations.
Borna Š, Lee E, Nideffer J, Ramachandran A, Wang B, Baker J, Mavers M, Lakshmanan U, Narula M, Garrett AK, Schulze J, Olek S, Marois L, Gernez Y, Bhatia M, Chong HJ, Walter J, Kitcharoensakkul M, Lang A, Cooper MA, Bertaina A, Roncarolo MG, Meffre E, Bacchetta R
Sci Transl Med 2023 Dec 20;15(727):eadg6822. doi: 10.1126/scitranslmed.adg6822. PMID: 38117899Free PMC Article
Autoimmune polyendocrinopathy candidiasis ectodermal dystrophy.
Kisand K, Peterson P
J Clin Immunol 2015 Jul;35(5):463-78. Epub 2015 Jul 5 doi: 10.1007/s10875-015-0176-y. PMID: 26141571
Gastrointestinal manifestations in APECED syndrome.
Kluger N, Jokinen M, Krohn K, Ranki A
J Clin Gastroenterol 2013 Feb;47(2):112-20. doi: 10.1097/MCG.0b013e31827356e1. PMID: 23314667
Polyglandular autoimmune syndrome type I.
Proust-Lemoine E, Saugier-Veber P, Wémeau JL
Presse Med 2012 Dec;41(12 P 2):e651-62. Epub 2012 Nov 23 doi: 10.1016/j.lpm.2012.10.005. PMID: 23182677
The genetic background of autoimmune polyendocrinopathy-candidiasis-ectodermal dystrophy and its autoimmune disease components.
Vogel A, Strassburg CP, Obermayer-Straub P, Brabant G, Manns MP
J Mol Med (Berl) 2002 Apr;80(4):201-11. Epub 2002 Feb 5 doi: 10.1007/s00109-001-0306-2. PMID: 11976729

Clinical prediction guides

Identification of unstable regulatory and autoreactive effector T cells that are expanded in patients with FOXP3 mutations.
Borna Š, Lee E, Nideffer J, Ramachandran A, Wang B, Baker J, Mavers M, Lakshmanan U, Narula M, Garrett AK, Schulze J, Olek S, Marois L, Gernez Y, Bhatia M, Chong HJ, Walter J, Kitcharoensakkul M, Lang A, Cooper MA, Bertaina A, Roncarolo MG, Meffre E, Bacchetta R
Sci Transl Med 2023 Dec 20;15(727):eadg6822. doi: 10.1126/scitranslmed.adg6822. PMID: 38117899Free PMC Article
Chronic Candidiasis in Children.
Green L, Dolen WK
Curr Allergy Asthma Rep 2017 May;17(5):31. doi: 10.1007/s11882-017-0699-9. PMID: 28429308
Ocular manifestations of autoimmune polyendocrinopathy syndrome type 1.
Couturier A, Brézin AP
Curr Opin Ophthalmol 2016 Nov;27(6):505-513. doi: 10.1097/ICU.0000000000000306. PMID: 27606815
IL-17 and infections.
Ling Y, Puel A
Actas Dermosifiliogr 2014 Oct;105 Suppl 1:34-40. doi: 10.1016/S0001-7310(14)70016-X. PMID: 25398490
The autoimmune polyendocrinopathy-candidiasis-ectodermal dystrophy or autoimmune polyglandular syndrome type 1.
Lankisch TO, Jaeckel E, Strassburg CP
Semin Liver Dis 2009 Aug;29(3):307-14. Epub 2009 Aug 12 doi: 10.1055/s-0029-1233535. PMID: 19676003

Recent systematic reviews

Clinical, immunological, and genetic features in 938 patients with autoimmune polyendocrinopathy candidiasis ectodermal dystrophy (APECED): a systematic review.
Sharifinejad N, Zaki-Dizaji M, Tebyanian S, Zainaldain H, Jamee M, Rizvi FS, Hosseinzadeh S, Fayyaz F, Hamedifar H, Sabzevari A, Matloubi M, Heropolitańska-Pliszka E, Aghamahdi F, Abolhassani H, Azizi G
Expert Rev Clin Immunol 2021 Aug;17(8):807-817. Epub 2021 Jun 3 doi: 10.1080/1744666X.2021.1925543. PMID: 33957837
Autoimmune Polyendocrinopathy.
Frommer L, Kahaly GJ
J Clin Endocrinol Metab 2019 Oct 1;104(10):4769-4782. doi: 10.1210/jc.2019-00602. PMID: 31127843
AIRE genetic variants and predisposition to polygenic autoimmune disease: The case of Graves' disease and a systematic literature review.
Colobran R, Giménez-Barcons M, Marín-Sánchez A, Porta-Pardo E, Pujol-Borrell R
Hum Immunol 2016 Aug;77(8):643-651. Epub 2016 Jun 4 doi: 10.1016/j.humimm.2016.06.002. PMID: 27266815

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