Antisynthetase syndrome 2025

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In fact, life expectancy is curtailed in aSS and the major cause of death is ILD and pulmonary hypertension. The 5-year survival is 90% in anti-Jo-1-positive patients and 75% in non-Jo-1-positive patients but the 5-year survival can be as low as 31%.
Antisynthetase syndrome is 23 times more common in women than in men. The age at onset among adults ranges from 19 to 82 years with a mean age at onset varying from 43 to 60 yrs.
Anti-synthetase syndrome is an autoimmune disease characterized by autoantibodies against one of many aminoacyl transfer RNA (tRNA) synthetases with clinical features that may include interstitial lung disease (ILD), non-erosive arthritis, myositis, Raynauds phenomenon, unexplained fever and/or mechanics hands (1).
Anti-Jo-1 is the most common antisynthetase antibody and is the most likely to present with the classic triad of myositis, ILD, and arthritis. Patients with anti-Jo-1 antibodies have more muscle and in particular more joint involvement than patients with other antisynthetase antibodies [17].
Antisynthetase syndrome usually isnt fatal. People living with it dont usually have a different life expectancy than usual. Most people live with it for the rest of their lives but can manage their symptoms with treatments.
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The hallmark of antisynthetase syndrome is the presence of serum autoantibodies directed against aminoacyl-tRNA synthetases. These are cellular enzymes involved in protein synthesis. Antisynthetase antibodies include Jo-1, PL-7, PL-12, OJ, EJ, KS, Wa, YRS, and Zo.
What Causes Antisynthetase Syndrome? The exact cause is unknown, but researchers have linked it to the production of a specific autoantibody, called Anti-Jo-1, that attacks healthy tissue because the patients immune system is overactive. Its more common in women than men, and the average age of onset is 50.

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