Biomedicine and Chemical Sciences
2023, Volume 2, Issue 2 : 90-94 doi: https://doi.org/10.48112/bcs.v2i2.452
Research Article
Autoimmune Polyglandular Syndrome Type 1 An Illustrative Overview
Received
Feb. 2, 2023
Revised
Feb. 24, 2023
Accepted
Feb. 25, 2023
Published
April 1, 2023
Abstract

One of the rarest autoimmune diseases is the autoimmune polyglandular syndrome type 1 which is caused by defects in the AIRE gene leading to affection of several endocrine glands. Two out of three criteria are needed for diagnosis including hypoparathyroidism, adrenal insufficiency along with other non-endocrinal symptoms such as mucocutaneous candidiasis. Management of the condition is multidisciplinary with regular long-life follow-ups. Generally, there is a paucity of illustrative articles in literature about the pathogenesis and the main signs and symptoms of autoimmune polyglandular syndrome type 1 in a simplified manner which lead to the need for such articles. This article attempts to fill that void as an illustrative overview for the purpose of education and awareness about this condition because the early the treating physician can diagnose and accordingly treat the patient, the better the prognosis of the disease becomes with less morbidity and mortality rates.

Keywords
REFERENCES
  1. Ahonen, P., Myllärniemi, S., Sipilä, I., and Perheentupa, J. (1990). Clinical variation of autoimmune polyendocrinopathy-candidiasis-ectodermal dystrophy (APECED) in a series of 68 patients. The New England journal of medicine, 322(26), 1829–1836. https://doi.org/10.1056/NEJM199006283222601
  2. Alimohammadi, M., Björklund, P., Hallgren, Å., Pöntynen, N., Szinnai, G., Shikama, N., ... & Kämpe, O. (2008). Autoimmune polyendocrine syndrome type 1 and NALP5, a parathyroid autoantigen. New England Journal of Medicine, 358(10), 1018-1028. https://doi.org/10.1056/NEJMoa0706487
  3. Alimohammadi, M., Dubois, N., Sköldberg, F., Hallgren, Å., Tardivel, I., Hedstrand, H., ... & Carel, J. C. (2009). Pulmonary autoimmunity as a feature of autoimmune polyendocrine syndrome type 1 and identification of KCNRG as a bronchial autoantigen. Proceedings of the national academy of Sciences, 106(11), 4396-4401. https://doi.org/10.1073/pnas.0809986106
  4. Anderson, M. S., & Su, M. A. (2016). AIRE expands: new roles in immune tolerance and beyond. Nature reviews. Immunology, 16(4), 247–258. https://doi.org/10.1038/nri.2016.9
  5. Betterle, C., Greggio, N. A., and Volpato, M. (1998). Clinical review 93: Autoimmune polyglandular syndrome type 1. The Journal of clinical endocrinology and metabolism, 83(4), 1049–1055. https://doi.org/10.1210/jcem.83.4.4682
  6. Bjørklund, G., Pivin, M., Hangan, T., Yurkovskaya, O., & Pivina, L. (2022). Autoimmune polyendocrine syndrome type 1: Clinical manifestations, pathogenetic features, and management approach. Autoimmunity reviews, 21(8), 103135. https://doi.org/10.1016/j.autrev.2022.103135
  7. Brun J. M. (1982). Juvenile autoimmune polyendocrinopathy. Hormone research, 16(5), 308–316. https://doi.org/10.1159/000179519
  8. Bruserud, Ø., Oftedal, B. E., Landegren, N., Erichsen, M. M., Bratland, E., Lima, K., ... & Husebye, E. S. (2016). A longitudinal follow-up of autoimmune polyendocrine syndrome type 1. The Journal of Clinical Endocrinology & Metabolism, 101(8), 2975-2983. https://doi.org/10.1210/jc.2016-1821
  9. Chen, J., Lu, T., Liu, C., Zhao, Y., Huang, A., Hu, X., Li, M., Xiang, R., Feng, M., and Lu, H. (2021). Autoimmune polyglandular syndrome type 1 with diabetes insipidus: a case report. BMC endocrine disorders, 21(1), 154. https://doi.org/10.1186/s12902-021-00822-6
  10. Garelli, S., Dalla Costa, M., Sabbadin, C., Barollo, S., Rubin, B., Scarpa, R., ... & Betterle, C. (2021). Autoimmune polyendocrine syndrome type 1: an Italian survey on 158 patients. Journal of endocrinological investigation, 44(11), 2493-2510. https://doi.org/10.1007/s40618-021-01585-6
  11. Husebye, E. S., Anderson, M. S., & Kämpe, O. (2018). Autoimmune Polyendocrine Syndromes. The New England journal of medicine, 378(12), 1132–1141. https://doi.org/10.1056/NEJMra1713301
  12. Husebye, E. S., Perheentupa, J., Rautemaa, R., and Kämpe, O. (2009). Clinical manifestations and management of patients with autoimmune polyendocrine syndrome type I. Journal of internal medicine, 265(5), 514–529. https://doi.org/10.1111/j.1365-2796.2009.02090.x
  13. Jacobson, J. D., Broussard, J. R., Marsh, C., and Newell, B. (2021). Attenuation of Autoimmune Phenomena in a Patient with Autoimmune Polyglandular Syndrome Type 1. Case reports in endocrinology, 2021, 6009141. https://doi.org/10.1155/2021/6009141
  14. Kisand, K., & Peterson, P. (2015). Autoimmune polyendocrinopathy candidiasis ectodermal dystrophy. Journal of clinical immunology, 35(5), 463–478. https://doi.org/10.1007/s10875-015-0176-y
  15. Landegren, N., Sharon, D., Shum, A. K., Khan, I. S., Fasano, K. J., Hallgren, Å., ... & Kämpe, O. (2015). Transglutaminase 4 as a prostate autoantigen in male subfertility. Science translational medicine, 7(292), 292ra101-292ra101. https://doi.org/10.1126/scitranslmed.aaa9186
  16. Moffett, J. M., & Suliburk, J. (2011). Parathyroid autotransplantation. Endocrine practice, 17, 83-89. https://doi.org/10.4158/EP10377.RA
  17. Neufeld, M., Maclaren, N. K., and Blizzard, R. M. (1981). Two types of autoimmune Addison's disease associated with different polyglandular autoimmune (PGA) syndromes. Medicine, 60(5), 355–362. https://doi.org/10.1097/00005792-198109000-00003
  18. Nwosu, I., Oladiran, O., Ogbonna-Nwosu, C., & Anyata, A. (2019). Autoimmune polyglandular syndrome type 1: a case report and brief review. Journal of community hospital internal medicine perspectives, 9(3), 252–254. https://doi.org/10.1080/20009666.2019.1616523
  19. Orlova, E. M., Sozaeva, L. S., Kareva, M. A., Oftedal, B. E., Wolff, A. S., Breivik, L., ... & Husebye, E. S. (2017). Expanding the phenotypic and genotypic landscape of autoimmune polyendocrine syndrome type 1. The Journal of Clinical Endocrinology & Metabolism, 102(9), 3546-3556. https://doi.org/10.1210/jc.2017-00139
  20. Parent, A. V., Russ, H. A., Khan, I. S., LaFlam, T. N., Metzger, T. C., Anderson, M. S., & Hebrok, M. (2013). Generation of functional thymic epithelium from human embryonic stem cells that supports host T cell development. Cell stem cell, 13(2), 219–229. https://doi.org/10.1016/j.stem.2013.04.004
  21. Proust-Lemoine, E., & Wémeau, J. L. (2008). Syndrome Apeced ou polyendocrinopathie auto-immune de type 1. La Presse Médicale, 37(7-8), 1158-1171. https://doi.org/10.1016/j.lpm.2007.11.015
  22. Shum, A. K., Alimohammadi, M., Tan, C. L., Cheng, M. H., Metzger, T. C., Law, C. S., ... & Anderson, M. S. (2013). BPIFB1 is a lung-specific autoantigen associated with interstitial lung disease. Science translational medicine, 5(206), 206ra139-206ra139. https://doi.org/10.1126/scitranslmed.3006998
  23. Wang, Y. B., Wang, O., Nie, M., Jiang, Y., Li, M., Xia, W. B., & Xing, X. P. (2021). Characterization of the clinical and genetic spectrum of autoimmune polyendocrine syndrome type 1 in Chinese case series. Orphanet journal of rare diseases, 16(1), 296. https://doi.org/10.1186/s13023-021-01933-y
  24. Yanase, T., Tajima, T., Katabami, T., Iwasaki, Y., Tanahashi, Y., Sugawara, A., ... & Kasayama, S. (2016). Diagnosis and treatment of adrenal insufficiency including adrenal crisis: a Japan Endocrine Society clinical practice guideline [Opinion]. Endocrine journal, 63(9), 765-784. https://doi.org/10.1507/endocrj.EJ16-0242
Recommended Articles
Original Article Open Access
A FRAMEWORK OF MONOCLONAL ANTIBODIES AND RELATED PRODUCTION ENGINEERING
2025, Volume 4, Issue 4 : 26-34
Research Article Open Access
Investigation of Tritrichomonas Foetus in Cattle Using Different Methods in Basrah City – Iraq
2023, Volume 2, Issue 1 : 39-43
DOI: https://doi.org/10.48112/bcs.v2i1.334
Research Article Open Access
The Role of Vitamin D and Zinc In Facing COVID-19 Injury
2022, Volume 1, Issue 1 : 6-10
DOI: https://doi.org/10.48112/bcs.v1i1.76
Research Article Open Access
Vortex Storms in the West of Santa Catarina
2022, Volume 1, Issue 2 : 41-46
DOI: https://doi.org/10.48112/bcs.v1i2.79
Biomedicine and Chemical Sciences journal thumbnail
Volume 2, Issue 2
Citations
3 Views
0 Downloads
Share this article
License
Copyright (c) Biomedicine and Chemical Sciences
Creative Commons Attribution License Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
All papers should be submitted electronically. All submitted manuscripts must be original work that is not under submission at another journal or under consideration for publication in another form, such as a monograph or chapter of a book. Authors of submitted papers are obligated not to submit their paper for publication elsewhere until an editorial decision is rendered on their submission. Further, authors of accepted papers are prohibited from publishing the results in other publications that appear before the paper is published in the Journal unless they receive approval for doing so from the Editor-In-Chief.
Biomed. Chem. Sci. open access articles are licensed under a Creative Commons Attribution-ShareAlike 4.0 International License. This license lets the audience to give appropriate credit, provide a link to the license, and indicate if changes were made and if they remix, transform, or build upon the material, they must distribute contributions under the same license as the original.
Biomedicine and Chemical Sciences Logo
Biomedicine and Chemical Sciences
About Us
Biomedicine and Chemical Sciences (BCS), an international journal, publishes double blind peer-reviewed full-length, original papers, reviews or letters. BCS covers the latest developments in various fields of biomedicine such as cardiology, immunology, genetics, environmental health, neurology, oncology and toxicology
Support
Follow Us
facebook twitter linkedin mendeley research-gate
© Copyright Biomedicine and Chemical Sciences (BCS). All Rights Reserved.